injuries--accidents-and-wounds--general-and-other | Resource topic | NICE

Do not do

Brisk walking is an intervention that cannot be recommended for falls prevention.There is no evidence that brisk walking reduces the risk of falling.

June 2013
Do not use fall risk prediction tools to predict inpatients' risk of falling in hospital.

June 2013
Do not routinely transfuse more than a single dose of platelets.

November 2015
Do not offer fresh frozen plasma transfusions to correct abnormal coagulation in patients who are not bleeding (unless they are having invasive procedures or surgery with a risk of clinically significant bleeding) or need reversal of a vitamin K antagonist.

November 2015
Do not offer erythropoietin to reduce the need for blood transfusion in patients having surgery, unless the patient has anaemia and meets the criteria for blood transfusion, but declines it because of religious beliefs or other reasons or the appropriate blood type is not available because of the patient's red cell antibodies.

November 2015
Do not routinely offer prophylactic platelet transfusions to patients with any of the following: chronic bone marrow failure, autoimmune thrombocytopenia, heparin-induced thrombocytopenia, thrombotic thrombocytopenic purpura.

November 2015
Do not offer prophylactic platelet transfusions to patients having procedures with a low risk of bleeding, such as adults having central venous cannulation or any patients having bone marrow aspiration and trephine biopsy.

November 2015
Only consider fresh frozen plasma transfusion for patients with clinically significant bleeding but without major haemorrhage if they have abnormal coagulation test results (for example, prothrombin time ratio or activated partial thromboplastin time ratio above 1.5).

November 2015
Do not offer cryoprecipitate transfusions to correct the fibrinogen level in patients who are not bleeding and are not having invasive procedures or surgery with a risk of clinically significant bleeding.

November 2015