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ModerateHematologyFactor Xa inhibitor reversalus-abemus-abimus-usmle-step-2us-usmle-step-3

A 68-year-old woman with a history of atrial fibrillation on apixaban 5 mg twice daily presents after a fall with a subdural haematoma confirmed on CT. Her last apixaban dose was 2 hours ago. She is hypotensive and has signs of increased intracranial pressure. According to current anticoagulant reversal guidance, what is the most appropriate management?

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