In orthopaedic trauma every deadly complication has a signature time window, so the first thing to read is not the vital signs — it is the clock. Name the complication the calendar is pointing at and choose the first action, then build the escalation call itself: an SBAR for compartment syndrome, scored on completeness, with the three sentences that must never appear in it.
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Step 1 — what is happening?
Step 2 — what is your first action?
You are ringing the surgeon about bed 12Mr Alvarez, day one after a right tibial nail, pain 10 of 10 despite 4 mg IV morphine. You have fourteen sentences in your head. Put each one where it belongs in the call — or leave it out.
Sentence
The calendar
0 of 6 patients correct
Read the clock firstChoose on the left. The window, the mechanism and the first action land here.
The call as it stands
0 of 14 placed correctlyunsafe line in the call
S — Situation
Nothing here yet.
B — Background
Nothing here yet.
A — Assessment
Nothing here yet.
R — Recommendation
Nothing here yet.
What a complete A contains. Four things: your objective findings, what you have already done, the fact that the pulse is still present (so the provider is not falsely reassured by it later), and the words that name your concern — “I am concerned about compartment syndrome.”