Crush injury

[1][2] This form of injury is rare in normal civilian practice, but common following a natural disaster.

[3] Other causes include industrial accidents, road traffic collisions, building collapse, accidents involving heavy plant, disaster relief or terrorist incidents.

[4] Crush syndrome is a systemic result of skeletal muscle injury and breakdown and subsequent release of cell contents.

[4] Early fluid resuscitation reduces the risk of kidney failure, reduces the severity of hyperkalaemia and may improve outcomes in isolated crush injury.

[4] For casualties with isolated crush injury who are haemodynamically stable, large-volume crystalloid fluid resuscitation reduces the severity of and reduces the risk of acute kidney injury.