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Topical Tranexamic Acid to Control Vaginal Laceration Bleeding after Sexual Assault.

Ashtyn Playfair¹, Brian Dillon², Carissa Futterer¹

¹Methodist Hospital Specialty and Transplant Hospital, Forensic Nurse Program, San Antonio, Texas.

The Journal of Emergency Medicine

|June 2, 2024

Summary

Topical tranexamic acid (TXA) effectively controlled bleeding from a vaginal laceration in a sexual assault survivor. This intervention allowed for a complete medical forensic examination, aiding in patient care and evidence collection.

Keywords:

Sexual assault TXA Tranexamic acid Vaginal laceration bleeding

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Area of Science:

Emergency Medicine
Trauma Surgery
Forensic Medicine

Background:

Sexual assault can cause vaginal trauma requiring medical intervention.
Vaginal lacerations can present with significant bleeding, complicating examinations.

Purpose of the Study:

To report the successful use of topical tranexamic acid (TXA) for hemostasis in a vaginal laceration secondary to sexual assault.
To highlight a novel approach for emergency physicians managing such injuries.

Main Methods:

A case report of a 16-year-old female with persistent vaginal bleeding post-sexual assault.
Application of tranexamic acid (TXA)-soaked gauze to control hemorrhage.
Completion of a medical forensic examination after bleeding control.

Main Results:

Topical TXA effectively achieved hemostasis in the vaginal laceration.
Bleeding control facilitated a thorough medical forensic examination.
The patient was hemodynamically stable throughout the evaluation.

Conclusions:

Topical TXA is a viable option for managing vaginal laceration bleeding in sexual assault survivors.
This method can aid emergency physicians in completing critical forensic evaluations.
This represents the first reported use of topical TXA for this specific indication.