Swelling and increased pressure within a confined spaceCompromises neurovascular function of tissues within that spaceArterial flow compromised -ischemia-cell death-loss of function
Compartment Syndrome Clinical Manifestations
Early recognition and treatment is essentialMay occur initially or may be delayed several daysIschemia can occur within 4 to 8 hours after onset
Six P's of Compartment Syndrome
Collaborative Care of Compartment Syndrome
Assess urine output and kidney functionEarly recognition via regular neurovascular asssessmentsNotify of pain unrelieved by drugs and out of proportion to injury
Management of Fractures
Examine for bleeding. Apply direct pressure or digital pressure over the nearest artery. Splint the site. If the patient must be moved before splinting, support above and below the fracture site.