Possible approach to empiric anticoagulation in COVID-19 Is D-dimer above '"1,000-2,000 ng/ml? Contraindication to anticoagulation? Check fibrinogen level and/or thromboelastography (TEG) Normal or hyper-coagulable pattern (nearly always) -> Therapeutic Anticoagulation - R-time low or normal on thromboelastography - Fibrinogen level is normal or elevated Hypo-coagulable pattern (rare, late-stage) -> No Anticoagulation - R-time prolonged on thromboelastography - Fibrinogen level low Dr. Josh Farkas @pulmcirt - Internet Book of Critical Care @iBookCC #empiric #anticoagulation #COVID19 #management #schema #criticalcare #algorithm #SARSCOV2 #Coronavirus
