Exclusion criteria include any of the below: 1. Unable to administer study drug within 3Â h of traumatic event 2. Known pregnancy 3. Known prisoners 4. Known wards of the state 5. Cardiac arrest prior to randomization 6. GCS score of 3 with bilateral unresponsive pupils 7. Isolated subarachnoid hemorrhage, epidural hematoma, or diffuse axonal injury 8. Known bleeding/clotting disorders 9. Known seizure disorders 10. Known history of severe renal impairment 11. Unknown time of injury 12. Previous enrollment into the TIC-TOC trial 13. Prior TXA for current injury 14. Non-English and non-Spanish speaking 15. Known venous or arterial thrombosis |