Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO

Sorry to hear about the very sad news.

From the context of the links provided, crush syndrome and reperfusion injury seems likely to be the main reason for the expected complications and sudden deterioration.

What is Crush Syndrome?

Crush Syndrome was first described in the London Blitz during World War 2. Patients who were crushed by debris after the bombing presented with:

  1. Dark urine
  2. Swollen limbs and extremities

Even though these patients initially did not appear to be very sick, they subsequently rapidly deteriorated and died. 

Crush syndrome

Source: NYT

In natural disasters such as earthquakes, Crush Syndrome is the second most frequent cause of death. 

What causes Crush Syndrome?

When muscles get crushed or injured, they release byproducts into the bloodstream which can be especially toxic in large amounts. The medical word for this is rhabdomyolysis.

Crush injury

These byproducts are especially harmful to:

  1. The kidneys (causing kidney failure)
  2. The heart (causing heart rhythm abnormalities)
  3. Normal blood clotting processes

Swollen and damaged muscles can also compress and cut off blood supply to the area around it. This is known as compartment syndrome. 

Why are complications expected but delayed?

After a crush injury, a person can still be lucid and conscious.

The most dangerous period can occur 12 - 72 hours later, when all the toxic byproducts in the bloodstream start to wreak havoc on other organs. This phenomenon is known as Reperfusion Syndrome.

Is there any way to prevent Crush Syndrome?

Extricating the person from the crushing object as soon as possible is the best way to reduce the effects of Crush Syndrome. 

How is Crush Syndrome treated?

Because there are so many life-threatening complications that affect so many organs, both medical and surgical treatment is important. This can include:

  • Dialysis to support the kidneys and remove toxic byproducts
  • Surgery to relieve pressure caused by swollen muscles
  • Surgery to repair damage caused by the crush injury

Even with the best treatment and monitoring, mortality can still be very high as Crush Syndrome is a very dangerous condition. 


References:

Jagodzinski, NA, Weerasinghe, C, Porter, K. "Crush injuries and crush syndrome - a review. Part 1: the systemic injury". Trauma. vol. 12. 2010. pp. 69-88.

Sever, MS, Vanholder, R, Lameire, N. "Management of crush-related injuries after disasters". N Engl J. vol. 354. Med2006. pp. 1052-63.

Michaelson, M. "Crush injury and crush syndrome". World J Surg. vol. 16. 1992. pp. 899-903.

359 views 26 Jan 2019
Not the question you're looking for? Browse other questions tagged General Surgery Nephrology Plastic Surgery Orthopaedic Surgery or ask your own question now FOR FREE.