Identification Bracelet Precipitated Acute Compartment Syndrome during Intravenous Infusion in an Obtunded Patient

Area of Science:

• Medical Science
• Surgical Complications
• Emergency Medicine

Background:

• Acute compartment syndrome (ACS) is a critical condition demanding immediate intervention.
• Delayed treatment for ACS can result in severe outcomes, including permanent loss of function or amputation.
• The underlying pathophysiology of ACS is understood, but novel causes continue to emerge.

Purpose of the Study:

• To report a rare case of ACS caused by intravenous (IV) infiltration.
• To highlight the role of patient identification bracelet placement in precipitating ACS.
• To emphasize preventative measures against ACS in clinical practice.

Main Methods:

• Case report detailing a patient who developed ACS.
• Analysis of the clinical scenario involving IV infiltration and device placement.
• Review of literature on causes and prevention of ACS.

Main Results:

• A case of ACS was identified secondary to IV infiltration.
• The infiltration was linked to the proximal placement of a patient identification bracelet.
• This case underscores a previously unrecognized risk factor for ACS.

Conclusions:

• Intravenous infiltration is a rare but significant cause of ACS.
• The placement of IV lines relative to patient-worn devices, like identification bracelets, is crucial.
• Routine assessment for IV infiltration and strategic IV line placement are essential for ACS prevention.