Explaining Crush Injury vs Syndrome

Wednesday 09 April 3:53 PM

Often students get a little confused when talking about a CRUSH INJURY and the CRUSH INJURY SYNDROME.

The ARC states “If it is safe and physically possible, all crushing forces should be removed from the victim as soon as possible.

You can have a crush injury that has not stopped blood flow eg to the lower leg. It could be a solid object crushing the leg but not restricting blood flow.

However there is a difference between a crush injury and the crush Injury syndrome which results when blood flow to the lower extremity to be cut off. There are several requirements such as a large muscle mass eg thigh, a time period etc.

The reality is that if a force is creating the “Crush injury Syndrome” a normal first aider would probably not have the equipment to lift the crushing force off the casualty, e.g. large girder of steel or entrapped in a smashed car and therefore professionals would be required.

Regardless of the crushing object If it is safe and physically possible, all crushing forces should be removed from the victim as soon as possible. In many situations this is impossible for a first aider unless working in environments that have heavy machinery present.

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