Stručni rad
https://doi.org/10.20471/acc.2023.62.s2.24
Crush Syndrome in Earthquakes – Stay and Play or Load and Go?
Iskra Alexandra Nola
orcid.org/0000-0002-8268-210X
; Department of Environmental and Occupational Health and Sports Medicine, Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Matija Dvorski
orcid.org/0000-0003-4003-0688
; Department of Environmental and Occupational Health and Sports Medicine, Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Mirza Žižak
orcid.org/0000-0001-6436-1495
; Department of Physiology and Immunology, School of Medicine, University of Zagreb, Zagreb, Croatia
*
Tomislav Kuliš
orcid.org/0000-0002-0895-5691
; Department of Urology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
* Dopisni autor.
Sažetak
Earthquakes are unpredictable natural disasters accompanied by material damage
and many victims. In the case of a person remaining trapped under the collapsed material, the development
of crush syndrome can occur. Crush syndrome is the result of traumatic rhabdomyolysis and is
present in 2%-15% of all injured persons in an earthquake. It is not easy to recognize, and proper treatment
is challenging. Persons who have a clear crush injury and/or have been immobilized for more than
four hours should be considered potential victims of crush syndrome. Therefore, knowledge about crush
syndrome must be comprehensive and accessible to all parties involved. In this paper, the management
of crush syndrome victims, which includes the principles of triage, and medical and logistic principles
as well, is presented. Triage principles are presented at the level of triage priorities, places, and diagnoses.
Medical principles, crucial for crush syndrome, are presented regarding the duration of compression and
time before or after extraction of the patient. Logistic principles provide an overview of the priorities
and modes of transport in relation to distance of health institutions, and the importance of management
and education associated with crush syndrome. Each country with recognized disasters (natural or manmade)
in which crush-related victims are expected, will benefit if the knowledge about triage, medical
and logistic principles for crush syndrome is incorporated in their educational programs and regularly
updated.
Ključne riječi
Crush syndrome; Earthquakes; Emergencies; Risk management; Triage
Hrčak ID:
310136
URI
Datum izdavanja:
31.7.2023.
Posjeta: 1.028 *