Crush syndrome - Revision history

Rossdonaldson1: /* Background */

2021-05-08T03:10:38Z

Background

← Older revision		Revision as of 03:10, 8 May 2021
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	==Background==		==Background==
	Also known as traumatic rhabdomylosis		*Also known as traumatic rhabdomylosis

	===Criteria===		===Criteria===
	#Involvement of muscle mass		#Involvement of muscle mass

ClaireLewis: /* Extended Management */

2019-09-02T01:33:50Z

Extended Management

← Older revision		Revision as of 01:33, 2 September 2019
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	*250ml IV bolus q15min until UOP is 2ml/kg/hr		*250ml IV bolus q15min until UOP is 2ml/kg/hr
	*[[Lasix]] or [[Mannitol]] for forced diuresis		*[[Lasix]] or [[Mannitol]] for forced diuresis
	*Acetazolamide for pH >7.5		*[[Acetazolamide]] for pH >7.5

	==Disposition==		==Disposition==

Rossdonaldson1: Text replacement - "tourniquet" to "tourniquet"

2018-02-16T21:40:04Z

Text replacement - "tourniquet" to "tourniquet"

← Older revision		Revision as of 21:40, 16 February 2018
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	**1mEq/kg added to 1L of normal saline, run IV wide open just prior to extrication		**1mEq/kg added to 1L of normal saline, run IV wide open just prior to extrication
	*Release compression		*Release compression
	**In the field, use of tourniquet before extrication is controversial		**In the field, use of [[tourniquet]] before extrication is controversial

	===ED Management===		===ED Management===

Mholtz: Text replacement - "==References== " to "==References== "

2017-07-24T01:12:30Z

Text replacement - "==References== " to "==References== <references/> "

← Older revision		Revision as of 01:12, 24 July 2017
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	==References==		==References==
			<references/>
	[[Category: EMS]]		[[Category: EMS]]
	[[Category: Trauma]]		[[Category: Trauma]]

Rossdonaldson1: Text replacement - "Hyperkalemia" to "Hyperkalemia"

2016-09-24T14:29:30Z

Text replacement - "*Hyperkalemia" to "*Hyperkalemia"

← Older revision		Revision as of 14:29, 24 September 2016
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	*Elevated creatinine (>2.0)		*Elevated creatinine (>2.0)
	*Elevated uric acid (>8)		*Elevated uric acid (>8)
	*Hyperkalemia (>6)		*[[Hyperkalemia]] (>6)
	*Hyperphosphotemia (>8)		*Hyperphosphotemia (>8)
	*Hypocalcemia (<8)		*Hypocalcemia (<8)

Rossdonaldson1: Text replacement - "ECG" to "ECG"

2016-09-09T15:20:31Z

Text replacement - "*ECG" to "*ECG"

← Older revision		Revision as of 15:20, 9 September 2016
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	*Urine dip and UA		*Urine dip and UA
	*Strict I&Os		*Strict I&Os
	*ECG		*[[ECG]]
	*Imaging as indicated by injury		*Imaging as indicated by injury
	*Compartment pressure monitoring for suspected [[Compartment syndrome]]		*Compartment pressure monitoring for suspected [[Compartment syndrome]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-21T16:43:36Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 16:43, 21 July 2016
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	{{Extremity trauma DDX}}		{{Extremity trauma DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work Up===		===Work Up===
	*CBC		*CBC

Neil.m.young at 17:38, 26 December 2015

2015-12-26T17:38:14Z

← Older revision		Revision as of 17:38, 26 December 2015
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	==Disposition==		==Disposition==
			*ICU
			*Intermediate Care or Floor for minor cases

	==See Also==		==See Also==

Neil.m.young at 17:37, 26 December 2015

2015-12-26T17:37:10Z

← Older revision		Revision as of 17:37, 26 December 2015
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	*ECG		*ECG
	*Imaging as indicated by injury		*Imaging as indicated by injury
			*Compartment pressure monitoring for suspected [[Compartment syndrome]]

	===Results===		===Results===
	One or more of these should be found in the right clinical setting		One or more of these should be found in the right clinical setting

Neil.m.young at 17:36, 26 December 2015

2015-12-26T17:36:34Z

← Older revision		Revision as of 17:36, 26 December 2015
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	==Management==		==Management==
	===Prehospital ~~Proticol~~ for Entrapment Lasting >4hrs or Suspicion of [[Hyperkalemia]]===		===Prehospital Protocol for Entrapment Lasting >4hrs or Suspicion of [[Hyperkalemia]]===
	''Should begin BEFORE extrication''		''Should begin BEFORE extrication''
	*Cardiac monitoring		*Cardiac monitoring
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	*Release compression		*Release compression
	**In the field, use of tourniquet before extrication is controversial		**In the field, use of tourniquet before extrication is controversial

			===ED Management===
			*ATLS
			*Aggressive IVF
			*Treat [[Hyperkalemia]] with typical management

			===Extended Management===
			*250ml IV bolus q15min until UOP is 2ml/kg/hr
			*[[Lasix]] or [[Mannitol]] for forced diuresis
			*Acetazolamide for pH >7.5

	==Disposition==		==Disposition==