Prehospital Tranexamic Acid: STAAMP of Approval or Return to Sender?

Dumas and Martin discuss the study by Guyette et al who report the results of the Study of Tranexamic Acid During Air and Ground Medical Prehospital Transport (STAAMP) trial, a robust and high-quality randomized clinical trial that will greatly help to inform this area but that will also undoubtedly generate significant controversy and debate in parsing the results. For trauma patients and practitioners alike, the race against time starts the moment after injury. Although prehospital procedures may delay definitive hospital care, evidence that prehospital transfusion saves lives is increasing.