Browse categories and answer follow-up questions to refine your symptom profile.
Immediate threats
Immediate threats and triggers
Hemorrhage and shock
If uncontrolled bleeding, tourniquet and massive transfusion protocol
If hypotension with long bone fracture, search for additional bleeding source
Open fracture contamination
If open wound near fracture, treat as open fracture until proven otherwise
If gross contamination, immediate irrigation and sterile dressing
Acute limb ischemia
If absent pulses or cool pale foot, immediate reduction and vascular surgery consult
If hard signs of vascular injury, immediate OR activation
Compartment syndrome
If pain out of proportion or escalating opioid need, immediate fasciotomy pathway activation
If neurologic deficit progression, treat as impending compartment syndrome
Monitoring and targets
Monitoring and targets
Vitals and perfusion
Persistent tachycardia as occult blood loss marker
Capillary refill and skin temperature trends
Limb perfusion documentation
Dorsalis pedis pulse quality
Posterior tibial pulse quality
Motor function toe extension and flexion
Sensation first dorsal web space
Pain control and reassessment cadence
Recheck neurovascular status after analgesia and after splinting
Escalation threshold for pain not improving with immobilization
Early consultation and escalation
Early consultation and escalation
Orthopedics activation
Immediate for open fracture
Immediate for suspected compartment syndrome
Same day for displaced tibial shaft fracture
Vascular surgery activation
If ABI < 0.9 after reduction and splinting
If expanding hematoma or bruit
Trauma team activation
High energy mechanism
Polytrauma or hemodynamic instability
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.