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Venothromboembolism.

J Matthew Fields1, Munish Goyal

  • 1Department of Emergency Medicine, University of Pennsylvania School of Medicine, 3400 Spruce Street, Ground Ravdin Building, Philadelphia, PA 19104, USA.

Emergency Medicine Clinics of North America
|July 29, 2008
PubMed
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This article reviews the clinical presentation, diagnosis, and management of veno-thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE), for emergency physicians. It emphasizes key aspects like D-dimer use and anticoagulation for both DVT and PE.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Hematology

Background:

  • Veno-thromboembolism (VTE), encompassing deep venous thrombosis (DVT) and pulmonary embolism (PE), is a significant clinical challenge.
  • Effective management requires a clear understanding of presentation, diagnosis, and treatment protocols.

Purpose of the Study:

  • To provide emergency physicians with a comprehensive guide to the clinical presentation, diagnosis, and management of VTE.
  • To highlight aspects of VTE relevant to emergency medicine practice, including special populations.

Main Methods:

  • Review of clinical presentation and diagnostic modalities for DVT and PE.
  • Discussion of anticoagulation strategies for VTE.
  • Consideration of VTE in special patient populations.

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Main Results:

  • VTE is presented as a continuum, with shared aspects like D-dimer use and anticoagulation for DVT and PE.
  • Emphasis on emergency physician-relevant topics and special population considerations.

Conclusions:

  • Emergency physicians require specific knowledge for timely and accurate diagnosis and management of VTE.
  • A focused approach to VTE in the emergency setting improves patient outcomes.