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Highlights Evidence suggests that the rate of thrombotic events such as pulmonary embolism is high in patients with COVID-19. Patients undergoing CT pulmonary angiography in the emergency department on a triage pathway at our institution have a low detection rate of pulmonary embolus. The frequency of thrombotic complications may be higher later on in the disease.

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Splenic salvage has been undertaken increasingly in the past decade. The optimal method is not determined in adults. Sixty‐seven consecutive cases of splenic injury were reviewed during a time of change in management policy. Splenic salvage rose from 10% of cases in 1980–83 to 57% in 1984–88. Treatment by observation resulted in 46% of patients undergoing delayed laparotomy. Injury to other intra‐abdominal organs required laparotomy in 23% of patients with multiple injuries. Operative splenic salvage in the adult is feasible and may result in a higher rate of splenic salvage.

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