We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.
Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Powder for solution for infusion 200mg (specialist use only)
As per SMC2273: For adult patients treated with a direct factor Xa (FXa) inhibitor (apixaban or rivaroxaban) when reversal of anticoagulation is needed due to life-threatening or uncontrolled bleeding.
Solution for injection/infusion (Praxbind®) 2·5g/50mL (specialist use only)
As per SMC 1178/16: idarucizumab is a specific reversal agent for dabigatran and is indicated in adult patients treated with dabigatran etexilate when rapid reversal of its anticoagulant effects is required for emergency surgery/urgent procedures or in life-threatening or uncontrolled bleeding.
For reversal of warfarin anticoagulation seek advice from Consultant Haematologist.
Prothrombin complex is used in addition to vitamin K in patients who are bleeding and on warfarin or who are anticoagulated and requiring urgent surgery. It provides temporary but immediate reversal of anticoagulation and can be obtained from the Blood Transfusion Service on the authorisation of a Haematologist.
Injection 10mg/mL (specialist use only)
Injection, in a mixed micelles vehicle 2mg/0·2mL
Patients with abnormal coagulation due to vitamin K deficiency or patients on warfarin who are bleeding or who have a high INR. It may take up to 6 to 12 hours to act. The dose and route of administration depends on the indication; if in doubt, discuss with the Consultant Haematologist.
Can be administered by intramuscular, intravenous or oral route.
Ampoules for injection (IV) 10mg/1mL
Patients with abnormal coagulation due to vitamin K deficiency or patients on warfarin who are bleeding or who have a high INR. It may take up to 6 to 12 hours to act. The dose and route of administration depends on the indication; if in doubt, discuss with the Consultant Haematologist.
Protamine sulfate is capable of partially reversing the anticoagulant activity of unfractionated heparin. It is of limited value in the reversal of low molecular weight heparin (enoxaparin) and of no value in the reversal of warfarin, dabigatran, rivaroxaban or apixaban. It is contra-indicated in patients with fish allergy.
Injection 50mg/5mL (specialist use only)
TAM (Treatments and Medicines) NHS Highland