Delay to fasciotomy associated with worse functional outcomes
Serial exam emphasis when early signs present
Evidence labeling
Open fracture early antibiotics supported by trauma and orthopedic consensus
Compartment syndrome management supported by expert consensus and observational data
ACEP Level C use for escalation based on clinical concern when definitive evidence limited
Patient Discharge Instructions
Copy discharge instructions
Discharge instructions for tibia fibula fracture
Immobilization and activity
Keep splint clean and dry
Non weight bearing unless explicitly cleared
Elevation as much as possible for first 48 hours
Pain control
Acetaminophen as directed
Prescribed pain medicine only as directed
Avoid alcohol or driving while taking opioids
Wound care for open injuries
Do not remove dressings unless instructed
Watch for increasing redness or drainage
Return to ED immediately
Increasing pain not relieved by medicine and elevation
New numbness or tingling in foot
Weakness moving toes
Foot becoming cold or pale
Splint feels too tight with worsening swelling
Fever or chills with wound concerns
Follow up
Orthopedics appointment timing as provided
Repeat imaging plan if instructed
Crutch or walker safety review
References
Guidelines and key sources
Guidelines and key sources
Open fracture antibiotic timing recommendations from orthopedic trauma consensus statements
Early IV antibiotics prioritized for infection reduction
Antibiotic selection stratified by Gustilo Anderson grade
Compartment syndrome clinical diagnosis principles from orthopedic and emergency medicine references
Serial exam emphasis for evolving presentations
Delta pressure threshold support for equivocal cases
Trauma care principles for limb perfusion assessment and vascular injury screening
ABI screening threshold 0.9 for further vascular imaging consideration
Hard signs prompting immediate operative or vascular intervention
Evidence grading conventions
ACEP Level C when evidence limited and expert consensus guides ED actions
Class I and II recommendations from specialty society consensus where applicable
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.