Emergency Medicine Board Bombs

1. Hoarders and Delta P: Compartment Syndrome

Nov 5, 2019
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ADVICE

Consult Surgeons Early

  • Consult surgical teams immediately if compartment syndrome is suspected.
  • Don't delay consultation to obtain pressure readings.
INSIGHT

Delta Pressure and Compartment Syndrome

  • Compartment syndrome diagnosis involves the delta pressure (MAP minus compartment pressure).
  • Delta pressure less than 30, or absolute compartment pressure greater than 30, indicates compartment syndrome.
INSIGHT

Key Numbers for Compartment Syndrome

  • Remember the key numbers for compartment syndrome: delta pressure < 30, single compartment pressure > 30, or delta pressure < 20 in hypotensive patients.
  • These values indicate the need for fasciotomy.
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