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Extremity compartment syndrome — RCPSC EM MCQ

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HardTraumaExtremity compartment syndromeRCPSC EM

CTAS 2. A 31-year-old has severe forearm pain 8 hours after closed reduction of both-bone forearm fractures. Pain worsens with passive finger extension, paresthesias are present, and the compartments feel tense. Radial pulse remains palpable. Analgesia gives little relief. What is the most appropriate next step?

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Correct answer: B — Urgent surgical fasciotomy consultation

Compartment syndrome is a clinical diagnosis; pulses may persist. Early surgical decompression is required to prevent permanent injury.

Reference: Canadian Orthopaedic Association trauma resources; Tintinalli's Emergency Medicine