Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Time critical threats
Popliteal artery injury until proven otherwise
Hard signs of arterial injury
Absent distal pulses
Expanding hematoma
Pulsatile bleeding
Bruit or thrill
Limb ischemia features
Pain out of proportion
Paresthesia
Pallor
Paralysis
Poikilothermia
Irreducible dislocation with skin compromise
Tenting or threatened skin necrosis
Open dislocation
Compartment syndrome
Pain with passive stretch
Tense compartments
Resuscitation and flow
Escalate to trauma bay for shock or limb ischemia
Hemorrhage control for open injury
Massive transfusion protocol trigger per local policy
Continuous monitoring
Cardiac monitor
Pulse oximetry
Noninvasive blood pressure cycling
Analgesia and procedural sedation pathway
Airway risk screen
NPO status not a barrier for limb threatening reduction
Limb salvage sequence
Reduction first when dislocated on arrival
Immediate reduction priority when pulses diminished or absent
No delay for imaging when hard signs present
No delay for imaging when skin threatened
Post reduction reassessment loop
Distal pulses and Doppler signals
Neurologic status peroneal and tibial distributions
Immobilization after reduction
Posterior long leg splint
Knee 15 to 30 degrees flexion if perfusion adequate
Avoid excessive flexion if vascular concern
Strict non weight bearing
Crutches or walker
Fall risk precautions
Consult triggers
Orthopedics
All true tibiofemoral knee dislocations
Multiligament injury assumed
Planned operative versus staged management
Irreducible dislocation
Interposed soft tissue or fracture block
Vascular surgery
Any abnormal vascular exam
Absent pulse after reduction
ABI less than 0.9
Imaging confirmed arterial injury
CTA abnormality
Duplex abnormality
Ischemia time concern
Revascularization urgency
Compartment syndrome pathway
If clinical compartment syndrome concern then emergent fasciotomy consult
No delay for confirmatory tests
Class I recommendation based on expert consensus for emergent fasciotomy when clinically diagnosed
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.