2 days ago I tripped over something, or my own feet, at home. I wasn't knocked out, but saw some blood on my fingers. My Godson who lives at my house came running and asked where all the blood had come from, and there was a lot. Oddly my trousers were not torn but I had a major laceration to my leg. I dialled 999, told them I was on warfarin, and pressed a clean towel on the wound to try to stem the flow. When the paramedic came he took a photo of the wound, called for an ambulance and did his best to stem the blood flow with absorbent pads and bandages. He took my INR which was 2.8. At hospital the wound was washed with 2 packs of saline, and some closure made with closure strips, new absorbent pads and bandages. I was admitted, not being allowed to eat or drink, in case i needed an operation the next day. I was given intravenous saline and anti-biotics. (I'd taken my warfarin, about 2 hours before the accident.)
The following morning (yesterday) the specialist came round, was satisfied the wound would heal with a fresh set of closure strips; (about 20 were used),. The wound was about 6 inches long and up to one and a half inches wide. As blood was still seeping onto the bedclothes I had the dressings changed later in the day.
This morning a doctor saw the wound, which was still seeping a little blood, the dressings were changed. I was given spare dressings and bandages, antibiotics and painkillers, and was discharged. I wasn't given any warfarin while in hospital. In the 6 hours since the last dressing there's been further seepage of blood, but I'm not in any pain. I have my own Coaguchek machine, but have just discovered my remaining strips are past their use-by date so I can't test my INR. As there is blood on the outside of the bandage I won't take warfarin tonight, but will contact the warfarin nurse tomorrow. The interesting point is while there is an anti-dote to warfarin it wasn.t used, so those on new ant-coagulents should not fear taking them. I prefer warfarin having not had a good experience with Rivaroxiban.