{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Doctors say risks of DVT for most holidaymakers is low' data-url='/boclips/videos/5c54c16dd8eafeecae1521bf' data-video-url='/boclips/videos/5c54c16dd8eafeecae1521bf' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nDoctors say risks of DVT for most holidaymakers is low\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eLondon, UK, May 26, 20111. Close tilt up of clinical scientist Colin Deane demonstrating ultrasound examination for DVT (deep vein thrombosis) 2. Close of Deane3. Close of ultrasound showing how veins (dark circles) can be compressed and...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eLondon, UK, May 26, 2011\u003cbr/\u003e1. Close tilt up of clinical scientist Colin Deane demonstrating ultrasound examination for DVT (deep vein thrombosis) \u003cbr/\u003e2. Close of Deane\u003cbr/\u003e3. Close of ultrasound showing how veins (dark circles) can be compressed and collapsed when they're clear \u003cbr/\u003e4. Close of Deane and monitor\u003cbr/\u003e5. Close of ultrasound hand piece pressing on leg \u003cbr/\u003e6. Close of ultrasound showing vein going up thigh \u003cbr/\u003e7. Close of ultrasound being applied to thigh\u003cbr/\u003eCairo, Egypt, February 3, 2011\u003cbr/\u003e8. Mid shot of people loading luggage onto conveyor belt at airport \u003cbr/\u003e9. Wide of people walking through crowded departure lounge \u003cbr/\u003e10. Close of departures sign \u003cbr/\u003eParis, France, June 20, 2011\u003cbr/\u003e11. Close of passenger jet flying over head\u003cbr/\u003eLondon, UK, May 26, 2011\u003cbr/\u003e12. Mid tilt up of glass wing of King's College Hospital \u003cbr/\u003e13. Close half pan showing reflection of airline flying in reflection on hospital window \u003cbr/\u003e14. Wide of King's College building housing thrombosis centre with ambulances in foreground\u003cbr/\u003e15. SOUNDBITE: (English), Dr Roopen Arya, consultant haematologist, King's College Hospital Thrombosis Centre, London \u003cbr/\u003e\"The actual risks of DVT (deep vein thrombosis) associated with air travel and indeed any kind of long haul travel, the risk is very small and yes DVT has become synonymous with long distance travel, but it might interest you to know that you are a thousand times more likely to get DVT after being in hospital, for example, for surgery, or with an illness, so the actual risk of having a DVT after a long flight is only something like one in five thousand and the risk of having a life threatening blood clot, or venous thrombo-embolism associated with long haul travel is less than one in two million.\"\u003cbr/\u003e16. Close of clinical scientist looking at ultrasound \u003cbr/\u003e17. Close of ultrasound showing unobstructed blood flow\u003cbr/\u003e18. Close of phd medical student \u003cbr/\u003e19. Mid shot of Deane at ultrasound monitor\u003cbr/\u003e20. SOUNDBITE: (English), Dr Roopen Arya, consultant haematologist, King's College Hospital Thrombosis Centre, London  \u003cbr/\u003e\"If you are particularly at risk of DVT, for example if you've had previous major surgery, or you've had a blood clot, or you have active cancer, then you might consider taking additional preventive measures, for example, the use of elastic compression stockings which again should be of the right size and well fitted. In a very select group of patients who are identified to be at very high risk of blood clots, you can also, in addition to the stockings consider and certainly discuss with your GP, the use of an agent to thin the blood down before the flight and the customary treatment would be a single injection of heparin, which is a drug which prevents blood clotting, prior to the flight in each direction.\" \u003cbr/\u003eParis, France, June 20, 2011\u003cbr/\u003e21. Wide of passenger airline taking off from runway \u003cbr/\u003eLondon, UK, May 26, 2011\u003cbr/\u003e22. Close of scan taken from patient with serious deep vein thrombosis\u003cbr/\u003e23. SOUNDBITE: (English), Colin Deane, clinical scientist, King's College Hospital Thrombosis Centre, London \u003cbr/\u003e\"This vein is not compressing, actually there's a smaller vein near the surface which is compressing as I press down which shows that's clear, but this one is held open by a large clot in the popliteal vein behind the knee.