Women half as likely to be given drug for fatal bleeds (Times report 19/05/22)

That's the one about different types of accident not TXA, I think

Oops I thought Dr Nutbeam looked at treatment and outcomes too - I was sure he mentioned it in the BBC interview.

From the paper:

We selected injured patients aged ≥16 yr with an Injury Severity Score (ISS) of 9 or more. This population represents a major trauma population at risk of haemorrhagic death with at least one serious injury.

There's a threshold and some criteria that account for the mechanism of injury (BATT score).

Although there are sex differences in injury mechanisms, we did not control for injury mechanism in our analysis as this would lead to over-adjustment bias. For people with the same risk of death from bleeding, mechanism of injury should not influence the receipt of TXA treatment.
…
Women are treated less frequently than men regardless of their risk of death from bleeding (BATT score) or the severity of their injuries. When women and men with the same mechanism of injury and ISS are compared, women are again treated less frequently than men.

This is disturbing. It looks like women are being let down at every stage at the process. I see the argument above that we may need to know about this in order to advocate for ourselves or family members and I still find this dispiriting for all of the other opportunities that are missed in the overall treatment journey.

It's also interesting that the effect is particularly pronounced in older women. Particular misogyny towards older women or again to do with the type of trauma? Maybe both?

Yes I think it's multfactorial, but that doesn't mean it isn't potentially discrimination.

That's the one about different types of accident not TXA, I think.

Have put a link in AIBU in case anyone thinks it's useful to boost it - better get to.work now

www.mumsnet.com/talk/am_i_being_unreasonable/4552378-to-tell-you-about-tranexamic-acid-txa-could-stop-you-bleeding-to-death-but-women-arent-getting-it

I remember my mother who attended A&E for similar issues both sides of 60 saying the dropof interest in treating her symptoms once she crossed that line was palpable

It's not rocket science to think a woman might need it after a fall though, is it. You'd think it would be a staple.

It's also interesting that the effect is particularly pronounced in older women. Particular misogyny towards older women or again to do with the type of trauma? Maybe both?

One possible reason may be the causes of trauma are different in women (more falls) than men (road traffic accidents) and they may not be recognised as needing txa.

Yes, as Sylfia said.

This is the original study

pubmed.ncbi.nlm.nih.gov/35504646/

I think it's worth reading the paper itself www.bjanaesthesia.org/article/S0007-0912(22)00184-2/fulltext

One possible reason may be the causes of trauma are different in women (more falls) than men (road traffic accidents) and they may not be recognised as needing txa.

I wonder if the kind of accident / speed of treatment makes a difference too? Have vision of paramedics speeding to scene of car crash with super drugs and high drama vs old woman lying on floor for hours after fall. (Not a full explanation for that discrepancy though).

Sylfia

So we need to learn and use the the name. Tranexamic acid (TXA). Can reduce likelihood of fatal bleed by 30%. But men are twice as likely to get it. Let's remember that.

This.

Ah right. Sorry. Yes.

that’s incredibly confusing MN. Really bad UX design.

It's not, it's in Feminism Sex and Gender. I think that's where the OP wanted it, to discuss this from a feminist perspective? But I don't disagree that it's something all women should be aware of - maybe start another thread in AIBU or chat as well?

It's in Sex and Gender - it's just confusing the way they put the link to Feminist Chat at the top there.

It seems to be an inexpensive drug with no major side effects, so it’s not the case that doctors are making some finely tuned calculation about administering it and getting that calculation wrong for women.

It must be just pure medical misogyny and dismissing women’s pain. Again.

Why is it in Feminist Chat @MNHQ ? This is important awareness raising that ALL women need to know about this. Please put it back to a high traffic area.

Yes agreed. I wouldn't have known to ask for such a thing, on my own behalf or anybody else's.

So we need to learn and use the the name. Tranexamic acid (TXA). Can reduce likelihood of fatal bleed by 30%. But men are twice as likely to get it. Let's remember that.

Also, it is basically the same drug (just given differently) as is used to reduce menstrual bleeding! So again, far more women ought to be made aware of TXA than are.

Older women particularly affected as Guardian notes

Women need to campaign to make other women aware of this. Female HCPs; women who are injured but conscious; women who are unharmed and can advocate for a loved one (e.g. both in the same crash). Attaining equality by getting men to treat us equally is probably (?) more difficult than making as many women as possible aware.

Read recently too that women shouldn't be expected to have lower blood pressure than men after menopause but that this assumption is still made.

Also this

www.theguardian.com/world/2022/may/17/women-almost-twice-likely-trapped-crashed-vehicle-study

Relevant discussion - about women more likely to be trapped in cars after road accidents - on World at One yesterday (about 35 min in) with Caroline Criado Perez and (possibly) one of the authors of the study, which examined sex-based differences in treatment in A&E.

www.bbc.co.uk/sounds/play/m0017cgn