In article <007201c15728$d8238780$206b01d5@oemcomputer>, Michael Dudley
<[log in to unmask]> writes
> Dear List,
>
> For A&E patients treated with a leg plaster - how many of you
> prescribe some form of thromboprophylaxis, e.g Aspirin, Fragmin,
> etc? All patients? or just those with risk factors, e.g. previous
> DVT? Anyone know of any references about this subject?
Anecdote mode on:
Continental types seem to bung all their splinted leg patients on blood
thinners. I got told off by an othopod once for continuing heparin on an
overweight chap who ruptured his achilles in France and was well-
immobilised in an above-knee PoP. Massive soft-tissue swelling.
Orthopods told me it was my fault that this 22 stone couch-potato
couldn't have operative management of his achilles due to the presence
of heparin when he arrived in fracture clinic. Apart from the fact no
orthopod would ever have operated on him in a million years anyway, they
could have stopped or reversed the heparin easily enough if they did
want to risk a CEPOD inquiry. Yes, I did point out both facts terribly
politely to the registrar, who accepted my professional opinion with
good grace.... ;-)
Dr G Ray
A&E
Sussex
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