PPT-Direct oral anticoagulant (DOAC) haemorrhage protocol

1 Contact haematologist on call document DOAC taken and last time drug ingested calculate creatinine clearance Cockcroft Gault FBC and check INRAPTTthrombin time Dabigatran Rivaroxaban. RVI. Northern trauma network conference. March 2014. Major Haemorrhage Policy for Trauma. Background. Leading cause of traumatic death. Advances in haemostatic resuscitation. Balanced transfusion 1:1:1:1. Presented by Dr Azza Serry. Learning objectives . Definition , causes &classification .. Pathophysiology & physiological response of haemorrhagic shock .. Management of haemorrhagic shock . . Haemorrhage. . and the NASG. ©Suellen Miller 2013. Obstetric . Haemorrhage. Definition: . obstetric . haemorrhage. . is heavy bleeding during pregnancy, labor or the postpartum. Bleeding in excess of 500mL or in any amount that causes changes in vital signs. By. Dr. . Bikha. Ram . Devrajani. FCPS, FACP, FRCP. Professor . Medicine. Liaquat. University of Medical & Health Sciences, . Jamshoro. Definition of Stroke. Acute focal neurological deficit resulting from cerebrovascular disease and lasting more than 24-hours (or causing earlier death). Miss Melanie Tipples . Understand the definition and causes of major . haemorrhage. Recognise. and manage a collapse from . haemorrhage. Understand the surgical and pharmacological options for management of . R2 Patcharee Seesongsom. R2 . Sirada. . Phojai. Advisor AJ . T. a. chawan. . J. iratiwanon. Scope. Overview. Introduction of NOACs. Rivaroxaban. ( . Xarelto. ). Dabigatran. ( . Pradaxa. ). Definition of Anticoagulation. Therapeutic interference with the clotting mechanism of the blood . ("blood-thinning") to . prevent or treat thrombosis and embolism.. Indications of Anticoagulant Therapy. Drs. Matt Lyman, Corey . Tingey. , and Ken Howard. With help from Drs. . Gravlee. and Marshall. The Problem.  Anticoagulation recommendations prior to surgical procedures are not consistent with anticoagulation  guidelines for neuraxial anesthesia. . An Educational Slide Set . American Society of Hematology 2018 Guidelines . for Management of Venous Thromboembolism. Slide set authors: . E. ric. Tseng MD . MScCH. , University of Toronto. Daniel Witt PharmD, University of Utah. Clair . Huckerby. Pharmaceutical Adviser- Medicines Optimisation . Lead. Dudley CCG. Our mission. To improve the . health and wellbeing . of the . population . of . Dudley . through the . safe and effective . :. are additives that inhibit clotting of blood and/or plasma. They act either by binding calcium ions or by inhibiting thrombin activity. . Platelets and coagulation factors are activated when blood vessels are punctured, and their activation continues in sample containers that do not contain anticoagulant, leads to clot formation which interfere with many analytical tests.. Morgan P. McMonagle. University Hospital Waterford. Four Broad Areas. Why Do Trauma Patients Die?. Major Trauma Outcome Study (ACS COT):. 30-40% of early trauma deaths are directly attributable to . haemorrhage. existing clots from growing larger. Although anticoagulants are sometimes called blood thinners , they do not actually thin the blood. The job of anticoagulants is to promote the smooth flow of bloo template. * . An MHP includes a multidisciplinary approach to haemorrhage control^, correction of coagulopathy and normalisation of patient physiological parameters . (insert key contact names and numbers).