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Compartment Syndrome

Jessica Mason, MD and Jennifer Farah, MD
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Crunch Time - Trauma - Written Summary 364 KB - PDF

Compartment Syndrome

Jessica Mason MD and Jennifer Farah MD

  • Tight compartments with pain out of proportion? → check pressure
  • High-risk Injuries
    • Fractures (tib/fib)
    • Crush injuries
    • Burns
  • Know the compartments of forearm and lower leg
  • The 5 P’s
    • Pain out of proportion - happens earliest, the rest are late findings
    • Paresthesia
    • Pallor
    • Paresis
    • Pulse deficit
  • When is compartment pressure high?
    • Delta pressure = diastolic BP - compartment pressure
      • Abnormal if < 30 mmHg
    • Absolute Pressure > 30 mmHg

See EM:RAP HD 2017 May - Measuring Compartment Pressure

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Trauma Full episode audio for MD edition 146:44 min - 204 MB - M4ACrunch Time - Trauma - Individual MP3 Files 241 MB - ZIPCrunch Time - Trauma - Written Summary 364 KB - PDF

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