Ontario Paramedic Practice Exam

Compartment syndrome is a critical condition that can arise as a complication of fractures, particularly in the context of long bone fractures like those of the tibia or forearm. This syndrome occurs when there is increased pressure within a closed myofascial compartment, which can lead to decreased blood flow, tissue ischemia, and eventually muscle and nerve damage if not addressed promptly.

Paramedics must be vigilant in monitoring for symptoms of compartment syndrome following a fracture. Symptoms may include severe pain that is disproportionate to the injury, swelling, tightness in the area, decreased sensation, and difficulty moving the affected limb. Timely recognition and intervention are essential, as the condition can progress quickly, necessitating surgical intervention in severe cases to relieve the pressure.

In contrast, while infection can occur in open fractures that expose bone to the external environment, it is less frequent compared to compartment syndrome, which is an urgent emergency that can arise immediately after an injury. Joint dislocation is a separate injury that may occur but is not a direct consequence of fractures themselves. Osteoporosis, while a significant concern for fractures in the elderly population, is not a complication of a fracture but rather a pre-existing condition that contributes to the likelihood of sustaining a fracture in the first place.