Crush Syndrome

TL;DR

Systemic condition from prolonged compression, requiring specialized treatment.

What is Crush Syndrome?

Crush syndrome is a severe medical condition that can occur after a crush injury, where significant muscle damage leads to the release of toxins into the bloodstream. When muscles are crushed, they break down and release myoglobin, potassium, and other substances that can cause kidney damage and cardiac complications.

This syndrome can develop rapidly once the pressure is released from the crushed area, making immediate medical intervention critical.

Symptoms of crush syndrome include dark urine, weakness, confusion, and irregular heart rhythms.

First aid for crush syndrome involves managing the initial injury and preventing the release of toxins into the bloodstream. This includes keeping the casualty calm and still, applying a tourniquet if trained to do so, and administering intravenous fluids if available and trained. The goal is to maintain adequate blood flow and prevent kidney failure.

It is essential to call for emergency medical help immediately, as advanced medical treatment will be necessary to manage the systemic effects of the syndrome. Dialysis may be required to support kidney function, and medications may be administered to stabilize heart rhythms.

First Aid for Crush Syndrome

• Release Pressure: Only release the pressure if the casualty can be rapidly transported to a medical facility.
• IV Fluids: If trained, administer intravenous fluids to maintain blood pressure.
• Monitor Vital Signs: Keep track of the casualty's breathing, pulse, and mental state.
• Seek Urgent Medical Help: Ensure the casualty receives immediate professional medical care.

Takeaway to remember

Crush syndrome is a serious medical condition that can occur after a prolonged crush injury, leading to the release of muscle breakdown products into the bloodstream, which can cause kidney failure and other complications.

Reference

• First Aid eBook