BEST EVIDENCE TOPIC REPORTS
BET 1. FLIGHT DEEP VEIN THROMBOSIS PROPHYLAXIS IN LOWER LIMB INJURY
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Report by: Helen Blackhurst, SpR in Emergency Medicine
Search checked by: Suzan Oakley, Staff Grade in Emergency Medicine
Institution: Frenchay Hospital and Royal Glamorgan Hospital
In [patients with a recent significant lower limb trauma about to fly] is [prophylaxis with aspirin or low molecular weight heparin] indicated [to reduce the incidence of deep vein thrombosis]?
A 21-year-old medical student presents to the emergency department 4 h before he is due to take a flight to Florida for a 2-week holiday. Six weeks ago he was involved in a motorcycle accident in which he sustained a midshaft closed fracture of his left tibia and fibula. He has made an uneventful recovery but is still in plaster. The airline has given him the all clear to fly; however, he is still concerned about the possibility of developing a deep vein thrombosis. You wonder whether it would be beneficial to give
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