\"\u003cbr/\u003e24. Close of scan taken from patient with serious deep vein thrombosis\u003cbr/\u003e25. SOUNDBITE: (English), Colin Deane, clinical scientist, King's College Hospital Thrombosis Centre, London \u003cbr/\u003e\"And that's really quite a large clot for someone to have and poses a risk, so we would then refer this onto the haematologist for some therapy.\"\u003cbr/\u003eLondon, UK, May 24, 2011\u003cbr/\u003e26. Mid tilt down of pregnant woman walking through park \u003cbr/\u003e27. Wide through bushes of pregnant woman sitting down on bench\u003cbr/\u003e28. Pull focus from plant to close of pregnant woman massaging her stomach \u003cbr/\u003e29. SOUNDBITE: (English), Dr Roopen Arya, consultant haematologist, King's College Hospital Thrombosis Centre, London  \u003cbr/\u003eClearly pregnancy is a risk factor in itself and travel would add to that risk, so DVT would still be uncommon  in that scenario of a pregnant woman flying, but you need to be aware of the risks and ensure that you take precautions to prevent DVT and those precautions would be clearly, remain mobile, make sure you're well hydrated and certainly consider the use of compression stockings.\"\u003cbr/\u003eParis, France, June 20, 2011\u003cbr/\u003e30. Close of airliner tail fins on tarmac\u003cbr/\u003e31. Wide of airliners on tarmac\u003cbr/\u003e32. Close pan of airliner to small executive aircraft \u003cbr/\u003e33. SOUNDBITE: (English), Dr Roopen Arya, consultant haematologist, King's College Hospital Thrombosis Centre, London\u003cbr/\u003e\"People are often advised to take a tablet of aspirin before long haul flights, but aspirin is really not very effective at preventing DVT and in fact can cause more irritation through the gastric irritation that a lot of patients might suffer.\"\u003cbr/\u003eU-Tapao airport, Thailand, November 29, 2008\u003cbr/\u003e34. Mid shot of stationary airliners on tarmac (shot through fence)\u003cbr/\u003e35. Wide of airliner\u003cbr/\u003e36. Wide of airliner after take off (shot through perimeter fence)\u003cbr/\u003eTravellers going on long haul flights are being told they don't need to worry too much about Deep Vein Thrombosis.\u003cbr/\u003eDVT is commonly known as economy class syndrome, having previously been associated with passengers travelling long periods in cramped conditions.\u003cbr/\u003eBut doctors say that's not the case. \u003cbr/\u003eColin Deane is an expert at searching for Deep Vein Thrombosis.\u003cbr/\u003eIt's a blood clot blocking a vein usually around the calf, or thigh muscle.\u003cbr/\u003eWhen all, or part of a clot breaks off and travels to the heart, or lungs, it becomes most serious and life threatening, this is called a pulmonary embolism.\u003cbr/\u003eOn the ultrasound screen you can see how Deane is pressing down hard on the veins in one of his student's legs.\u003cbr/\u003eWhen the blood is flowing freely, it's easy to collapse the vein, so the black circles momentarily disappear.\u003cbr/\u003eA hard clot wouldn't do this.\u003cbr/\u003eThis is a specialist thrombosis unit at King's College Hospital and a great deal of research on the subject goes on here.\u003cbr/\u003eDeep vein thrombosis, or DVT, became synonymous with flying, earning the moniker \"economy class syndrome\".\u003cbr/\u003eAirport terminals throb with passengers squeezing onto jet airliners going all over the world. \u003cbr/\u003eConcern was raised when passengers claimed to be suffering DVT as a result on being crowded into tight spaces.\u003cbr/\u003eIn 2007 the World Health Organisation concluded a six year study claiming a \"higher risk\" for people travelling longer than four hours.\u003cbr/\u003eIt put the risk at one in six thousand cases.