Tranexamic Acid use in TCCC

TXA is not taught as being within the scope of practice for standard Army 68W's, and thus is not even mentioned as an option in any "regular ol' medic" training/literature I'm aware of. The latest TCCC Guidelines include the note: "Per the Assistant Secretary of Defense for Health Affairs memo dated 4 November 2011, use of TXA outside of fixed medical facilities is limited to the Special Operations community". Considering how many medics (most actually) work at higher echelons of care (ROLE III, FST, etc.) responsible for a spectrum of interventions, it's surprising that it's absent from both MOS, refresher, and predeployment training/BCT3 (regarding only clinical interventions). Based on the MATTERs study, I'm curious if TXA ends up being included in future skill sets outside of SOF.

Please don't get me started on 68W training vs scope of practice. :-"
 
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