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HBOT Evidence Digest · Pacific Hyperbarics

Crush Injury & Compartment Syndrome

FDA status

Recognized

Evidence

Grade A · Strong

Coverage

Medicare ✓

ICD-10

Summary

Extra oxygen preserves oxygen-starved tissue after severe trauma and supports surgical repair.

Typical protocol

2.0–2.4 ATA × 90 min, 3× first 24h, then BID, 3–12 sessions · UHMS

The evidence (1)

  1. [1] Hyperbaric oxygen therapy in the management of crush injuries: a randomized double-blind placebo-controlled trial

    POSITIVE

    Bouachour G, Cronier P, Gouello JP, et al. · Journal of Trauma · 1996 · n=36 · PMID 8656480

    Small double-blind RCT showing improved wound healing and fewer additional surgical procedures with HBOT in severe crush injuries, especially in older patients and severe wounds.

    Quality: Small but double-blind; supports FDA indication for crush injury.

Prepared by Pacific Hyperbarics · pacifichyperbarics.com · (619) 423-8200. Evidence grade reflects our editorial reading of the cited literature, last reviewed July 2026. Educational summary for clinicians — not a treatment directive. Verify coverage criteria against current payer policy.