1. Thromboprophylaxis after fractures of the pelvis and acetabulum. Although thromboprophylaxis is generally recommended after trauma to the pelvis and acetabulum, the GAPS RCT showed that for moderate-to-high-risk elective surgical patients, prophylactic LMWH alone was not inferior to the current standard , namely that venous thromboembolism prophylaxis reduces VTE rates - 70. 1 Pharmacological prophylaxis methods, such as low molecular weight heparin. Surgical and acute medical patients are at high risk of developing VTE. VTE risk assessment is essential to identify patients who may benefit, although national and international thromboprophylaxis guidelines have repeatedly recommended thromboprophylaxis of patients admitted to hospital, only as background. Critically ill patients hospitalized in intensive care units are at high risk of VTE venous thromboembolism. This study aimed to explore prophylaxis. The incidence of VTE after spine surgery is poorly defined, with reported rates. 3, suggesting substantial variability in the literature. There is no established consensus regarding perioperative VTE prophylaxis in patients undergoing elective spine surgery. Nevertheless, the risk of VTE events must be weighed. These guidelines cover assessing and reducing the risk of VTE venous thromboembolism or blood clots, including deep vein thrombosis and pulmonary embolism in people and more in hospital. It aims to help healthcare professionals identify those most at risk and describes interventions that can be used to reduce VTE. Clinical pharmacists and nurses should focus on providing information about VTE and improving patients' perceptions regarding VTE and thromboprophylaxis in order to improve knowledge about VTE and, as a result, improve health outcomes. In terms of information dissemination, it is crucial to examine the most effective ways to communicate VTE. It is strongly recommended that a hospital-based thromboprophylaxis guideline be formulated and implemented in every surgical department in our healthcare community to optimize patient outcomes. Thromboprophylaxis is widely considered in most patients to have a clear therapeutic benefit when balancing effectiveness in preventing thrombosis and bleeding risk, whereas mechanical methods of thromboprophylaxis are only recommended in a minority of patients at high bleeding risk. Risk factors for bleeding are the patient and the context. Venous thromboembolism VTE is an important clinical concern in medical and surgical patients. Up to a third of VTEs are PE pulmonary embolisms, which can be rapidly fatal in some cases, and severe post-thrombotic syndrome occurs in patients after a symptomatic deep vein,