You are in a transport scenario involving a 34-year-old male patient who suffered a severe crush injury to his right leg in a construction accident. The patient is experiencing increasing pain and swelling despite stabilization. Which action should you take to assess for the possibility of compartment syndrome?
The correct answer is to measure the intracompartmental pressure. Compartment syndrome occurs when pressure within a closed muscle compartment rises to a level that decreases perfusion, leading to muscle and nerve damage. Measuring the pressure directly confirms the diagnosis. Monitoring swelling and pain are important but are not definitive assessments for compartment syndrome. Checking for pedal pulses, while essential in assessing circulatory status, does not exclude the presence of compartment syndrome since pulses can still be present despite increased compartment pressure.
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