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Case Report

Open Access

Excessive anticoagulation identified by emergency medical service through point-of-care coagulometry


1Department of Neurosurgery, Heidelberg University Hospital

2Department of Anaesthesiology, Heidelberg University Hospital

DOI: 10.22514/SV101.042015.9 Vol.10,Issue 1,April 2015 pp.121-126

Published: 30 April 2015

*Corresponding Author(s): CHRISTOPHER BEYNON E-mail:


Bleeding because of excessive anticoagulation is a well-recognized complication of coumadin therapy. In cases of potentially life-threatening bleeding such as intracranial haemorrhage, reversal of anticoagulation should be carried out as soon as possible. Here we report the case of an emergency patient in whom excessive anticoagulation was diagnosed at the scene by emergency medical service personnel through the use of a point-of-care coagulometer. Following hospital admission, findings were confirmed by central laboratory assessment of prothrombin time. The time gained through the use of portable coagulometers may contribute to improved pre-hospital emergency management of anticoagulated patients.


anticoagulation, bedside testing, warfarin, haemorrhage

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CHRISTOPHER BEYNON,ANGELINA G ERK,STEFAN MOHR,FELIX HEISER,ERIK POPP. Excessive anticoagulation identified by emergency medical service through point-of-care coagulometry. Signa Vitae. 2015. 10(1);121-126.


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