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학습 자료 둘러보기 →Following a fall onto an outstretched hand, a supracondylar fracture is the primary concern. The immediate priority is a neurovascular assessment of the injured limb, looking beyond the obvious deformity.
An absent distal pulse is the most critical finding, indicating a potential brachial artery injury. This is a limb-threatening emergency with a risk of irreversible ischemic damage within 3-6 hours.
A perfused but pulseless hand (pink, warm, with capillary refill <2 seconds) is still a surgical emergency. Do not delay vascular surgery consultation while waiting for the pulse to return. Document and immediately report any change from a perfused to a pale, cold hand.
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