Musculoskeletal

Compartment Syndrome

  • Can occur after fractures, burns, surgeries, or significant swelling.
  • Compression of surrounding tissues can lead to tissue damage or death.
  • Caused by external factors (tight bandage or cast) or internal factors (bleeding or swelling).
  • Signs and Symptoms: Persistent severe pain, swelling, decreased sensation, and diminished pulses.
  • Treatment: Remove external pressure or perform surgical intervention, such as a fasciotomy.

Fractures

Femur Fractures

  • Typically result from trauma, such as motor vehicle collisions or falls.
  • Complications: Internal bleeding, fat embolism, and risk of infection.
  • Treatment: Managed with casts, immobilization devices, or surgical fixation.

Pelvic Fractures

  • Often caused by trauma from motor vehicle collisions or falls.
  • Complications: High risk of pelvic instability, injuries to the bladder, genitals, or kidneys, and significant bleeding leading to hypotension.
  • Treatment: Surgical fixation for severe or unstable fractures.

Falls

  • The leading adverse event in hospital settings.
  • High-Risk Groups: Patients who are confused or agitated.
  • Associated with increased morbidity and mortality.
  • Key Focus: Prevention through measures such as alarms, addressing patient needs proactively, and ensuring access to call lights.

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