Crush injury | |
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Specialty | Emergency medicine |
A crush injury is injury by an object that causes compression of the body. [1] [2] This form of injury is rare in normal civilian practice, but common following a natural disaster. [3] Other causes include industrial accidents, road traffic collisions, building collapse, accidents involving heavy plant, disaster relief or terrorist incidents. [4]
Crush syndrome is a systemic result of skeletal muscle injury and breakdown and subsequent release of cell contents. [4] The severity of crush syndrome is dependent on the duration and magnitude of the crush injury as well as the bulk of muscle affected. It can result from both short-duration, high-magnitude injuries (such as being crushed by a building) or from low-magnitude, long-duration injuries such as coma or drug-induced immobility. [4]
Early fluid resuscitation reduces the risk of kidney failure, reduces the severity of hyperkalaemia and may improve outcomes in isolated crush injury. [4]
For casualties with isolated crush injury who are haemodynamically stable, large-volume crystalloid fluid resuscitation reduces the severity of and reduces the risk of acute kidney injury. [5]
Crush injury | |
---|---|
Specialty | Emergency medicine |
A crush injury is injury by an object that causes compression of the body. [1] [2] This form of injury is rare in normal civilian practice, but common following a natural disaster. [3] Other causes include industrial accidents, road traffic collisions, building collapse, accidents involving heavy plant, disaster relief or terrorist incidents. [4]
Crush syndrome is a systemic result of skeletal muscle injury and breakdown and subsequent release of cell contents. [4] The severity of crush syndrome is dependent on the duration and magnitude of the crush injury as well as the bulk of muscle affected. It can result from both short-duration, high-magnitude injuries (such as being crushed by a building) or from low-magnitude, long-duration injuries such as coma or drug-induced immobility. [4]
Early fluid resuscitation reduces the risk of kidney failure, reduces the severity of hyperkalaemia and may improve outcomes in isolated crush injury. [4]
For casualties with isolated crush injury who are haemodynamically stable, large-volume crystalloid fluid resuscitation reduces the severity of and reduces the risk of acute kidney injury. [5]