A 75-year-old male with a background of atrial fibrillation on warfarin (INR 3.8) falls and develops an acute subdural haematoma. He is being transfer...

Question

A 75-year-old male with a background of atrial fibrillation on warfarin (INR 3.8) falls and develops an acute subdural haematoma. He is being transferred to a neurosurgical centre. What specific reversal agent and haematological product should be communicated during the pre-alert handover?

Accepted Answer

IV vitamin K and 4-factor prothrombin complex concentrate (PCC) - Beriplex or Octaplex

Answer

Idarucizumab 5 g IV

Answer

Fresh frozen plasma only

Answer

Tranexamic acid 1 g IV

Answer

IV vitamin K only - this is sufficient

uk-dipimc MCQ (SBA): Warfarin Reversal in ICH

A 75-year-old male with a background of atrial fibrillation on warfarin (INR 3.8) falls and develops an acute subdural haematoma. He is being transferred to a neurosurgical centre. What specific reversal agent and haematological product should be communicated during the pre-alert handover?