51 - Adult - Crush Injuries

Question 1

In the adult crush injury patient, Medical Control should be contacted if the pt has been trapped more than _____ hour(s) to see if a tourniquet is appropriate to block hyperkalemia.

A. 1 hour
B. 3 hours
C. 5 hours

Answer 1

A. 1 hour

Question 2

In the adult crush injury patient, a tourniquet should be placed (proximally/distally) to the injury of an extremity.

Answer 2

Proximally

Question 3

In the adult crush injury patient, in addition to normal saline blouses, Fentanyl for pain control, what should be considered for the pt?

A. 1 gram CaCl2
B. 50 mEq sodium bicarbonate
C. 2.5 mg albuterol aeorsolized

Answer 3

C. 2.5 mg albuterol aersolized

Incorrect:
Both CaCl2 and NaHCO3 should be withheld in the crush injury patient. That is because lab work must be done to determine the actual level of potassium in the blood.