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Electrical burn with compartment syndrome — RCPSC EM MCQ

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HardTraumaElectrical burn with compartment syndromeRCPSC EM

A 40-year-old electrician sustains a high-voltage injury. He has circumferential forearm burns, escalating opioid requirement, pain with passive finger extension, and tense compartments. CK is 18,000 U/L and potassium is 5.9 mmol/L. What is the most likely diagnosis?

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Correct answer: CElectrical burn with acute compartment syndrome

High-voltage injury with tense compartments, pain on passive stretch, rhabdomyolysis, and hyperkalaemia indicates acute compartment syndrome after electrical burn.

Reference: Canadian burn care practice; ATLS