Thomas W O, Harris C N, D'Amore T F, Parry S W
University of South Alabama School of Medicine, Mobile.
J Emerg Med. 1994 Jul-Aug;12(4):467-72. doi: 10.1016/0736-4679(94)90341-7.
A patient suffering from a cocaine-induced myocardial infarction was treated with thrombolytic therapy and developed acute bilateral compartment syndromes of the upper extremities and hands from bleeding due to attempted bilateral radial artery cannulation. He was treated with emergent decompression of the forearm compartments and intrinsic muscles of the hands and recovered excellent hand function without significant neurologic or muscular damage. The problems encountered in the management of this case are detailed, and recommendations for prevention and therapy are discussed.
