Abstract
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.
Original language | English (US) |
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Pages (from-to) | e65-e68 |
Journal | Journal of Emergency Medicine |
Volume | 67 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2024 |
Keywords
- Sexual assault
- TXA
- Tranexamic acid
- Vaginal laceration bleeding
ASJC Scopus subject areas
- Emergency Medicine