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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Extrinsic and Intrinsic Pathways of Hemostasis01:20

Extrinsic and Intrinsic Pathways of Hemostasis

Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
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Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Updated: Jun 28, 2026

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Postinjury thromboprophylaxis.

Cino Bendinelli1, Zsolt Balogh

  • 1Department of Traumatology, Division of Surgery, John Hunter Hospital, University of Newcastle, Newcastle, New South Wales, Australia. Cino.Bendinelli@hnehealth.nsw.gov.au

Current Opinion in Critical Care
|November 14, 2008
PubMed
Summary
This summary is machine-generated.

Trauma patients need effective deep vein thrombosis (DVT) prophylaxis due to high risks. Current standards like enoxaparin are used, but optimal strategies for preventing DVT and pulmonary embolism in trauma require further research.

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Last Updated: Jun 28, 2026

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Area of Science:

  • Trauma and Emergency Medicine
  • Vascular Surgery
  • Pharmacology

Background:

  • Pulmonary embolism (PE) affects up to 4% of trauma patients, with mortality rates of 20-50%.
  • Deep vein thrombosis (DVT) incidence in trauma varies widely (5-63%) based on risk factors and prophylaxis.
  • Adequate DVT prophylaxis is crucial for trauma patient management.

Purpose of the Study:

  • To review current practices and evidence for DVT prophylaxis in trauma patients.
  • To identify key risk factors for DVT and PE in this population.
  • To discuss pharmacological and mechanical prevention strategies.

Main Methods:

  • Review of existing literature on DVT prophylaxis in trauma.
  • Analysis of risk factors including spinal cord injury, injury severity, and patient demographics.
  • Evaluation of current standard treatments (enoxaparin) and emerging options (fondaparinux).

Main Results:

  • Spinal fractures/cord injuries, increased injury severity, head injury, older age, lower limb injuries, and obesity are significant risk factors.
  • Enoxaparin is the current standard, but unfractionated heparin is less effective.
  • Selective factor Xa inhibitors show promise; mechanical methods like compression stockings and IVC filters are also discussed.

Conclusions:

  • Optimal DVT prophylaxis in trauma remains debated, with limited Level I evidence.
  • Current best practices rely on recommendations pending definitive risk-benefit data.
  • Combining or using mechanical and pharmacological measures requires further risk-benefit analysis.