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Prevention of Crush Syndrome through Aggressive Early Resuscitation: Clinical Case in a Buried Worker

  • Alvaro Mardones (a1) (a2) (a3), Pablo Arellano (a4), Carlos Rojas (a5), Rodrigo Gutierrez (a5), Nicolas Oliver (a1) and Vincenzo Borgna (a1) (a6)...

Abstract

Introduction

Crush syndrome, of which little is known, occurs as a result of compression injury to the muscles. This syndrome is characterized by systemic manifestations such as acute kidney injury (AKI), hypovolemic shock, and hydroelectrolytic variations. This pathology presents high morbidity and mortality if not managed aggressively by prehospital care.

Clinical Case

A 40-year-old worker was rescued after being buried underground in a ditch for 19 hours. The patient was administered early resuscitation with isotonic solutions and monitored during the entire rescue operation. Despite having increased plasma levels of total creatine kinase (CK), the patient did not develop AKI or hydroelectrolytic variations.

Conclusion

Aggressive early management with isotonic solutions before hospital arrival is an effective option for nephron-protection and prevention of crush syndrome.

Mardones A , Arellano P , Rojas C , Gutierrez R , Oliver N , Borgna V . Prevention of Crush Syndrome through Aggressive Early Resuscitation: Clinical Case in a Buried Worker. Prehosp Disaster Med. 2016;31(3):340342.

Copyright

Corresponding author

Correspondence: Vincenzo Borgna, MD, PhD Santo Domingo 978 Santiago, Chile 8320292 E-mail: vborgna@gmail.com

References

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