Routine Treatment For Trauma Management

In this study the device, which looks like a tiny umbrella frame, is used to stop blood clots in the legs traveling to the lungs, causing potentially fatal pulmonary embolism. Known as the inferior vena cava filter, the device is used extensively in the early treatment of trauma patients who are at high risk of developing clots but cannot be given blood thinners due to the increased likelihood of bleeding.

Despite the filter’s routine use in trauma management around the world, the WA researchers led by Royal Perth Hospital intensivist and adjunct Murdoch University researcher Dr. Kwok Ming Ho find that there was no significant; so benefit to the intervention provide in the initial days following injury, and that insertion of the device was unnecessary for most trauma patients.

The trauma management

The researchers’ findings, was recently present to over 5,000 attendees at the International Thrombosis of Haemostasis Society in Melbourne and simultaneously publish in the latest edition of the New England Journal of Medicine; so are base on a randomise control trial of two hundred and forty severely injure patients admit to Royal Perth and Sir Charles Gairdner hospitals in Western Australia and the Royal Brisbane and Women’s Hospital in Queensland.

The study show that having a filter insert within the 72 hours following injury; so did not significantly alter patients’ risk of either having a pulmonary embolism or of dying. “Instead, the use of a filter be reserve for those patients who are having bleeding problems or who remain; hence at high risk of bleeding for at least a week after their severe injury.”

Patients with greater risk

Dr. Ho said that when consider alongside the costs and potential risks with the invasive nature of the device; so it was clear that the filter should not be use routinely. Injure patients are at greater risk of blood clots due to a variety of mechanisms; so including immobility and possible damage to blood vessels and tissue. The inferior vena cava is the largest vein in the abdomen; also the filter is fed into it through a vein in the groin.

WA’s Chief Medical Officer, Dr. Michael Levitt said the findings were an example of some of the excellent research; so undertake by clinician researchers in Western Australia’s public health system. “This is an important study that will simplify the treatment of trauma patients around the world by guiding clinicians on the specific circumstances; which these devices should and should not be use,” Dr. Levitt said. More WA research in major trauma patients is plan to address the unanswered question; so about finding the right balance of stopping bleeding but not cause life threatening blood clots.