- Consider in ALL over 16’s with lower limb immobilisation.
- Bloods not required for everyone.
- Prescribe for 2 weeks (to cover any delay to # clinic)
- Sharpes Bin is collected from ED
- 16 years or over
- AND has an isolated lower limb injury that will be treated in a rigid splint or cast,
- OR will be non-weight bearing; (Exclude patient with MT shoe who can weight bear)
- AND is not already anti-coagulated,
- AND is being discharged.
Contraindications & Decision tree
- Known Haemophilia or other bleeding disorder (see previous clotting)
- Known Thrombocytopenia (check previous FBC result, platelets < 75)
- Previous heparin induced thrombocytopenia OR Hypersensitivity to heparin
- Cerebral haemorrhage within 3 months
- Severe hypertension systolic >200 or diastolic >120 mmHg
- Active peptic ulcer or history of varices or upper GI bleed <2 weeks
- Major trauma/Head Injury/Surgery to the eye or nervous system <4 weeks
- Clinical judgement that risks outweigh benefit
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