Repletion vs. Reversal - Understanding Differences in Treating Hemorrhages in Patients Receiving Anticoagulants
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As the utilization of direct oral anticoagulants (DOACs) increases, there is a parallel increase in major bleeding events, especially intracranial hemorrhages, requiring hospitalization. Clinicians are not recognizing or distinguishing major from minor bleeding, or appropriately employing emergent options to manage major bleeding. Recent solutions for DOAC related life-threatening bleeding are under-recognized and under-utilized solutions for patients with these life-threatening emergencies. Over the last 12-18 months, nationally recognized guidelines have provided clear direction on how best to manage these types of major bleeding events. As data emerges regarding new approaches to therapy, clinicians need to be aware of these new and effective approaches and to assess the benefits and risks associated with each of these approaches. Education provided by experts from the EMCREG-International network within this program correctly and promptly address patient treatment approaches to the appropriate healthcare professionals.
This program discusses approaches to repletion or reversal, the associated reversal agents to consider, a case review, and a roundtable discussion between experts in the field.
Joshua M. Kosowsky, MD
Clinical Director, Emergency Medicine
Vice Chair, Clinical Affairs
Assistant Professor, Harvard Medical School
Brigham and Women's Hospital
Boston, MA
Nancy K. Sweitzer, MD, PhD
Professor of Medicine
Chief of Cardiology
Director, Sarver Heart Center
University of Arizona
Tuscon, AZ
W. Brian Gibler, MD FACEP, FACC, FAHA
President, EMCREG-International
Professor of Emergency Medicine
Director of Business Development
Department of Emergency Medicine
University of Cincinnati College of Medicine
Cincinnati, OH
Gregory J. Fermann, MD
Professor and Executive Vice Chairman
Department of Emergency Medicine
University of Cincinnati College of Medicine
Cincinnati, OH
Repletion or Reversal: Life-threatening Bleeding in the Anticoagulated Patient in the Emergency Department
Appropriate Use of Specific Reversal Agents in the Emergency Department: Who Should Decide on Use?
Case Study in Life-threatening Hemorrhage in Emergency Department Patient
Controversies in Management of the Emergency Department Patient with Severe, Life-threatening Bleeding