Venous Thromboembolism Prophylaxis Policy - Royal United ...
Venous Thromboembolism Prophylaxis Policy - Royal United ...
Venous Thromboembolism Prophylaxis Policy - Royal United ...
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MAJOR TRAUMA OR<br />
SPINAL INJURY<br />
Patient<br />
admitted with<br />
major trauma<br />
Patient<br />
admitted with<br />
spinal injury<br />
Start mechanical VTE prophylaxis at admission or as<br />
soon as clinically possible with any of the following:<br />
• Anti-embolic stockings (knee length)<br />
• Foot impulse devices<br />
• Intermittent pneumatic compression devices (thigh or<br />
knee length)<br />
Continue until mobility no longer significantly reduced<br />
Assess patient’s risks of<br />
VTE and bleeding<br />
If risk of VTE<br />
outweighs risk of<br />
bleeding<br />
YES<br />
Continue<br />
mechanical<br />
prophylaxis<br />
NO<br />
If bleeding<br />
risk is low<br />
Start LMWH (dalteparin) or UFH<br />
(for patients with renal failure)<br />
Continue until mobility no longer<br />
significantly reduced<br />
Regularly re-assess risks of<br />
VTE and bleeding<br />
Document name: <strong>Venous</strong> <strong>Thromboembolism</strong> <strong>Prophylaxis</strong> Ref.: 795<br />
Issue date: 30 July 2014<br />
Status: Final<br />
Author: Josephine Crowe – Consultant Haematologist Page 50 of 57
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