crush injury

[kmattox at aol.com]

Several years ago out of Israel and published in J Trauma was a paper entitled something to the effect, "why do people who are beatened to death die?". They found a high rate of fat emboli syndrome.   You might investigate that. 

K


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-----Original Message-----
From: "Farid Pouralikhan" <faridp at gmx.de>

Date: Sat, 25 Aug 2007 22:16:02 
To:"Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Subject: Re: crush injury


Dear Sa'ad,

this is not a common injury in Germany but I should suggest to control his 
CK, Kreatinin and renal function. How does the urine look like? How is his 
overall condition?
How about 1000ml Ringer plus 40-80mg Lasix? Keep his urine output high!
How is the situation of his skin? You mentioned a belt, or was it something 
more solid? I expect a crush injury from heavier objects.
Please keep us informed.

Pou

Farid Pouralikhan
Gen. Surgeon
Trauma Centre BG Unfallklinik Duisburg-Buchholz
Duisburg/Germany

----- Original Message ----- 
From: "Sa'ad Lahri" <slahri at webmail.co.za>
To: <trauma-list at trauma.org>
Sent: Saturday, August 25, 2007 9:45 PM
Subject: crush injury


>
>
> requesting opinions and possible suggestion for management
>
> A 25
> y old man was caught by members of his community for stealing chickens. He
> was beaten with a belt (community assault) and arrived to hospital with
> his relatives.
>
> his back, both arms and thighs were bruised.
>
> couple of questions regarding crush injury?
> how do you
> estimate severity? do you use % body surface area involved?
> How
> useful is CK measurement?
> what type of fluid is used?
> ringers/saline?
>
> kind regards
> Sa'ad
>
> Dr Sa'ad
> Lahri
> Emergency Medicine Registrar
> UCT/US
> Cape Town
> South Africa
>
>
> South Africas premier free email service - www.webmail.co.za
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