Shreds of Evidence

We examine the evidence behind TXA use in prehospital care and explore how protocol adoption varies across California EMS systems. What does the data say about its effectiveness in trauma? Why do some agencies use it while others hesitate? This episode unpacks the science, the operational considerations, and the policy landscape shaping TXA’s role in the field.

What is Shreds of Evidence?

Diving deep into the evidence, policies, and politics that shape California EMS. Each episode breaks down the clinical topics, operational challenges, and system-level forces influencing how EMS is delivered across the state. Designed for EMS professionals, healthcare leaders, and policy thinkers who want to understand what’s driving change—and what’s holding it back.