Hey everyone. Dr. Alex Koo, emergency physician, back again, and thanks to Dr. McCollum for having me back on EM Basic again.

Today, we'll cover a topic just a little more acute than last time's dental emergencies.

Extremity crush injuries. You may be thinking, but Alex, aren't crush injuries just another trauma resuscitation?

And yes, absolutely you are correct. another trauma resuscitation? And yes, absolutely you are correct.

Your trauma resuscitated should be ran exactly the same way,

systematically and algorithmically, whether it's a crush injury,

gunshot wound to the chest, or a fall from a height.

But let's entertain a different scenario for a moment.

Imagine you're running a medical cardiac arrest,

and you're doing your ACLS algorithm, high-quality CPR, giving epinephrine, pulse checks, etc.

Is that all you're doing? Following an algorithm? No, you're going that step further. Why is this

patient in cardiac arrest? You see a fistula on the patient, and this prompts you that this patient missed dialysis and is hyperclymic, or maybe there's a swollen left leg,

and the records show she recently was discharged from the hospital. Is this a massive PE? Then you

think about the potential treatments and consequences. Trauma resuscitation is no different. Seeing a

crush injury should bring specific complications

beyond that trauma algorithm that we should also be asking, what else do I need to be aware about?

Today, we'll be talking about these specific complications. A quick disclaimer, this podcast doesn't

reflect the views or opinions of the Madigan Army Medical Center, the Department

of Defense, U.S. Army, or the U.S. government. I have no conflicts of interest, and today's

podcast is purely for education, and practice patterns may vary depending on your medical

setting and training. We'll cover crush injuries and two important complications that can

occur from them. Crush syndrome and compartment syndrome. I'll be focusing on

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