Compartment Syndrome: The 6 P's Flashcards

Overview of the 6 P's of Compartment Syndrome

• Compartment syndrome is characterized by a critical condition resulting from increased pressure within a closed anatomical space, leading to muscle and nerve damage.

Pain

• First symptom; often described as severe tenderness in the affected area.
• Pain typically persists despite rest or analgesics and may be disproportionate to the injury.

Pallor

• Skin appears pale or exhibits poor capillary refill, indicating reduced blood flow.
• May accompany the initial pain, signaling vascular compromise in the affected compartment.

Paresthesia

• Sensation of pins and needles; often occurs early in the progression of symptoms.
• Indicates nerve involvement due to increased compartment pressure.

Pulses

• Diminished or absent pulses in the extremity are critical indicators.
• Occurs after pain, pallor, and paresthesia, reflecting severe circulatory impairment.

Paralysis

• Loss of function in muscles; signifies severe neurological injury.
• Develops after the initial four signs, warning of irreversible damage if not promptly addressed.

Pressure

• Diagnostic measurement indicating elevated intracompartmental pressure.
• Considered the final indicator, following the other P's; urgent intervention required to prevent long-term harm.