in the natural disasters such as earthquake, based on severity of trauma, time under the rubble and quality/quantity of hydratation we will confront with a spectrum of traumatic rhabdomyolysis. in present study we evaluate victims of bam earthquake to show different stage of muscle trauma, from minor trauma with almost normal level of muscle enzyme to those with moderate trauma leading to crush...

life in the modern world means existing with the evolving face of modern warfare and global terrorism. we have disasters both man-made disasters, natural. man has devised weapons of mass destruction, which in the hands urban terrorists can cause blasts, building collapses. resulting in a unique pattern of damage to the human body namely, crush injuries “crush syndrome” first recorded in bombing...

crush injury of an extremity occurs when a limb is compressed between two hard surfaces, to the point where vascular supply is impaired and vulnerable tissues undergo necrosis. most commonly, limbs are crushed during auto versus pedestrian accidents, motor vehicle crashes, and industrial accidents. however, during natural disasters such as earthquakes, buildings collapse, landslides, mine cave-...

Extensive muscle crush injury culminating in a crush syndrome or traumatic rhabdomyolysis is often lethal unless treated actively on war footing. The causes of death in crush syndrome include hypovolemic shock, hyperkalemia, hypocalcemia, metabolic acidosis, acute myoglobinuric renal failure and the acute muscle – crush compartment syndrome. The literature is divided on the treatment, while som...

In work on Wistar rats with experimental crush syndrome and acute alcohol intoxication shown that alterations of «metabolic profile» are stipulated by the lymphatic system, which emerges as an active component to urgent adaptation in critical situations. It is shown by the expressed infringements of an exchange of electrolytes in plasma. lymph and myocardium at the rats, that can make a part of...

Crush syndrome results in a characteristic syndrome of rhabdomyolysis with myoglobinuric acute renal failure. The most commonly described crush injury is that which affects victims of natural disasters such as earthquakes. Here, we report a rare case of crush syndrome that was induced by the kneeling seiza position.

BACKGROUND Crush trauma to the extremities, even if not involving vital organs, can be life threatening. Crush syndrome, the systemic manifestation of the breakdown of muscle cells with release of contents into the circulation, leads to metabolic derangement and acute kidney injury. Although common in disaster scenarios, emergency physicians also see the syndrome in patients after motor-vehicle...