Anticoagulant management in Emergency settings: 2024 guidelines from the French Society of Emergency Medicine (SFMU), the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Working Group on Perioperative Haemostasis (GIHP), endorsed by the French Neurovascular Society

Douillet, D; Godon, A; Rousseau, G; Ruiz, S; Vardon, F; De Maistre, E; Garrigue, D; Gouin, I; Gruel, Y; Lanoiselée, J; Lapostolle, F; Lasne, D; Mansour, A; Martin, AC; Mazighi, M; Mismetti, P; Moumneh, T; Moustafa, F; Penaloza, A; Roullet, S; Roy, PM; Siguret, V; Schmidt, J; Tacquard, C; Tazarourte, K; Zufferey, P; Nguyen, P; Godier, A

doi:10.1016/j.accpm.2025.101584

Safety, quality & education

Anticoagulant management in Emergency settings: 2024 guidelines from the French Society of Emergency Medicine (SFMU), the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Working Group on Perioperative Haemostasis (GIHP), endorsed by the French Neurovascular Society

Anaesth Crit Care Pain MedPublished 26 Jun 2025Clinical practice guideline

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Cite

Methodological detailsGRADE methodology, GRADE grid voting, PICO questions, PRISMA literature search from 1990

GRADE methodology
GRADE grid voting
PICO questions
PRISMA literature search from 1990

Recommendations

As issued by the authors

103 recommendations concerning 21 questions; strong agreement on 97 after two voting rounds
GRADE 1
19 recommendations with a high level of evidence
GRADE 2
35 recommendations with a low level of evidence
Expert opinion
48 recommendations are expert opinions
No recommendation could be made for one question

Reference

Issued by: SFMU, SFAR, GIHP and SFHT (French and Belgian experts)
Document: Guidelines
Scope: Management of anticoagulants in an emergency setting: laboratory testing, anticoagulant-associated bleeding, asymptomatic overdoses, non-elective invasive procedures, thrombolysis for acute ischaemic stroke on anticoagulants

Authors: Douillet D, Godon A, Rousseau G, Ruiz S, Vardon F, De Maistre E, et al.
All 28 authors
Douillet D, Godon A, Rousseau G, Ruiz S, Vardon F, De Maistre E, Garrigue D, Gouin I, Gruel Y, Lanoiselée J, Lapostolle F, Lasne D, Mansour A, Martin AC, Mazighi M, Mismetti P, Moumneh T, Moustafa F, Penaloza A, Roullet S, Roy PM, Siguret V, Schmidt J, Tacquard C, Tazarourte K, Zufferey P, Nguyen P, Godier A
Journal: Anaesthesia Critical Care & Pain Medicine
Published: 26 Jun 2025
DOI: 10.1016/j.accpm.2025.101584
PubMed: 40581261

Topic: Safety, quality & education

Original publication

Anticoagulant management in Emergency settings: 2024 guidelines from the French Society of Emergency Medicine (SFMU), the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Working Group on Perioperative Haemostasis (GIHP), endorsed by the French Neurovascular Society. Anaesth Crit Care Pain Med. Published 26 June 2025. doi:10.1016/j.accpm.2025.101584

Read the original article ↗

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