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학습 자료 둘러보기 →For any closed long bone fracture, the priority within the first 6 to 8 hours is a thorough neurovascular assessment to detect acute compartment syndrome. This involves checking the 5 P's: Pain, Pallor, Pulselessness, Paresthesia, and Paralysis.
Never assume that a palpable distal pulse rules out compartment syndrome; it is often a late finding. The earliest and most reliable indicator is pain disproportionate to the injury, especially with passive stretch of the muscle.
Do not apply ice or elevate the limb above the heart without first ensuring neurovascular integrity. If compartment syndrome is developing, elevation can further reduce arterial inflow, worsening ischemia. Unrelieved pressure leads to irreversible tissue necrosis within 6 to 8 hours.
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