I've had one just like that, PEA arrest in the plaster
room 10/7 post tibial fracture. Survived.
--- Jonathan Benger <[log in to unmask]> wrote:
> We recently had a very upsetting case of middle aged
> man, with no apparent
> risk factors for venous thrombo-embolic disease, who
> re-presented to our ED
> with a fatal PE 5 days after attending for repair of
> a lower leg laceration.
> He had been resting at home. I note a similar report
> in the latest edition
> of the MPS casebook.
>
> Clearly, there is an enhanced risk of PE following
> POP immobilisation.
> Anecdotes aside, however, I have no idea what the
> risk benefit ratio of LMWH
> would be. Also, the logistics of anticoagulating
> every person in a lower
> limb cast are extremely daunting.
>
> Jonathan Benger
> Bristol Royal Infirmary
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]]On Behalf Of
> Sunil Dasan
> Sent: 07 February 2005 17:19
> To: [log in to unmask]
> Subject: DVT prophylaxis and POP casts
>
>
> Is anyone aware of any literature relating to the
> pros and cons of
> starting DVT prophylaxis in patients at potential
> risk of DVT who are going
> into a below knee POP /Backslab? Had a recent case
> of a patient who had an
> ankle fracture, POP and then developed pleuritic
> chest pain. Fortunately
> wasn't a PE but the question of whether we should be
> starting LMWH on these
> patients has been raised.
>
>
>
> Sunil
>
> Redhill
>
>
>
>
>
>
>
> http://www.surreyandsussex.nhs.uk
>
>
>
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