Thrombosis

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Relevant investigations, including previous results to assess temporal pattern

Tests

  • The appropriate investigation and management of patients with venous thromboembolism (VTE) is highly individualised
  • Indiscriminant investigation for inherited thrombophilias is discouraged
  • Below are some general guidelines for likely suggested duration of anticoagulation for VTE (these are a guide only), and unless there are specific issues requiring assessment, such patients will generally be triaged for review toward the end of the anticipated duration of anticoagulation:
    • Provoked distal (below knee) deep vein thrombus (DVT) – three months
    • Unprovoked distal DVT – three to six months
    • Provoked pulmonary embolus (PE) – three to six months

Unprovoked PE – upward of six months

Interim/GP management

To refer a patient with this condition, please see the Haematology clinic page for the full referral process and templates.

Deep venous thrombosis with currently available treatments is predominantly managed in General Practice.Massive thromboembolus should be referred to Emergency Department.

For more information please see the Tasmanian Health Pathways website.

Emergency

Massive thromboembolus Blood film suggestive of thrombotic thrombocytopenic purpura (TTP/HUS).

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489 - Discuss with the on call Haematologist/Registrar via switch (03) 6166 8308

Urgent:

Urgent Referrals generally need to be seen in the next one to two weeks

Please discuss these with the Haematology Registrar/Haematologist on call via switchboard on 6166 8308

Semi-urgent:

Triaged by medical staff and generally seen in the next six to eight weeks

Routine:

Triaged by medical staff and given the next available appointment