Crush; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 20 February 2023

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

So in this episode we’re going to be covering crush injury.

When you think about it, visions of falling rocks, industrial accidents and high speed RTCs may come to mind, but actually a crush injury can be sustained in a huge variety of ways without such vivid circumstances.

Definitions according to the Faculty of Prehospital Care are that;

‘A crush injury is a direct injury resulting from crush.

Crush syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing’

So in the episode we’re going to run through all of the bits that we normally cover, from pathophysiology, to presentation and onto treatment. We'll also be looking at the controversy and evidence behind tourniquet use, fluid therapy, electrolyte management and much, much more!

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the Recess Room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.0	So hi, and welcome back to the Recess Room podcast.
0:15.6	I'm Simon Lang.
0:17.1	I'm Rob Fenwick.
0:18.1	And I'm James Yates.
0:19.3	And this is February's
0:20.9	Roadside Teresas
0:22.4	And we're back with
0:24.0	Crush injury and Crush Syndrome
0:26.9	Oh I was just waiting for the pun there Simon
0:29.5	The Valentine's Day crush episode
0:32.6	It's definitely going to be edited out
0:34.6	It's an appalling joke
0:36.0	Fair enough
0:37.0	We've been just chatting off air And we're sort of surprised at how long this episode has become.
0:41.7	But actually, we've realised that there's very little hard evidence to talk about when it comes to crush injury.
0:48.0	And so a lot of this is going to be some chat around sort of expert opinion, some of the guidelines that are out there, and try to
0:54.5	shape our approach towards these patients in the future. So basically, you've just set everyone up
0:59.4	to say it's a really long episode with absolutely no evidence that I'd be switching this off
1:03.7	right away if it was me. It's worth hanging around for. There's loads of interesting stuff,
1:09.2	loads of interesting stuff. Loads of interesting stuff.
	...

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