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FFP no try Beriplex! d/w your haematologist first as it's a bit more expensive but works much quicker. Andy Webster -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Fred Cartwright Sent: 11 December 2002 17:57 To: [log in to unmask] Subject: Re: Warfarin & CVA --- [log in to unmask] wrote: > This may be old news but..... > Had a 71 yr old chap in with dysarthria and facial > weakness no apparent > limb weakness. On warfarin for IHD. previous TIA. > Sitting communicating > with thumbs up and down with all whilst waiting > cheerfully (!)for a MAU. > Sudden collapse. virtaul respiratory arrest, > pinpoint pupils , bilat > upgoing plantars.... (probably high temperature for > those academics out > there) so pontine bleed seemed likely. > SHO felt dreadful.... 'Should I have given him > VitK?' she said 'Would that > have made a difference?' she said > I said 'ermmmmm......... I am sure it wont have > done........' > So Q1 Any evidence for reversing warfarinisation in > cva? > what do we think? Am I missing something here? Surely in the time scale that Vit K is going to work it wouldn't have made a difference. If you need to reverse anticoagulation quickly don't you need to give FFP? Cheers Fred. __________________________________________________ Do you Yahoo!? Yahoo! Mail Plus - Powerful. Affordable. Sign up now. http://mailplus.yahoo.com