You have been called for a male worker complaining of arm pain. On scene the 31-year-old patient states that his arm was crushed between two heavy boxes. There was minimal pain at that time, but now his right forearm is swollen and painful, especially with movement. He also states that the arm and fingers feel like they are "asleep." You note decreased strength to the arm and a radial pulse that is weak when compared to the left. There is no deformity to the arm and the skin is intact, although hard on palpation. Vital signs are pulse 88, respiration 18, and blood pressure 134/76 mmHg. Given these assessment findings, the EMT should be suspicious of:

Question

Quizplus · Accepted Answer

The patient's history, assessment findings, and symptoms are indicative of compartment syndrome. The decrease in strength and weak radial pulse suggest pressure on the arteries and nerves within the compartment. Additionally, the swelling and hardening of the tissue are further indications of the development of compartment syndrome. Fracture could be a possible cause but there is no indication of visible deformity. Hemorrhagic shock and stroke are not associated with the present symptoms.

You Have Been Called for a Male Worker Complaining of Arm