In adult and pediatric extremity trauma, which assessment should be performed?

• A. Evaluate PMS, color, temperature, capillary refill, crepitus
• B. Elevate limb and apply Ice Packs to the extremity
• C. Pain Management
• D. Ignore and wait for transport

Answer: (A)

In extremity trauma, the most important assessment is to determine the limb’s perfusion and neurovascular status. This is done by evaluating distal pulses (to gauge blood flow), motor function (ability to move the toes or fingers), and sensation (feeling in those areas), collectively known as PMS. You also look at skin color and temperature and measure capillary refill to assess how well blood is circulating to the limb. Palpating for crepitus helps identify fractures or gas in soft tissues. Together, these findings show whether circulation and nerves are intact and whether a fracture or other tissue injury is present, guiding urgent care decisions. The other actions described are treatment or safety steps rather than assessment of limb status: elevating the limb with ice is for swelling control, pain management is important but not the assessment itself, and ignoring the limb while waiting for transport is unsafe.