Advanced Trauma Life Support (ATLS) 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which of the following is considered the last finding in a patient with compartment syndrome?

Paralysis

Pulselessness

In the context of compartment syndrome, the last finding that is typically observed is pulselessness. Compartment syndrome occurs when increased pressure within a closed muscle compartment compromises the circulation and function of the tissues. The sequence of symptoms begins with pain, followed by paresthesias (tingling or numbness), and then may progress to paralysis.

Pulselessness indicates that perfusion to the affected area has been severely compromised, often to the point where the arterial blood flow cannot be maintained. At this stage, irreversible muscle and nerve damage can occur, emphasizing the urgency in diagnosing and treating compartment syndrome. Recognizing pulselessness as a late sign underscores the need for immediate intervention to prevent permanent damage.

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Paresthesias

Pain

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