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Prophylaxis of venous thromboembolism in patients with lower limb plaster cast immobilisation
  1. E Brown, Foundation SHO Anaesthetics1,
  2. A Bleetman, Consultant Emergency Medicine2
  1. 1Royal Shrewsbury Hospital, Shrewsbury, UK
  2. 2Birmingham Heartlands Hospital, Birmingham, UK

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    Report by E Brown, Foundation SHO AnaestheticsRoyal Shrewsbury Hospital, Shrewsbury, UKChecked by A Bleetman, Consultant Emergency MedicineBirmingham 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.

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    In [patients with leg injuries requiring lower limb …

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