Afghanistan Comprehensive Specialization Exam

Practice session

A 76-year-old male with non-valvular atrial fibrillation taking dabigatran etexilate 150 mg twice daily is brought to the trauma center following a severe motor vehicle collision. Non-contrast head CT reveals a large acute left subdural hematoma with 8 mm midline shift requiring emergent craniotomy. His last dose of dabigatran was taken 3 hours prior. His activated partial thromboplastin time (aPTT) is 82 seconds and thrombin time (TT) is >120 seconds. What is the specific, immediate reversal agent of choice indicated prior to neurosurgical intervention?

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