Reversal: Anticoagulants

The good news is you now have an alternative to warfarin. The bad news is you can kill a patient as easily with the new drug as you could with the old drug if it is not handled properly - Dr. Alan Jacobson

Reversal: Anticoagulants

image by: Ahmed Elgamal

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DOACs Part 2: Bleeding and Reversal Agents

The most important principle to remember in the management of hemodynamically unstable patients who are bleeding and taking DOACs is that reversing or withholding a DOAC does not stop bleeding, but rather, returns the patient to an un-anticoagulated state. It is therefore imperative that resuscitative measures to stop the bleeding are taken as a priority over reversing the DOAC.

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Last Updated : Thursday, March 31, 2022