title: Emergency management of major bleeding in a case of maxillofacial trauma and anticoagulation: utility of prothrombin complex concentrates in the shock room.
abstract: Life-threatening bleeding in anticoagulation with Warfarin is an emergency challenging issue. Several approaches are available to treat bleeding in either over-anticoagulation or proper-anticoagulation, including vitamin K, fresh frozen plasma and prothrombin complex concentrates (PCC) administration. In coexisting trauma-induced bleeding and anticoagulation, reversal of anticoagulation must be a rapid and highly effective procedure. Furthermore the appropriate treatment must be directly available in each shock rooms to guarantee the rapid management of the emergency. PCC require a simple storage, rapid accessibility, fast administration procedures and high effectiveness. Here we report the utility of PCC in management of a craniofacial trauma in proper-anticoagulation.
authors: Department of Internal Medicine, San Luigi Hospital, University of Turin , Italy.
authors: Alessandro
authors: A
authors: Morotti
authors: Department of Internal Medicine, San Luigi Hospital, University of Turin , Italy.
authors: Mauro Felice
authors: MF
authors: Frascisco
keywords: anticoagulation; life-threatening bleeding; prothrombin complex concentrates