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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.
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.
Aggressive early management with isotonic solutions before hospital arrival is an effective option for nephron-protection and prevention of crush syndrome.
MardonesA, ArellanoP, RojasC, GutierrezR, OliverN, BorgnaV. Prevention of Crush Syndrome through Aggressive Early Resuscitation: Clinical Case in a Buried Worker. Prehosp Disaster Med. 2016;31(3):340–342.
In many countries the government plays an important role in the provision of several basic human needs. In recent years, there has been a renewed interest in these social policies. In less developed countries, the question of income redistribution and poverty alleviation strategies has led to a ‘basic needs’ approach. This strategy attempts to satisfy a minimum consumption basket of the poor through government intervention. intervention. On the other hand, in some developed countries a revision of the ‘welfare state’ conception – at least in terms of its future growth – is under way. Alleged inefficiencies, work and savings disincentives and the high tax burden it requires are among the criticisms.
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