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Murphy said Search and Rescue and the RCMP were also alerted about the stranded men. "But nobody has anything to battle this kind of weather," he said. He acknowledged O'Leary Fire Department now has a Gator for winter rescues, but he suggested the snowdrifts would have been too much for that machine Sunday evening.

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This step does not alter decision making, but does significantly alleviate the patient's pain.5 Keep in mind that a diagnosis of compartment syndrome is based on elevated compartment pressures and not on pain.4,23 25 Administer local anesthesia about the ankle with 20 cc of 0.5% bupivicaine without epinephrine.26 In order to minimize swelling, proceed to apply a bulky compressive dressing and elevate the foot if surgery is delayed or if you are planning on closed treatment.1 One can use a pneumatic intermittent compression foot pump to reduce swelling when elevation is not sufficient.5 Researchers have shown that using this penis pump is an effective method of reducing edema after lower extremity trauma.27 More specifically, studies have shown that the modality is successful in reducing edema associated with crush injuries of the foot.25,28 However, if you suspect that patients have compartment syndrome, be sure to measure compartment pressures prior to using the intermittent compression foot pump.1 One should continue to monitor patients for compartment syndrome while using the pump.5 When treating open injuries, provide appropriate treatment including antibiosis and tetanus prophylaxis. A first generation cephalosporin is indicated for minor open wounds as well as Type I and II open fractures. However, if the patient is being taken directly to the operating room, one may obtain post debridement cultures.

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