fat embolism

felixalbers felixalbers at terra.com.br
Mon Aug 28 01:07:38 BST 2006

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hey folks,

quick question:

are you using IV heparin in the treatment of fat embolism? i have a patient with right femur and 
tib-fib fracture presenting with dyspnea and somnolence, no petequial rash, 1 day after the 
accident. normal head ct. chest ct shows a small lung contusion. IV heparin was prescribed. a    
review in a recent Critical Care Medicine article states there´s no proven benefit. i´m worried about 
heparin in the freshly traumatized patient...

thanx for your answers

felix

Emergency Medicine
HPS - POA - Brazil

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