DVT

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Place a removable greenfield and anticoagulate. Can help prevent propagation of the clot and reduce his post phlebitic syndrome(anectdotal).  Has he been tested for deficiencies like anti thrombin 3, factor5 leiden, S/C proteins, etc?
------Original Message------
From: Errington Thompson
Sender: trauma-list-bounces at trauma.org
To: 'Trauma & Critical Care mailing list'
ReplyTo: Trauma & Critical Care mailing list
Sent: Mar 14, 2009 23:01
Subject: DVT

Trauma patient in the ICU on the vent.  The 48-year-old gentleman who was
involved in a motor vehicle crash.  The patient was found to have the
following injuries -- 4 rib fractures, pulmonary contusion, T4/T5 chance
fracture without neurologic deficit and a scapular fracture.  The patient is
on prophylactic doses of a low molecular weight heparin.  An ultrasound
seven days after the injury reveal a nonocclusive thrombus in the popliteal
vein.  

Treatment?

Errington C. Thompson, MD, FACS, FCCM
Trauma/Critical Care
Talk Show Host - WPEK 880 AM
www.whereistheoutrage.net



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