Page of

Crush Injury 

Crush Injury
Chapter:
Crush Injury
Source:
Acute Care Casebook
Author(s):

Christopher M. Perry

DOI:
10.1093/med/9780190865412.003.0065

This chapter examines compartment syndrome as it may be evaluated in the field with limited resources, as well as clinical correlations for compartment syndrome evaluation in a more common civilian trauma setting. It reviews the situations in which one might suspect compartment syndrome, explaining the clinical symptoms, physical examination, differential diagnosis, relevant laboratory testing, and imaging to consider when initially evaluating a patient for possible compartment syndrome, including crush injuries and rhabdomyolysis. Additionally, it discusses indications for measuring compartment pressure and best practices for utilizing commercially available equipment. There is a discussion of fasciotomy indications and recommendations regarding pressure measurement techniques. Finally, there is a brief discussion of practices that are not recommended when treating compartment syndrome.

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