All I want for coagulation

Nunn, K.P., Bridgett, M.R., Walters, M.R. and Walker, I. (2011) All I want for coagulation. Scottish Medical Journal, 56(4), pp. 183-187. (doi: 10.1258/smj.2011.011154)

Abstract

Evidence-based medicine underpins modern practice of medicine. This paper describes a fictional consultation between Santa Claus and a doctor regarding deep vein thrombosis (DVT) prophylaxis, giving a review of the evidence for DVT prophylaxis in travellers while exposing the difficulty in applying evidence to atypical clinical encounters. Medline and the Cochrane Library were searched, and guidelines reviewed. Keywords used were DVT, thromboembolism, deep vein thrombosis and air travel-related venous thromboembolism. All relevant studies found, have been included in this review, with additional studies identified from the references in these articles. In conclusion, compression stockings, with or without a one-off dose of either aspirin or heparin, are the most evidence-based approaches for prophylaxis in someone with established risk factors for DVT prior to a long-haul flight. Simple exercises should also be encouraged

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Walker, Prof Isobel and Walters, Professor Matthew and Nunn, Dr Kieran and Bridgett, Dr Michael
• Authors: Nunn, K.P., Bridgett, M.R., Walters, M.R., and Walker, I.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: Scottish Medical Journal
• ISSN: 0036-9330
• ISSN (Online): 2045-6441