A 30 year old man has been admitted to hospital with severe multiple injuries following a motor vehicle accident.
On day 2, his intracranial pressure has stabilised and his head CT shows scattered punctate haemorrhage with subarachnoid blood, with no mass lesion requiring evacuation. His pelvic fracture and right tibial/fibula fracture have been managed with external fixation and a left leg femoral fracture has undergone open reduction and internal fixation.
He has been in good health, but had a DVT 3 years ago and is not on any regular medication.
Outline your approach to prophylaxis for venous thrombo-embolism in this patient.
The other questions focussed on priniciples of DVT prophylaxis, use of various agents in a variety of clinical situations, HITTS and management of DVT prophylaxis in TBI.
(Haematology and Oncology) - Pass rate ; highest mark .