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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.
Background:
Sexual assault survivors may sustain vaginal trauma that requires intervention in the emergency department, or operating room.
Case Report:
We describe the case of a 16-year-old female who was referred to the emergency department for evaluation of continued bleeding from a vaginal laceration following sexual assault 38 h prior. The bleeding limited the medical forensic medical examination, but she was hemodynamically stable. After the application of tranexamic acid (TXA)-soaked gauze, the patient's bleeding was controlled and the wound was able to be evaluated and the examination completed. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: To our knowledge, this is the first case in the literature that describes the use of topical TXA in a patient to achieve hemostasis in a vaginal laceration sustained from sexual violence.
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