How do pilots avoid DVT?

Increasing leg muscle activity during long periods of sitting improves blood flow in the legs. This may include walk- ing around the cabin or exercising your lower legs and ankles while seated. Drinking adequate fluids, and avoiding alcohol and caffeine, may also help by preventing dehydration.



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?Preventive Measures
  1. Move around as much as possible.
  2. Choose an aisle seat where feasible as this is known to encourage moving around during the journey .
  3. Carry out calf muscle exercises: ...
  4. Try to avoid placing cabin baggage where it can restrict your leg movement.


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DVT is a potentially life threatening condition in which a blood clot forms in a deep vein, most commonly in one of the legs. These clots can break off and travel to the lungs, where they can be fatal. Flying for long distances seems to aggravate the condition, but there are steps pilots can take to lower their risk.

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Factors that contribute to the increased risk of travel-related DVT include obesity, extremes of height, use of oral contraceptives and pre-existing blood clotting abnormalities. The absolute risk of DVT in healthy passengers per long-haul flight (more than 4 hours) was found to be about 1 in 6000.

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For Air Travel – Take one 325 mg Aspirin one hour prior to flight and then once a day for 5 days. If on an airplane for more than 3 hours, either walk frequently or do ankle pump exercises (flex your foot up and down repeatedly) in your seat every hour.

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Most information about blood clots and long-distance travel comes from information that has been gathered about air travel. However, anyone traveling more than four hours, whether by air, car, bus, or train, can be at risk for blood clots.

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There has been considerable attention focused recently on the risk of deep venous thrombosis (DVT) associated with air travel. Despite the lack of evidence among air travelers, a single dose of aspirin has been widely recommended as a means of preventing such thrombosis.

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Your GP will not be able to advise on the use of anticoagulants for flying as it is a specialist issue, so allow plenty of time to get an opinion from your specialist. Note: aspirin is not used to prevent DVT.

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