Management of Acute Compartment Syndrome

A. Limited evidence supports that myoglobinuria and serum troponin level may assist in diagnosing acute compartment syndrome in patients with traumatic lower extremity injury. (L)

B. Moderate evidence supports that, in patients with acute vascular ischemia, femoral vein lactate concentration sampled during surgical embolectomy may assist in the diagnosis of acute compartment syndrome. (M)

C. Limited evidence supports that myoglobinuria does not assist in diagnosing acute compartment syndrome in patients with electrical injury. (L)