TAMING THE SRU
Taming The SRU - August 15, 2021 - By Tianna Negron
SPECIAL CONSIDERATIONS
- Open fractures DO NOT exclude the possibility of compartment syndrome
- Reversal or factor replacement should be considered for patients on anticoagulants, and factor replacement for patients with Hemophilia; Hematology should also be consulted for these patients
- In patients who are obtunded, cognitively impaired, intoxicated, or otherwise unable to give reliable history, there should be much lower threshold to check pressures when there are concerning physical exam findings or clinical suspicion
- Consider this diagnosis in patients with increasing analgesic requirements who have had extremity trauma, injury, or recent surgery
- In patients who have borderline elevated compartment pressures with high clinical suspicion based on history / mechanism, consider hourly serial examinations to observe for increasing versus decreasing pressures