Document type: Clinical pathways
Place: East and North Hertfordshire
Output type: Clinical Pathways
Pathway: Community DVT Assessment, Diagnosis and Initial Management Pathway Deep Vein Thrombosis (DVT) | Suspected

Deep Vein Thrombosis (DVT)

Adults with a suspected DVT, in the absence of any of the following features, can be referred to Herts Community Trust Prevention of Admission service for assessment, diagnosis and initial management.

Pregnancy / breastfeeding / less than 6 weeks post-partum
Age <18
Symptoms of PE
Suspected DVT in arm
Medically unstable (e.g. tachycardic / low sats)
Severe renal (CrCl<15) or liver impairment
Active cancer within 6 months
On contra-indicated drugs
Active or potential bleeding lesion / risk (e.g. GI ulceration; oesophageal varicies; bleeding disorder; recent brain, head or spinal injury; major surgery within previous 3 days)
Antiphospholipid syndrome
Uncontrolled severe arterial HTN (>180 mmHg systolic or >110mmHg diastolic)
Weight <50kg or >120kg
Already on therapeutic anticoagulation
Complex underlying cause for thrombosis
Anticipated compliance problem, even with help (e.g. drug or alcohol abuse, severe mental health issues)

If any of the features above are present, please refer to ambulatory care.

The HCT POA service accepts new referrals 8am - 6pm Monday - Sunday. Tel. 0300 123 7571. Outside these hours, please refer to ambulatory care.

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