As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!

Tranexamic Acid! It seems everywhere we look there are people touting TXA as the next miracle drug. This post introduces the clinical applications of TXA and the evidence supporting its use.