Journal of surgical education
-
Much is still to be learned about the assessment of simulation-based surgical skills training. However, assessing surgery skills through simulation is a new horizon in medical education. ⋯ Using simulators (both warm and cold) as a means to assess trainees has been established. However, also problems concerning the validity and reliability of such simulation-based assessment tools exist, particularly in surgery, that may need to be investigated even more to decide whether to use them as a tool for assessing the performance of surgical residents.
-
Acute limb compartment syndrome (LCS) is a limb-threatening and occasionally life-threatening condition caused by bleeding or edema in a closed muscle compartment surrounded by fascia and bone, which leads to muscle and nerve ischemia. Well-known causative factors are acute trauma and reperfusion after treatment for acute arterial obstruction. Untreated compartment syndrome usually leads to muscle necrosis, limb amputation, and, if severe, in large compartments, renal failure and death. ⋯ The techniques of measuring ICP have advantages and disadvantages, whereas the pressure level that mandates fasciotomy is controversial. Increased awareness of the syndrome and the advent of measurements of ICP pressure have raised the possibility of early diagnosis and treatment. This review reports LCS, including etiology, pathophysiology, diagnosis, ICP measurement, management, and outcome.