Literature DB >> 30118356

Bathroom Entrapment Leading to Cardiac Arrest From Crush Syndrome.

Amy N H Whiffin, Jesse D Spangler, Komal Dhir, Richard Zhang, Jeffrey D Ferguson.   

Abstract

Crush injuries have the potential to cause life-threatening systemic effects such as hyperkalemia, dysrhythmias, acute kidney injury, and renal failure. Systemic involvement is known as crush syndrome (CS) and results from tissue ischemia and muscle necrosis. This is a report of a 76-year-old female who developed a fatal dysrhythmia following release of her extremity from prolonged entrapment in bathroom safety equipment. Hyperkalemia should be presumed in any crush injury and be treated empirically and aggressively. Although tourniquet application prior to extrication is not widely recommended to prevent CS, it should be considered in prolonged extremity entrapment.

Entities:  

Keywords:  cardiac arrest; crush injury; crush syndrome; hyperkalemia; prehospital; renal failure; resuscitation; rhabdomyolysis; tourniquet; ventricular fibrillation

Mesh:

Year:  2018        PMID: 30118356     DOI: 10.1080/10903127.2018.1471558

Source DB:  PubMed          Journal:  Prehosp Emerg Care        ISSN: 1090-3127            Impact factor:   3.077


  1 in total

1.  Intra-patient potassium variability after hypothermic cardiac arrest: a multicentre, prospective study.

Authors:  M Pasquier; M Blancher; S Buse; B Boussat; G Debaty; M Kirsch; M de Riedmatten; P Schoettker; T Annecke; P Bouzat
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2019-12-16       Impact factor: 2.953

  1 in total

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