Crush Injury/Syndrome

Crush injuries can occur in different settings such as collapsed buildings, in the industrial setting or can be seen in road traffic accidents. Crush injury results in muscle disintegration due to prolonged pressure on large muscles.

Crush syndrome occurs due to a reperfusion of muscle tissue which in turn causes rhabdomyolysis. Rhabdomyolysis develops when muscle tissue has prolonged pressure applied to it and the tissue begins to breakdown and release damaging chemicals into the bloodstream

Signs and Symptoms
General Management Techniques

GO DR SHAVPU ‹C› ACBC

Request for paramedic backup at earliest opportunity as an IV sodium chloride solution should be started before extrication from the accident. Early hydration will help prevent renal collapse

Secondary survey  

Continually monitor patient condition 

Consider an  ASHICE  

Smooth and rapid journey to hospital 

Professional handover to hospital staff

 

Further Reading

Beyond the Basics: Crush Injuries and Compartment Syndrome

 

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Remember

  • ‹C› ABCDE is the current treatment pathway for the Trauma primary survey. Where ‹C› is Catastrophic Haemorrhage this must be managed first