Polytrauma
A 35-year-old construction worker is trapped under a collapsed concrete wall for 6 hours following a building collapse. The rescue team establishes IV access before extrication. On release, his vital signs are: BP 90/60mmHg, HR 120bpm. His urine is dark tea-colored. ECG shows peaked T waves. Blood tests reveal K+ 7.2mmol/L, CK greater than 50,000 U/L, and creatinine 280μmol/L. Regarding crush syndrome:
Mark each as TRUE or FALSE
Crush syndrome is the systemic manifestation of rhabdomyolysis following reperfusion of crushed musc...
Pre-extrication fluid loading with 1-1.5L/hour of 0.9% saline is essential; normal saline is preferr...
Hypercalcemia is a characteristic metabolic derangement of crush syndrome; Hartmann's solution is pr...
Hyperkalemia is the immediate life-threatening emergency; peaked T waves on ECG indicate cardiac tox...
Dark tea-colored urine indicates myoglobinuria; CK greater than 5,000 U/L defines rhabdomyolysis; ur...
Answer the questions to see explanations
Click T (True) or F (False) for each option