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Superwarfarin ingestion treated successfully with prothrombin complex concentrate.

Olivia Haesloop¹, Allison Tillick², Graham Nichol²

¹Division of Emergency Medicine, University of Washington School of Medicine, Seattle, WA.

The American Journal of Emergency Medicine

|June 14, 2015

Summary

This summary is machine-generated.

Superwarfarin rodenticide ingestion causes severe bleeding. Prompt treatment with blood products and prothrombin complex concentrate effectively reversed coagulopathy in a critical case.

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Area of Science:

Toxicology
Hematology
Emergency Medicine

Background:

Superwarfarin, a rodenticide, causes prolonged and severe coagulopathy.
Ingestion can lead to life-threatening hemorrhage and hypotension.

Observation:

A case of intentional superwarfarin ingestion presented with severe hemorrhage.
The patient required emergent resuscitation and coagulopathy reversal.

Findings:

Treatment involved traditional blood products and prothrombin complex concentrate (PCC).
PCC administration was crucial for managing the extreme and persistent coagulopathy.

Implications:

PCC may be a vital therapeutic option for superwarfarin-induced coagulopathy.
This case highlights the importance of prompt recognition and aggressive management of rodenticide poisoning.