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Free Open Access Short Answer Questions for ED Fellowship Study
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Case: Severe Anticoagulated Epistaxis
A 79-year-old woman is brought from home with ongoing severe epistaxis. She has atrial fibrillation, hypertension and rheumatoid arthritis, and takes digoxin, amlodipine and dabigatran. She has 2 large bore IV cannulas in situ and non-invasive monitoring applied. Vitals are as follows :
- HR 115
- BP 75/40
- RR 24
- GCS 14 (E3V5M6)