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<P><BR>Anthony , it was more the treatment / initial management of crush and control of metabolittes etc i was getting at, i presume that tourniquets would have no benifficial effects on compartment syndrome in fact would make it worse </P>
<P>Stefan cheers for your reply, </P>
<P>A couple of questions for you , would you (presumeing you were able to apply tourniquets in the field ) release them there after extrication or wait until the patiend was at a definitive care facility with blood gas analysis on site. </P>
<P>Has anyone ever considered whether it would be possible to look at tissue perfusion with such cases using a modified pulse oximeter to look at tissue saturation and not arterial ....just something i was wondering about </P>
<P>Think it is also intersting to note that although the initial rescue may be succesful the underlying renal damage maybe catasphoic , as has been born out following research after earthquake rescues</P>
<P>I am interested whether you feel these guidelines could be used for patients suffering from suspension trauma, a combination of orthostatic shock and a pseudo type crush syndrome with similar metabolic build up and the potential for catastrophic cardiac collapse following release, the management of these cases is frought with questions and difficulties, current suggestions are to keep the harness under tension durring transfer to hospital (??!!!) and maintaining patient in an upright or semi recumbant position (!!) </P>
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<P>Regards<BR><BR></P>
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