Crush Syndrome and Nursing Care Management

Year 2023, Issue: 2, 49 - 55, 20.07.2023

Medine Yücesoy , Cansu Polat Dünya

https://doi.org/10.26650/CURARE.2023.1291739

Abstract

Crush syndrome is a medical condition that occurs after a crushing injury to skeletal muscle, and is characterized by major shock and kidney failure. The key clinical features of crush syndrome are crushing injury to a large mass of skeletal muscle, increased permeability of the cell membrane, and the release of potassium, enzymes, and myoglobin from within cells. The symptoms of crush syndrome include myalgia, generalized weakness, and darkened urine. To prevent the complications that may occur due to rhabdomyolysis and compartment syndrome, importance is had in ensuring the casualty maintains adequate circulatory volume and providing adequate diuresis. Nursing care is very important in planning the treatment and care to be applied to the patient and in monitoring treatment effectiveness.

Keywords

Nursing, crush syndrome, rhabdomyolysis, compartment syndrome, management

References

• Gonzalez D. Crush syndrome. Critical care medicine 2005; 33(1):34-41. google scholar
• Steinau HU. Major limb replantation and postischemia syndrome: investigation of acute ischemia-induced myopathy and reperfusion injury. Springer Science & Business Media; 2013.p.9-16. google scholar
• Demers, Gerard, Wightman John. Mass-casualty preparedness and response. Fundamentals of military medicine; 2019.p.503-29. google scholar
• Better OS. History of the crush syndrome: from the earthquakes of Messina, Sicily 1909 to Spitak, Armenia 1988. American journal of nephrology 1997; 17(3-4): 392-94. google scholar
• Cabral BMI, Edding SN, Portocarrero JP, Lerma EV. Rhabdomyolysis. Disease-a-Month 2020; 66(8):101015. google scholar
• Lameire N, Sever MS, Van Biesen W, Vanholder R. Role of the international and national renal organizations in natural disasters: strategies for renal rescue. In Seminars in Nephrology 2020;40(4):393-407. google scholar
• Sever MS, Vanholder R, Lameire N. Acute kidney injury in active wars and other man-made disasters. In Seminars in Nephrology 2020;40(4):393-407. google scholar
• Yavuz M. Crush syndrome and acute renal failure. Office Journal of the Turkish Nephrology, Association 1999;8(4),163-6. google scholar
• Enc N, editor. Internal Medicine Nursing. 3rd edition. Istanbul: Nobel Medicine Bookstores; 2020. google scholar
• Şimşek P, Gündüz A. Disaster Nursing in Turkey. Uludag University Faculty of Medicine Journal 2021;47(3):469-76. google scholar
• Alfred D, Chilton J, Connor D, Deal B, Fountain R, Hensarling J et al. Preparing for disasters: Education and management strategies explored. Nurse Education In Practice 2015; 15(1):82-9. google scholar
• Kodadek L, Carmichael SP, Seshadri A, Pathak A, Hoth J, Appelbaum R et al. Rhabdomyolysis: an American association for the surgery of trauma critical care committee clinical consensus document. Trauma Surgery & Acute Care Open. BMJ 2022;7(1):e000836. google scholar
• Stanley M, Chippa V, Aeddula NR, Quintanilla Rodriguez BS, Adigun R. Rhabdomyolysis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.p.1-13. google scholar
• Dimitriou N. Basics of Trauma Management: Crush Injuries, in: Thoracic Surgery for the Acute Care Surgeon. Cham: Springer International Publishing; 2021.p.299-309. google scholar
• Marhofer P, Halm J, Feigl GC, Schepers T, Hollmann MW. Regional anesthesia and compartment syndrome. Anesthesia & Analgesia 2021; 133(5):1348-352. google scholar
• Farahani RZ, Lotfi MM, Baghaian A, Ruiz R, Rezapour S. Mass casualty management in disaster scene: A systematic review of OR&MS research in humanitarian operations. European Journal of Operational Research 2020;287(3),:787-819. google scholar
• Alaloush M, Taskesen H. On the Conservation Laws of an Extended KdV and Extended KdV-B Equations Science, Agriculture and Health Sciences; 2021.p.94-108. google scholar
• Yabe Y, Hagiwara Y, Sugawara Y, Tsuji I. Association between low back pain and functional disability in the elderly people: a 4-year longitudinal study after the great East Japan earthquake. BMC Geriatrics 2022;22(1):1-8. google scholar
• Aydın Y, Altuntaş S. Crush Syndrome. Özçelik DN, editor. Emergency Medicine Services in Disasters. 1st edition. Ankara: Türkiye Clinics; 2019.p.6-8. google scholar
• Yazici R, İlçin C, Özsu T, Demirtakan T, Kalafat UM, Doğan S. A Comprehensive review for Refreshing the Crush Syndrome Knowledge After the Devastating Earthquake in Türkiye. Comprehensive Medicine 2023;15(2):165-70. google scholar
• Lynn, M. Management of Crush Injuries and Crush Syndrome. Disasters and Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response to Protracted and Sudden Onset Emergencies 2019; 87-8. google scholar
• Khan FY. Rhabdomyolysis: a review of the literature. Neth J Med 2022;21(3): 312-15. google scholar
• Özkaya U, Yalçın MB. Differentiation of compartment syndrome and crush syndrome in earthquake injured patients: Fasciotomy to whom and when? TOTBID Journal 2022;21(3): 312-15. google scholar
• Osborn PM, Schmidt AH. Diagnosis and management of acute compartment syndrome. JAAOS-Journal of the American Academy of Orthopaedic Surgeons 2023;15(2):165-70. google scholar
• Guo J, Yin Y, Jin L, Zhang R, Hou Z, Zhang Y. Acute compartment syndrome: Cause, diagnosis, and new viewpoint. Medicine 2023;15(2): 165-70. google scholar
• Bektaş Akpınar N, Aşkın Ceran M. Current approaches about disasters and role and responsibilities of disaster nurse. Journal of Paramedic and Emergency Health Services 2020;1(1):28-40. google scholar