Emerg Med J 30:247-248 doi:10.1136/emermed-2012-202302
  • Cases from hems

Case studies in prehospital care from London HEMS: pre-hospital administration of prothrombin complex concentrate to the head-injured patient

  1. Anne E Weaver
  1. London's Air Ambulance, The Royal London Hospital, London, UK
  1. Correspondence to Dr Robbie A Lendrum, London's Air Ambulance, Helicopter Emergency Medical Service, The Royal London Hospital, London E1 1BB, UK; rlendrum{at}
  • Received 19 December 2012
  • Revised 19 December 2012
  • Accepted 3 January 2013
  • Published Online First 24 January 2013


A case of pre-hospital administration of prothrombin complex concentrate to a patient anticoagulated with warfarin and with suspected intracranial haemorrhage is described. Effective, early reversal of anticoagulation by the time of arrival at hospital was achieved.

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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