A crush injury is injury by an object that causes compression of the body. This form of injury is rare in normal civilian practice, but common following a natural disaster.
Crush Syndrome: Crush injury with systemic manifestations. Systemic manifestations are caused by a traumatic rhabdomyolysis due to muscle reperfusion injury when compressive forces on the tissues are released.
Once the compressive forces are released, muscle injury and swelling can occur, with possible muscle necrosis and neurologic dysfunction in the affected areas. Systemic manifestations resulting from crush injury, which is defined as crush syndrome, can result in organ dysfunction or death.
Crush syndrome can directly come from compartment syndrome, if the injury is left untreated. Symptoms include the 5 Ps: pain, pallor, paresthesias (pins and needles), paralysis, and pulselessness.
The increase in pressure in one or all compartments of the gluteal region causes CS with devastating effects on muscle and neurovascular bundles. CS is traditionally diagnosed on the basis of five 'p's: pain, pallor, paraesthesia, pulselessness and paralysis.
Crush Syndrome
Once pressure is released, the muscle cell contents, such as potassium and myoglobin, are released systemically. Generally this occurs between 4–6 hours but may occur with entrapment of greater than one hour.
If these patients do not receive aggressive medical treatment during the extrication, they may suffer the three killers of crush syndrome: Hypovolemia. Life-threatening cardiac arrhythmias. Renal failure.
Those who suffer from a crush injury can also experience additional medical conditions such as psychological issues, amputations, kidney failure, hypotension, and compartment syndrome. Compartment syndrome is when pressure builds up in part of the body because of internal bleeding and/or tissue swelling.
EMS crush syndrome protocol
Rapid extrication, pain management and EKG are also important EMS treatment components. Paramedic level care, especially for long crush syndrome patients with long transport times, includes attempting to alkalize the patient's urine by administering sodium bicarbonate.
The mortality from crush syndrome sustained in earthquakes ranges from 13% to 25% when renal failure develops.
Crush syndrome: Also termed rhabdomyolysis, involves a series of metabolic changes produced due to an injury of the skeletal muscles of such a severity as to cause a disruption of cellular integrity and release of its contents into the circulation.
"Crushes are often a mid-crisis coping mechanism," says couples and family therapist B.
Steps for first aid treatment of a crush injury are: Stop bleeding by applying direct pressure. Cover the area with a wet cloth or bandage. Then, raise the area above the level of the heart, if possible.
Conclusion: The occurrence of crush syndrome is mainly because of extremities crush injury and also has significant relations with age, time being szeged and closed crush injury in children. Infection of incisional wound after CS fasciotomy is a risk factor for aggravation of CS.
Crush syndrome is known as rhabdomyolysis. This occurs when injuries to the skeletal muscles are so severe that the injury disrupts the cellular integrity within the muscle. This disruption releases the contents of the muscles into the bloodstream.
Many people with a crush may feel dismayed if being with that person (who may be the only person they like) isn't possible. They might be experiencing incompatibility, unrequited love, or the fact that the other person is already in a monogamous relationship.
A crush injury occurs when pressure or force is put on a body part. A foot crush injury may cause pain, swelling, and sometimes bruising. A foot crush injury may take from a few days to a few weeks to heal. If you have a foot crush injury, you should see a podiatrist.
Depending on the severity of the case, healing time can take anywhere from a few weeks to several months or more. Standard treatment options include surgery, pain medication and physical therapy.
If the object has been there for less than one hour, remove it quickly and attend to the injury. If the object has been there for more than one hour, generally you should NOT remove it, UNLESS it is obstructing the airway or breathing.
Simply put, with enough of these hormones/chemicals, the frustration of not seeing the attractive stranger and not being able to contact them, and the further stirring up of emotions in innocuous things that seem to have a connection to the circumstance, you can easily find yourself in a hole of paranoia, psychosis and ...
INTRODUCTION — Natural or manmade disaster victims often suffer from crush-related injury [1,2]. Such injuries can cause extensive muscle damage and rhabdomyolysis, which can lead to myoglobin-associated acute kidney injury (AKI) [3-6].
Pins and needles, numbness, burning, weakness, pain and lack of sensation are all very typical descriptors for this type of condition. In the case of nerve compression (or a “pinched nerve” as many refer to it) there are various treatment options.
A crush injury results from prolonged continuous pressure on large muscles, like those of the legs or arms, which results in muscle disintegration. Compartment syndrome is defined as any condition in which a structure like a nerve or tendon has been constricted within a space.
Researchers have scanned the brains of people who are madly in love and found a heavy surge of dopamine, a neurotransmitter in the brain's reward system that helps people feel pleasure. Dopamine, along with other chemicals, gives us that energy, focus, and obsession we feel when we're wild about someone.
Experts say that kids commonly have their first crush when they're 5 or 6. "Younger children focus their love on their family," explains Cynthia Langtiw, Psy. D., assistant professor at The Chicago School of Professional Psychology.