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CME/CE Test

Addressing Trauma Team Challenges in Bleeding Management and Reversal: Your Questions Answered

  1. A 68-year-old man arrives to the trauma unit at 3pm after being involved in a motor vehicle accident. He is awake, alert, and oriented, and he reports significant diffuse abdominal pain. FAST exam reveals free fluid in Morison's pouch. The patient states he is currently taking metoprolol, losartan, finasteride, and dabigatran, and he confirms last taking his dabigatran this morning.
    After supportive measures, what is the best next step in treating this patient?
    Andexanet alfa
    Four-factor prothrombin complex concentrate
    Idarucizumab
  2. A 70-year-old woman arrives to the emergency department (ED) with stroke-like symptoms onset 30 minutes prior to arrival. Rapid CT scan of the head reveals an intracerebral hemorrhage. The patient’s daughter in the ED reports the patient has a long history of deep vein thrombosis for which she takes rivaroxaban.
    In addition to supportive measures, what is the best next step for the treatment of this patient?
    Andexanet alfa
    Four-factor prothrombin complex concentrate
    Idarucizumab