What Is Crush Syndrome… Flashcards
1
Q
Crush syndrome
A
Limb compression and destruction of muscle lead to release toxic muscle cells such as acid myoheamatin that enter the circulation and block the kidney and cause renal failure and death
2
Q
Clinical picture
A
Hyperkalemia / Acidosis
Renal failure / Ventricular fibrillation
DIC
Respiratory depression / Hypertension
Compartment syndrome
3
Q
How to treat it?
A
1st rule = Limb crushed severely(>6hrs)
•the amputation done :
•Above the compression or crushed injury
•Before compression is released
Otherwise if limb still viable we can excise the dead tissue and vigorous intravenous fluid
