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Report by E Brown, Foundation SHO Anaesthetics Royal Shrewsbury Hospital, Shrewsbury, UK Checked by A Bleetman, Consultant Emergency Medicine Birmingham Heartlands Hospital, Birmingham, UK
A short cut review was carried out to establish whether patients with lower limb plaster cast immobilisation require venous thromboembolism (VTE) prophylaxis. Nineteen papers were found, of which four were relevant. The clinical bottom line is that for patients requiring lower limb plaster cast immobilisation for injury (fractures and soft tissue), there is evidence supporting the use of low molecular weight heparin (LMWH) as thromboprophylaxis for venous thromboembolism.
Three part question
In [patients with leg injuries requiring lower limb …