Managing Dabigatran vs Westmead Trauma Algorithm

The dabigatran App is designed for doctors to help them manage patients on the anticoagulant dabigatran. It will be useful to general practitioners, cardiologists, haematologists, neurologists, anaesthetists, emergency specialists and surgeons. In fact most clinicians will at some time have patients on anticoagulants and would find this App helpful. The Dabigatran App will help you • Select the right treatment for your patient. • Provide safe advice if bleeding occurs including information about Idarucizumab • Recommend when to stop treatment before surgery. • Provide recommendations for managing emergency surgery • Interpret coagulation results. -------------------------------------------------------------------------- Features of the Dabigatran App Dose recommendation The Dabigatran App provides the correct dose for each indication with advice about possible dose changes in the presence of renal impairment Drug information Details of the common side-effects, potential drug interactions and basic pharmacology is immediately available. Managing bleeding Bleeding is a potential problem with any anticoagulant and can be complex to manage. The Dabigatran App provides advice about which treatments to use for both minor and major bleeding including when to use idarucizumab (Praxbind) Managing surgery A common question with any anticoagulant is how long should treatment be stopped before surgery? The Dabigatran App calculates a safe interval between stopping treatment and surgery by including renal function and the time since the last dose. It also offers advice for treatment prior to emergency surgery if the surgery cannot be delayed. Interpreting coagulation results Dabigatran prolongs several coagulation tests. The Dabigatran App combines the results of these tests to give an indication of the dabigtran plasma concentration. Referenced information All recommendations are linked to an information page which is appropriately referenced with links to the relevant publications. Website for feedback The Dabigatran App is linked to the Coagulation Conversation website to allow you to ask questions, provide feedback or even start a discussion. We welcome all feedback. ---------------------------------------------------------------- The advice is based on published reviews and guidelines. Extensive efforts have been made to ensure the accuracy of the information however information may change for specific countries at short notice. The user should refer to the manufacturers datasheet for complete prescribing information. Disclaimer This software is to be used as a guide only and healthcare professionals should use clinical judgement and should individualise care for each patient. In no event shall the author or developer be liable to any party for damages resulting from the use of this application.

PURPOSE The Westmead Hospital Trauma Clinical Algorithms have been developed utilising evidence-based information to enhance patient and clinical decision-making and improve efficiency in delivery of safe, standardised health care. INTENDED AUDIENCE The algorithms presented are intended primarily for health professionals and the following audiences, specifically at Westmead Hospital, Sydney NSW Australia: Physicians, nurses and other health care professionals Health care administrators Researchers OTHER AUDIENCES INCLUDING PATIENTS If you are a patient and accessing these algorithms, you should understand that the information presented is designed for the use of the expert audiences, identified above. You should seek assistance from your health care professional in interpreting these materials and applying them in individual cases. MEDICAL ADVICE The algorithms are evidence-based processes that are intended to assist physician and patient decisions regarding the health care of trauma patients at Westmead Hospital. Although designed to standardise decision plans for trauma, the algorithms cannot address the unique needs of each patient or the combination of resources available to a particular community or health care professional. The algorithms are not entirely inclusive or exclusive of all methods of reasonable care that can result in the same outcome. Deviation from these algorithms may be justified by individual circumstances. The use of these algorithms outside Westmead Hospital must be applied based on individual patient requirements using expert, professional judgment. DISCLAIMERS The algorithms are for use specifically at Westmead Hospital, NSW, Australia. The creator and contributors to these algorithms do not assume any legal liability or responsibility for the use/application or resulting outcomes thereof these guidelines, both within or outside Westmead Hospital. Westmead Hospital does not assume any legal liability or responsibility for the accuracy, completeness, and/or clinical efficacy of these algorithms.