> Let us assume a decision was made to further investigate this young
> patient
> to rule out pulmonary embolism, how would you manage her
> anticoagulation in
> the ED?
>
> John Black
> Oxford
DVT and PE is a terrible disease. Once you have one DVT you are likely
to suffer damage to the deep venous system of the leg as the clot
organises.
Having treated a patient with a PE and seeing her transformed from
moribund to quite well I believe that the correct treatment for DVT
should be thrombolysis. It is incredibly effective on pure clot, which a
DVT is. It is only 30% effective in acute myocardial infarction.
Rowley Cottingham.
Consultant in Emergency Medicine.
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