Crush injury

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 are common following a natural disaster. Other causes include industrial accidents, road traffic collisions, building collapse, accidents involving heavy plant, disaster relief or terrorist incidents. 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 are common following a natural disaster. Other causes include industrial accidents, road traffic collisions, building collapse, accidents involving heavy plant, disaster relief or terrorist incidents. Crush Injury is damage to structures as a result of crushing. Crush syndrome is a systemic result of rhabdomyolysis and subsequent release of cell contents.. The severity of crush syndrome is dependant on the duration and magnitude of the crush injury as well as the bulk of muscle affected. It can result from both short duration, high magnitude injuries (such as being crushed by a building) or from low magnitude, long duration injuries such as coma or drug induced immobility. Early fluid resuscitation reduces the risk of renal failure, reduces the severity of hyperkalaemia and may improve outcomes in isolated crush injury. For casualties with isolated crush injury who are haemodynamically stable, large volume crystalloid resuscitation reduces the severity of and prevents acute kidney injury.