Assessment and prioritization

Six Ps

Pain, Pallor, Paresthesia, Pulselessness, Paralysis, Poikilothermia

The signs of compromised circulation in a limb, taught for compartment syndrome and for checks after casting or vascular procedures. Not the same list as the Five Ps of labour.

What each letter stands for

  1. 1 Pain — often out of proportion and worse with passive stretch.
  2. 2 Pallor — pale colour.
  3. 3 Paresthesia — pins and needles, altered sensation.
  4. 4 Pulselessness — a late sign.
  5. 5 Paralysis — a late sign.
  6. 6 Poikilothermia — the limb takes the temperature of its surroundings.

How it gets tested

Tested as the assessment set for a cast or an injured limb, and as which signs are early versus late. The Five Ps (labour) is the deliberate distractor.

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What does six ps mean?

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