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CRUSH SYNDROME IN EARTHQUAKES - STAY AND PLAY OR LOAD AND GO?
Iskra Alexandra Nola1, Matija Dvorski1, Mirza Žižak2
1Department of Environmental and Occupational Health and Sports Medicine, Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clinica Croatica
|July 5, 2024
Summary
Crush syndrome, a complication of traumatic rhabdomyolysis, affects 2%-15% of earthquake victims. This paper outlines essential triage, medical, and logistic principles for managing crush syndrome survivors effectively.
Area of Science:
- Emergency Medicine
- Disaster Management
- Toxicology
Background:
- Earthquakes cause unpredictable devastation, leading to injuries and potential crush syndrome.
- Crush syndrome, resulting from traumatic rhabdomyolysis, affects 2%-15% of earthquake survivors.
- Recognizing and treating crush syndrome is challenging, requiring specific knowledge.
Purpose of the Study:
- To present comprehensive management principles for crush syndrome victims.
- To detail triage, medical, and logistic strategies for earthquake-related crush injuries.
- To emphasize the importance of accessible knowledge and education on crush syndrome.
Main Methods:
- Review of triage principles including priorities, locations, and diagnoses.
- Analysis of medical management based on compression duration and timing of patient extraction.
- Examination of logistic principles covering transport, distance to health facilities, and overall management.
Main Results:
- Triage, medical, and logistic principles are crucial for effective crush syndrome management.
- Understanding the duration of compression and timing of intervention is vital for patient outcomes.
- Efficient transport and healthcare facility access significantly impact survival rates.
Conclusions:
- Comprehensive knowledge of crush syndrome management is essential for all involved parties.
- Incorporating crush syndrome principles into educational programs enhances disaster preparedness.
- Regular updates and accessible education on crush syndrome are vital for mitigating its impact.
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