INR Is Not the Thing Read to Be Followed in a Bleeding Patient.

In heavy massive bleeding with a massive transfusion protocol in place and a fibrinage level under the gram per liter, you're going to give ten units of cryoprecipitate or fibrinigin if available. A certain number of patients with cirrhosis and high INR will be vitamin K deficient. My understanding is that PCCs really don't have a role in liver patients. And what about TXA? I mean, there was a while there, we were giving TXA for everyone bleeding, and now the pendulum started to swing the other way,. There are thbotic complications associated withTXA for the liver patient who has a severe bleed.