Capillary bleeding. Apply gauze soaked in adrenaline solution to the affected area.
For the reversal of anticoagulation with dabigatran in life-threatening bleeding &/or need for emergency surgery
Follow local protocol for management of bleeding in patients on direct oral anticoagulants
Tranexamic acid injection (continuous infusion on ECMO - off-label)
Approved off-label indication:
For use in accordance with the ECMO guideline for adults in critical care.
For continuous administration by infusion.
Tranexamic acid mouthwash 5%
Prescribing restricted to Haematology or ENT advice only
USE UNDER CONSULTANT SPECIALIST CARDIAC ANAESTHETIST SUPERVISION ONLY
Refer to advice from CHM
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Specialist or hospital prescribing only.
The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital.
In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.
Treatment can be initiated in primary care after a recommendation from an appropriate specialist
Specialist initiation followed by maintenance prescribing in primary care
Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation