- Previous medical history
- Entrapment/crushing >1 hour
- Paresthesia (tingling or burning sensation on skin
- Poikilothermia (cool to touch)
- Entrapment/crushing of one or more large muscle extremity
- Entrapment/crushing of pelvis
- Absent pulse in extremity
- Delayed capillary refill
- Blanched skin in affected extremity
- Diminished sensation
- Extremity cold to touch
- Drug overdose
- Compartment syndrome
- Spinal trauma
Signs of hyperkalemia:
- peaked T waves and QRS > 0.12 ?
- Notify receiving facility or contact Medical Control
- Fluid administration should be conducted prior to patient extrication.
- Treatment may be compromised by confined space or MCI situation. Ideally, start treatment prior to release of compression.
- Patients may become hypothermic even in warm environments.
- Other injuries can cause compartment syndrome such as circumferential burns, pulmonary embolus, thrombosis, severe edema, etc.