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The Medical Management of Military Injuries
Published in Melanie Franklyn, Peter Vee Sin Lee, Military Injury Biomechanics, 2017
Damian Keene, Peter Mahoney, Johno Breeze, Arul Ramasamy
For patients being evacuated to the UK, clear communication of the operative interventions that have been performed and those that will be required is essential. Due to the absence of surgical facilities in-flight, drains should be firmly secured to the patient. Consideration should be given to pre-empt the development of abdominal or limb compartment syndrome. Compartment syndrome occurs when the pressure in a sealed body compartment increases, thereby reducing blood flow to the tissues within the compartment. The resultant poor tissue perfusion leads to tissue necrosis and further swelling, generating a downward spiral of increasing compartment pressure. The management is to surgically open the compartment; in the abdomen, this is the abdominal wall (laparostomy), in the limbs, the fascia surrounding the effected muscles (fasciotomy).
Repetitive TasksRisk Assessment and Task Design
Published in R. S. Bridger, Introduction to Human Factors and Ergonomics, 2017
Exertional compartment syndromes normally occur in the lower limbs with dull aching in a given muscular compartment and increased pressure in the muscle. The pain is triggered by activity. Muscle is known to increase in volume by up to 20% during exercise (Pitner, 1990) and it is thought that the accompanying pressure increase is sufficient to degrade blood flow through the muscle. The pain subsides after cessation of the activity.
Comparison and convergence of compartment syndrome techniques: a narrative review
Published in Expert Review of Medical Devices, 2023
Naveen Sharma, Nitin Mohan Sharma, Apurva Sharma, Sarfaraj Mirza
Figure 1 [3] describes the structure of a calf, showing the compartments. Compartment syndrome is a disorder characterized by increased pressure on the tissues or muscles, which is caused by an injury that causes swelling or bleeding within the compartment. Because fascia tissue does not stretch or expand easily, it helps maintain the position of the muscles. Consequently, any swelling, bleeding, or fluid release inside the compartment will exert additional pressure on the muscles, nerves, and so forth, which reduces the oxygenated blood flow and nutrients inside the compartment, resulting in internal damage. This condition may cause irreversible tissue damage if left untreated. Figure 2 [3] represents the condition of compartment syndrome, in which the blood flow has been reduced due to the increased pressure inside the compartments.