\u003cbr/\u003eSome of the research found people taking multiple flights over a short period are also at a higher risk. \u003cbr/\u003eAccording to the WHO this is because the risk of venous thromboembolism doesn't disappear at the end of a flight, in fact the risk is \"elevated for about four weeks\".\u003cbr/\u003eBut experts at the Thrombosis Centre at King's College Hospital urge holidaymakers not to be alarmed.\u003cbr/\u003eConsultant haematologist Roopen Arya insists \"the risk is very small\".\u003cbr/\u003eHe says \"you are a thousand times more likely to get DVT after being in hospital, for example, for surgery, or with an illness, so the actual risk of having a DVT after a long flight is only something like one in five thousand and the risk of having a life threatening blood clot, or venous thrombembolism associated with long haul travel is less than one in two million.\"\u003cbr/\u003eThe student taking part in the demonstration is typically low risk.\u003cbr/\u003eHe's not overweight, he hasn't undergone major surgery and he has not suffered previous clots.\u003cbr/\u003eArya says those who's risk is elevated by these factors can take \"additional preventive measures, for example, the use of elastic compression stockings which again should be of the right size and well fitted.\"\u003cbr/\u003eHe says there is \"a very select group of patients who are identified to be at very high risk of blood clots\", particularly those who've recently had surgery.\u003cbr/\u003eArya advises these patients should see their family doctor before travelling and consider \"the use of an agent to thin the blood down before the flight and the customary treatment would be a single injection of heparin, which is a drug which prevents blood clotting, prior to the flight in each direction.\" \u003cbr/\u003eHeparin, an anticoagulant, is now widely used to thin the blood.\u003cbr/\u003eThis scan shows the leg of a patient undergoing treatment.\u003cbr/\u003eDeane show how the veins don't compress, so the black holes on the screen stay intact, they don't collapse.\u003cbr/\u003eA scan like this raises the alarm straight away, it's a large clot in the knee.\u003cbr/\u003eDeane says \"that's really quite a large clot for someone to have and poses a risk, so we would then refer this onto the haematologist for some therapy.\"\u003cbr/\u003eThe group at the highest risk of DVT is pregnant women.\u003cbr/\u003eBritain's Royal College of Midwives says these women are advised not to use air travel in the first and last weeks of pregnancy.\u003cbr/\u003eArya agrees that pregnancy is a risk factor in itself, pregnant women are more likely to suffer DVT and travel simply increases that risk.\u003cbr/\u003eBut he says the risk itself is still low.\u003cbr/\u003eAccording to Arya \"you need to be aware of the risks and ensure that you take precautions to prevent DVT and those precautions would be clearly, remain mobile, make sure you're well hydrated and certainly consider the use of compression stockings.\"\u003cbr/\u003ePlenty to drink doesn't mean sipping several of the onboard cocktails.\u003cbr/\u003eAlcohol dehydrates the body which increases risk factors for DVT.\u003cbr/\u003eArya is also keen to debunk myths that have risen around DVT.\u003cbr/\u003eYour GP may prescribe a tablet of aspirin a day for all manner of ailments including high blood pressure.\u003cbr/\u003eBut Arya warns not to expect that this will have the slightest impact on DVT.\u003cbr/\u003eHe says \"people are often advised to take a tablet of aspirin before long haul flights, but aspirin is really not very effective at preventing DVT and in fact can cause more irritation through the gastric irritation that a lot of patients might suffer.\"\u003cbr/\u003eArya says everything is a balance and perhaps we shouldn't discount the effects of the relaxing holiday at the end of any journey.\u003cbr/\u003e\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='action-container flex justify-between'\u003e\n\u003cbutton aria-expanded='false' aria-label='Read more description' class='rp-full-description' type='button'\u003e\n\u003ci class='fai fa-solid fa-align-left'\u003e\u003c/i\u003e\n\u003cspan 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