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"People often have a fatalistic attitude about accidents and think nothing can be done to save people," he said. "But this study shows that isn't true."
Experts said rolling out TXA could save as many lives as other measures such as making seatbelts compulsory or strengthening drunk-driving laws.
The drug also could save thousands of people in the West.
"This is not just something for developing countries," said Dr. Karim Brohi, who works at one of London's busiest emergency rooms at Barts and the London School of Medicine and University of London-Queen Mary. "We could probably use tranexamic acid on a daily basis."
Last week, Roberts and colleagues submitted an application to WHO to include TXA on its List of Essential Medicines, which is used by many developing countries as a shopping list for drugs. Once drugs are on WHO's list, other U.N. agencies such as UNICEF often buy the drug for poor countries.
"In many developing countries, emergency departments are like war zones, even when there's no war," Roberts said. "If (TXA) is available, a lot of those deaths could be avoided."
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