A 73-year-old girl with a dropping platelet count What management is appropriate because of this elderly patient, who has a true amount of significant risk factors for thromboembolic and haemorrhagic events? Case scenario A 73-year-old girl presents with a falling platelet count . She’s multiple medical complications, including asthma, hypertension, hypercholesterolaemia and type 2 diabetes. She has a past history of DVT and pulmonary embolism; her status for point V Leiden can be positive. She suffers from recurrent atrial fibrillation and has already established successful cardioversion, and she’s undergone medical procedures for aortic valve substitute .ACOEM’s evidence-based recommendations for treatment of hurt employees differentiate the appropriateness of an intervention by time of expected recovery. This is very important especially when riskier medications are involved. Opioids for example are widely recommended for post-surgical make use of, but long run use requires much more selectivity. This new features will allow adjusters a more complete overview of treatment and medicine recommendations. ‘Having quality evidence-based suggestions that inform the prescriber of expanded options like the use of anti-depressants in employees with chronic low back pain is vital’ said Suggestions Editor in Chief, Kurt Hegmann, MD.