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2010 ; 66
(4
): 317-20
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Crush Injuries and the Crush Syndrome
#MMPMID27365733
Rajagopalan S
Med J Armed Forces India
2010[Oct]; 66
(4
): 317-20
PMID27365733
show ga
Combat related injuries bring untold misery to the victims and their loved ones.
While injuries to vital organs cause immediate death, delayed mortality after
reaching a hospital may occur due to several reasons, rhabdomyolysis or the crush
syndrome being the most important. Crush syndrome predominantly affects the
kidneys leading to renal failure, but the clinical picture may include acute
respiratory distress syndrome, dyselectrolytaemia, disseminated intravascular
coagulation, hypovolemic shock, arrhythmias and psychological trauma. Rescue,
resuscitation and rehabilitation are onerous tasks and so a coordinated strategy
with well trained team of professionals through various chains of evacuation is
advocated. This article addresses these issues drawing upon the experience of the
writer in combat casualty care in active operations.