Anticoagulation & bleed risk · bedside workflow | Bedside workflow

Anticoagulation & bleed risk · bedside workflow

Calculate on this page; scores auto-fill the progress note.

Guideline Anticoagulation & bleed-risk management (see tool pages for exact version notes)Reviewed 2026-09-05

One-line positioning

Anticoag & bleed: warfarin/heparin/DOAC·bleed scores — calculate locally, nothing uploaded.

CN vs international guidelines

China

China anticoagulation / bleed-risk guidance (as cited on tool pages)

See version notes on this scene’s tool pages

Monitoring and bleed scores aligned with this site’s anticoag tools.

International

ASH / ACCP / ISTH anticoag & reversal; HAS-BLED et al.

See version notes on tool pages

International intensity, bridging, and reversal pathways.

Where they align

Both stress indication, monitoring, and concurrent bleed-risk assessment.

Where they diverge

DOAC dosing and reversal-agent access vary by region — defer to tool pages and local protocols.

Guideline version · changelog

2026-09-05Site-wide scene trust layer: dual guidelines, named reviewer, correction entry, and on-page score→chart flow

Doctor claim

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💬 Peer discussion

Licensed clinicians only — about this Scene · Anticoagulation & bleed risk · bedside workflow

Peer square

Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

Warfarin INR
Target INR, high-INR/bleeding management (ACCP/CHEST), interactions and missed-dose points.
Full details →
UFH dosing
Weight-based UFH IV loading dose and initial maintenance rate (Raschke nomogram), aPTT/anti-Xa guided.
Full details →
Periop bridging
Warfarin bridging, DOAC interruption and resumption, and perioperative antiplatelet handling (CHEST 2022 / ACC / ASRA).
Full details →
Wells DVTAlternate branch
Pre-test probability of deep vein thrombosis.
Full details →
Wells PEAlternate branch
Pre-test probability of pulmonary embolism.
Full details →

Progress note preview

[Anticoagulation & bleed risk · bedside workflow]
Warfarin INR：not calculated
UFH dosing：not calculated
Periop bridging：not calculated
Wells DVT：not calculated
Wells PE：not calculated
Guideline：Anticoagulation & bleed-risk management (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Save the PNG and share — /r/anticoag opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

Step tools

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