Crush syndrome: Difference between revisions

No edit summary
No edit summary
Line 16: Line 16:

==Clinical Features==
==Clinical Features==
*Skin trauma or local signs of compression over a muscle mass
**Erythema, ecchymosis, bullae, abrasion

==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 17:20, 26 December 2015


Also known as traumatic rhabdomylosis


  1. Involvement of muscle mass
  2. Prolonged compression of 4-6 hours but possible in <1 hr
  3. Compromised local circulation


Clinical Features

  • Skin trauma or local signs of compression over a muscle mass
    • Erythema, ecchymosis, bullae, abrasion

Differential Diagnosis

Extremity trauma



Prehospital Proticol for Entrapment Lasting >4hrs or Suspicion of Hyperkalemia

Should begin BEFORE extrication

  • Cardiac monitoring
  • Hydration (~NS 1.5 L/hr)
  • Pain control
  • Albuterol neb
  • Calcium chloride
    • 1 gram slow IV push over 60 sec
  • Sodium bicarbonate
    • Flush IV with NS (prevent precipitation), then
    • 1mEq/kg added to 1L of normal saline, run IV wide open just prior to extrication
  • Release compression
    • In the field, use of tourniquet before extrication is controversial


See Also