Prevention of crush syndrome through aggressive early resuscitation: clinical case in a buried worker

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dc.contributor.authorMardones, Alvaro
dc.contributor.authorArellano, Pablo
dc.contributor.authorRojas, Carlos
dc.contributor.authorGutierrez, Rodrigo
dc.contributor.authorOliver, Nicolas
dc.contributor.authorVincenzo, Borgna
dc.date.accessioned2017-05-15T16:46:16Z
dc.date.available2017-05-15T16:46:16Z
dc.date.issued2016
dc.description.abstractIntroduction 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):340-342.
dc.format.extent3
dc.identifier.citationPrehosp Disaster Med. 2016 Jun;31(3):340-2
dc.identifier.urihttp://hdl.handle.net/11447/1250
dc.identifier.urihttp://dx.doi.org/10.1017/S1049023X16000327
dc.language.isoen_US
dc.publisherCambridge University Press
dc.subjectABC airway
dc.subjectAKI acute kidney injury
dc.subjectATLS Advanced Trauma Life Support
dc.subjectCK creatine kinase
dc.subjectAcute kidney injury
dc.subjectBreathing
dc.subjectCirculation
dc.subjectCrush syndrome
dc.subjectRhabdomyolysis
dc.titlePrevention of crush syndrome through aggressive early resuscitation: clinical case in a buried worker
dc.typeArtículo

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