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intervention on those casualties already in shock. In the in- Bjarnason from the Canadian Forces Department of National
terim, individual medical oversight groups will need to weigh Defense for their work on IM TXA and their guidance and
the evidence presented herein and contextualize it to the envi- contributions on this subject. Finally, we thank the medical
ronment in which they operate when considering IM TXA as librarians at the College of Physicians and Surgeons of British
a viable alternate route of administration. Columbia for lending their expertise on the literature search
on this subject.
Acknowledgments
We thank Mark Anderson, Dr E. Reed Smith, Dr Michael Disclosures
Shertz, and the Committee for Tactical Emergency Casualty The authors have nothing to disclose.
Care; and Dr Frank Butler from the Committee on Tactical
Combat Casualty Care for their guidance on the development Author Contributions
of this research and manuscript. We also thank Dr Jessica All authors approved the final version of the manuscript.
Paterson, Dr John Mikler, Dr Hugh Semple, and Dr Stephen
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68 | JSOM Volume 18, Edition 1/Spring 2018
