Pediatric transfusion dosing

Tranexamic Acid BOLUS 30mg/kg IV push (max 100mg/min) or over 10-20 minutes 3 kg -90 mg 4 kg -120 mg 5 kg -150 mg 200 mg 250 mg 320 mg 400 mg 500 mg 650 mg 800 mg 1000 mg 1000 mg 2000 mg Tranexamic Acid INFUSION 10 mg/kg/hr for 8 hours (1000 mg in 100 mL) 125 mg/hr for 8 hours (1000mg in 100mL) NO Infusion required BLOOD PRODUCTS Treatment & Dose Target Less than 19 kg: use PUSH -PULL blood tubing with RANGER WARMER *consider irradiated products if patient less than 4 months* 19 kg and greater: Use LEVEL ONE INFUSER *minimum 20g IV* RBC 20mL/kg Hemoglobin >80 3 kg -60 mL 4 kg -80 mL 5 kg -100 mL 130 mL 170 mL 210 mL 260 mL ~300 mL ~ 300 mL ~ 300 mL ~ 300 mL ~ 300 mL ~ 300 mL

Authors

Publication Details

Journal
First10EM blog
Published
2025-04-16
DOI
https://doi.org/10.51684/firs.141646
Primary Topic
Trauma, Hemostasis, Coagulopathy, Resuscitation
Type
article
Field-Weighted Citation Impact
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article

Pediatric transfusion dosing

Justin Morgenstern
First10EM blog
Trauma, Hemostasis, Coagulopathy, Resuscitation
article

Pediatric transfusion dosing

Justin Morgenstern
article en

Abstract

Tranexamic Acid BOLUS 30mg/kg IV push (max 100mg/min) or over 10-20 minutes 3 kg -90 mg 4 kg -120 mg 5 kg -150 mg 200 mg 250 mg 320 mg 400 mg 500 mg 650 mg 800 mg 1000 mg 1000 mg 2000 mg Tranexamic Acid INFUSION 10 mg/kg/hr for 8 hours (1000 mg in 100 mL) 125 mg/hr for 8 hours (1000mg in 100mL) NO Infusion required BLOOD PRODUCTS Treatment & Dose Target Less than 19 kg: use PUSH -PULL blood tubing with RANGER WARMER *consider irradiated products if patient less than 4 months* 19 kg and greater: Use LEVEL ONE INFUSER *minimum 20g IV* RBC 20mL/kg Hemoglobin >80 3 kg -60 mL 4 kg -80 mL 5 kg -100 mL 130 mL 170 mL 210 mL 260 mL ~300 mL ~ 300 mL ~ 300 mL ~ 300 mL ~ 300 mL ~ 300 mL

First10EM blog
Openalex Percentile: Top 90%
Trauma, Hemostasis, Coagulopathy, Resuscitation
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Pediatric transfusion dosing — Justin Morgenstern · First10EM blog (2025) | TGRS Research Map | TGRS