| Screening tools in the diagnosis of acute compartment syndrome. | |
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MedLine Citation:
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PMID: 20462891 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute compartment syndrome (ACS) is a surgical emergency requiring urgent fasciotomy to save the limb. However, time is of the essence and diagnostic uncertainty can lead to unnecessary surgery. Measurement of intracompartmental pressure (ICP) to aid decision making is becoming commonplace, particularly in unconscious or confused patients. However, inaccurate readings can result from misplacement of the probe, subjecting patients to a needless fasciotomy in the event of an overreading. Similarly, underestimated readings create a false sense of security. Screening tools, criteria-led systems of clinical decision making, are used by some to assist in diagnosis and management planning, but do they work? Here, we review current diagnostic strategies and question whether screening tools can make rapid diagnosis more accurate. Furthermore, in the absence of a standardized tool, we analyze the practice of a sample of vascular surgeons with the aim of moving toward a management consensus useful to junior doctors. |
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Authors:
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Amy J Garner; Ashok Handa |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-05-12 |
Journal Detail:
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Title: Angiology Volume: 61 ISSN: 1940-1574 ISO Abbreviation: Angiology Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-28 Completed Date: 2010-07-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 475-81 Citation Subset: IM |
Affiliation:
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University of Oxford, Oxford, United Kingdom. amygarner@doctors.org.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Compartment Syndromes / diagnosis*, surgery Data Collection Early Diagnosis Fascia / surgery Great Britain Humans Mass Screening* Postoperative Complications / diagnosis*, surgery Predictive Value of Tests Reference Values Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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