Management of Crush Syndrome Casualties after Disasters
نویسندگان
چکیده
After direct impact of the trauma, crush syndrome is the second most frequent cause of death after mass disasters. However, since crush syndrome is quite rare in daily practice, mistakes are frequent in the treatment of these cases. This paper summarizes the etiopathogenesis of traumatic rhabdomyolysis and of crush syndrome-based acute kidney injury. The clinical and laboratory features, prophylaxis, and treatment of crush cases are described as well. The importance of early and energetic fluid resuscitation is underlined for prophylaxis of acute kidney injury. Since there is chaos, and an overwhelming number of victims, logistic drawbacks create a specific problem in the treatment of crush victims after mass disasters. Potential solutions for logistic hurdles and disaster preparedness scenarios have also been provided in this review article.
منابع مشابه
Management of crush victims in mass disasters: highlights from recently published recommendations.
Crush syndrome is the second most common cause of death after earthquakes (the first most common is direct trauma). Many logistic problems with the treatment of patients with crush syndrome are due to chaotic disaster circumstances; consequently, medical and logistic recommendations on the treatment of crush victims are needed. In a joint initiative of the Renal Disaster Relief Task Force of th...
متن کاملDisaster nephrology: crush injury and beyond.
Disasters result in a substantial number of renal challenges, either by the creation of crush injury in victims trapped in collapsed buildings or by the destruction of existing dialysis facilities, leaving chronic dialysis patients without access to their dialysis units, medications, or medical care. Over the past two decades, lessons have been learned from the response to a number of major nat...
متن کاملCrush injuries and crush syndrome – a review. Part 1: the systemic injury
Crush injuries can occur in large numbers following natural disasters or acts of war and terrorism. They can also occur sporadically after industrial accidents or following periods of unconsciousness from drug intoxication, anaesthesia, trauma or cerebral events. A common pathophysiological pathway has been elucidated over the last century describing traumatic rhabdomyolysis leading to myoglobi...
متن کاملMechanical muscle-crush injury and acute muscle-crush compartment syndrome: with special reference to earthquake casualties.
©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B4. 15334 $2.00 J Bone Joint Surg [Br] 2005;87-B:450-3. An extensive muscle-crush injury culminating in a crush syndrome is often lethal unless treated actively and promptly. The causes of death in crush syndrome include hypovolaemic shock, hyperkalaemia, hypocalcaemia, metabolic acidosis, acute myoglobinuric rena...
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