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> 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? The incidence is high even with low risk patients haven't got the references but in the order of 5%. It is like air travel and DVT's it needs someone to go and scan a lot of patients and the incidence will be high. One of our footballers recently suffered a PE after having a below knee POP for a lateral malleolar fracture. Case last year of a ruptured TA with PE. With this is mind I saw a lady referred from St Elsewhere's for fracture clinic referral. She had an avulsion fracture of the navicular. I took the POP off and treated here with DTG. She went and complained as the other hospital had put her in plaster and that nasty doctor made her weight bear. I treat most the sprains now with DTG and high risk I give LMW heparin when immobilised in a POP Danny McGeehan --------------------------------------------------------------- This message was sent using Internet Central's Web Based Email. http://www.internet-central.net/