Trauma

Question 1

At what point should fluid resuscitation be started in a crush injury?

Answer 1

Prior to extrication if possible

Question 2

3 factors that lead to the development of crush syndrome?

Answer 2

degree of compressive force, amount of muscle mass involved, and the duration of compression

Question 3

When does the onset of crush syndrome begin?

Answer 3

following the reperfusion of the injured muscle upon release from its trap

Question 4

3 main acute concerns of crush syndrome?

Answer 4

electrolyte imbalances –> cardiac dysrhythmias (hyper k), hypovolemia and metabolic acidosis.

Question 5

Essentials of crush syndrome management?

Answer 5

Pre treat crush injury prior to release of forces is essential (failure can result in death), aggressive fluid management (clinicall), electrolyte and dysrhythmia management, appropriate analgesia