Page 218 - ATP-P 11th Ed

DEEP VENOUS THROMBOSIS (DVT) PROTOCOL

SPECIAL CONSIDERATIONS

1. Risk factors include trauma, long airplane rides, high altitude exposure, and
genetic predisposition.
2. May be confused with a ruptured Baker’s cyst in a tactical setting.

SECTION 2 Signs and Symptoms
1. Asymmetric pain and swelling in a lower extremity (often the calf muscles)
2. Warmth over affected area
3. Increased pain in the affected calf muscles with dorsiflexion of the foot (Homans’ Sign)
Management
1. Monitor patient with pulse oximetry (sudden decrease in oxygen saturation suggests a
pulmonary embolism).
2. ASA 325mg PO
3. If sudden chest pain or respiratory distress occurs, consider pulmonary embolus and
administer oxygen if available.
4. Immobilize the affected extremity.

Disposition
1. Priority evacuation if no respiratory distress or chest pain.
2. Urgent evacuation If respiratory distress or chest pain are present.

208 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 209