Systemic Complications

Early

  • Hypovolaemia
  • Fat embolism - respiratory failure, neurologic abnormalities and a petechial rash
  • ARDS
  • SIRS
  • Death

Late

  • DVT
    • Can occur particularly after a pelvic or major lower limb fractures within a period of immobility
    • Prophylaxis should be given (usually LMWH) to all 'at-risk' patients
    • Suspected DVT requires Duplex scanning and anticoagulation
  • PE
    • Tends to occur several days to weeks after injury but can occur much sooner (occasionally within a day)