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Help, I Cannot Stop the Bleeding!

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Immunohematology and Transfusion Medicine

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Abstract

A 78-year-old male is brought to the emergency department after falling on ice and sustaining head trauma outside of his home. A computed tomography (CT) head scan shows intracerebral hemorrhage. The patient is noted to have a medical history significant for non-valvular atrial fibrillation for which he takes dabigratran etexilate anticoagulant medication. Coagulation laboratory studies show prothrombin time (PT) 13.1 s, activated partial thromboplastin time (aPTT) 62.0 s. A type and screen (ethylenediaminetetraacetic acid, EDTA anticoagulant) is submitted to the blood bank along with a request for four units of fresh frozen plasma (FFP).

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Authors and Affiliations

  1. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, Blood Bank and Transfusion Service, The Mount Sinai Health System, New York, New York, USA

    Mark T. Friedman

  2. Department of Transfusion Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland, USA

    Kamille A. West

  3. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, The Mount Sinai Health System, New York, New York, USA

    Peyman Bizargity

Authors
  1. Mark T. Friedman
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  2. Kamille A. West
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  3. Peyman Bizargity
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Correspondence to Mark T. Friedman .

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© 2016 Springer International Publishing Switzerland

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Friedman, M., West, K., Bizargity, P. (2016). Help, I Cannot Stop the Bleeding!. In: Immunohematology and Transfusion Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-22342-1_34

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  • DOI: https://doi.org/10.1007/978-3-319-22342-1_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22341-4

  • Online ISBN: 978-3-319-22342-1

  • eBook Packages: MedicineMedicine (R0)

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