Pediatric Patients 17

1. There is insufficient high-quality evidence to make strong recommendations regarding the institution of chemical VTE prophylaxis in children hospitalized after trauma.
2. Based on the current recommendations of the Eastern Association for the Surgery of Trauma and the Pediatric Trauma Society, it is recommended that chemical VTE prophylaxis be considered for children older than 15 years who are at low risk of bleeding and for children younger than 15 years old who are post pubertal if they have an ISS greater than 25.
3. For prepubertal children, even with ISS greater than 25, routine chemical VTE prophylaxis is NOT recommended.

Refer to Appendix A: Prevention of Venous Thromboembolism Guidelines for specific guidance on different subsets of patients after various surgical procedures.