When should neurovascular status be reassessed in injuries?

Reassessing neurovascular status both before and after any manipulation is essential to ensure that the blood flow and nerve function are intact. This practice is particularly important after an injury because there can be changes in neurovascular status due to swelling, displacement, or the presence of fractures or other injuries.

Before manipulation, evaluation helps to establish a baseline of the patient's neurovascular function. Post-manipulation assessment is crucial to detect any potential complications that may arise during the handling or adjustment of the injury, such as increased swelling or further displacement, which could compromise vascular and nerve integrity.

Injured extremities, particularly in the case of fractures or dislocations, require careful monitoring as they pose risks for neurovascular compromise. Identifying these issues early allows for timely intervention, minimizing the risk of long-term complications such as nerve damage or ischemia. Therefore, thorough assessment before and after manipulation is the best practice in managing such injuries.