6 P's

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6 P's 1

Pain. While this is expected with a muscle injury, pain described as deep and constant and poorly localized, that increases when stretching or manipulating the muscle, and is unrelieved by pain medications is not normal and could be a sign of compartment syndrome.

6 P's 3

Pallor. If you notice that your patient has pale, shiny skin, especially distal to the injury site, report the symptoms to a doctor immediately.

6 P's 4

Paralysis. Though this is usually a late finding, paralysis or numbness in a limb can be a sign of compartment syndrome. This is most common when a patient's leg or arm has been crushed in an accident.

6 P's 2

Paresthesia. The patient may experience a pins-and-needles sensation, tingling, tickling, prickling or burning.

6 P's 6

Poikilothermia. This term, which refers to a body part that regulates its temperature with surrounding areas, is an important one. If you notice a limb that feels cooler than surrounding areas, the patient may have compartment syndrome.

6 P's 5

Pulselessness. A diminished or absent pulse in an affected area can be caused by compartment syndrome, which creates a tourniquet-like effect and cuts off circulation to the limb.


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