Recommendations for the diagnosis and management of vaccine-induced immune thrombotic thrombocytopenia.

There have recently been safety concerns regarding an increased risk of vaccine-induced immune thrombotic thrombocytopenia (VITT) following administration of SARS-CoV-2 adenoviral vector vaccines. The Southern African Society of Thrombosis and Haemostasis reviewed the emerging literature on this idiosyncratic complication. A draft document was produced and revised by consensus agreement by a panel of professionals from various specialties. The recommendations were adjudicated by independent international experts to avoid local bias. We present concise, practical guidelines for the clinical management of VITT.

The overlooked blunt component in penetrating neck injuries: three case reports.

Three cases of penetrating neck injury associated with an unsuspected blunt carotid injury are reported. Attention is drawn to the possibility of this rare association, that can cause irreversible damage, if overlooked. Early angiogram and possibly duplex Doppler scanning are warranted to prevent neurologic sequelae.