Deep Vein Thrombosis Prophylaxis in Trauma Patients

Table 2

Recommendations of EAST group for the VTE prophylaxis in trauma patients.

Prophylaxis	Level I recom.	Level II recom.	Level III recom.
LDH	None	Little evidence exist to support the benefit of LDH in the trauma patient	Individual decision should be made when considering prophylaxis
LMWH	None	(1) Pelvic fractures; (2) Complex lower extremity fractures; (3) Spinal cord injury.	Patients with an ISS > 9 should receive LMWH primarily
A-V foot pump	None	None	Substitude for PCDs in those high-risk trauma patients who cannot wear PCDs
PCDs	None	None	In head-injured patients, PCDs may have some benefit in isolated studies
VCFs	None	None	Very-high-risk trauma patients who cannot receive anticoagulation