A crush injury is said to be when a person’s body part is under extreme pressure crushing the bone or squeezed between heavy objects. Crush injuries are severe and are challenging to handle. Often, these complex injuries involve damaging soft tissue and skeletal structures. Potentially they may result in disastrous complications, and other long term effects can occur if they are underestimated or mistreated.
Complex Trauma Treatment in Hyderabad
- Laceration or open wounds
- Compartment syndrome, i.e. excess pressure in the damaged part causing severe damage to muscle, nerve, blood vessel and tissue
- Smashed fingers or other parts
- Nerve injuries
- Secondary infections
This form of injuries are rare but are common during natural disasters, industrial accidents, road traffic accidents, building collapse, disaster relief or terrorist incidents. In some cases, even body parts get separated.
First Aid For Crush injuries
First aid treatment is very crucial for crush injury:
- Bleeding should be stopped by applying direct pressure.
- Cover the damaged area with wet cloth or bandage.
- If there any injury found near head, neck, or spine, immobilize those areas and if possible, limit the movement to the crushed area.
- Call for the local emergency help or any local hospital for further advice.
- Crush injuries need to be evaluated in the hospital emergency department, and they need to be treated surgically.
Trauma Treatment in Hyderabad
- The primary focus is to diagnose problems related to airway, breathing and circulation.
- Re-establishment of intravenous access and fluid resuscitation initiation before releasing the crushed extremity is very important.
- Limb amputation needs to be avoided until extrication is not possible.
- Fluid resuscitation should be continued while transferring the victim to a medical facility.
- Monitor the crushed parts for the pain, sensation, passive movement and pallor.
- Monitor Low blood pressure(hypotension) with aggressive hydration.
- Alkaline diuresis and mannitol therapies are recommended to prevent renal failure. For acute renal failure, hemodialysis is preferred.
- Electrolyte imbalances should be controlled and treated accordingly. Electrolytes regulate the major physiological functions in the body.
- It recommended monitoring the victim for cardiac arrhythmia.
- Observe the victim for compartment syndrome, and if it is present, then it needs to be treated with fasciotomy.
- Open wounds need to be treated with antibiotics, tetanus toxoid and remove damaged tissue or foreign objects from the injury.
Treatment For Complex Trauma
In the case of crush injuries, rescue, fluid resuscitation, recognition of the syndrome, extrication treatment and rehabilitation are very important.
Resuscitation at the site of injury is highly important because victims might be in shock and lose a lot of extracellular fluid. Paramedical staff should be aware of this condition and should treat aggressively with fluid therapy at the site of injury. Identification of crush syndrome and its treatment are closely associated among trauma surgeons, physicians.
When a crush injury happens, more tissue damage takes place. In such situations, a plastic surgeon is one who plays a key role to handle the damaged tissue. The damaged skeletal parts are taken care of an orthopaedic surgeon. The plastic surgeon and ortho surgeon highly coordinate the rescue of the victim and treatment plans. The patient will be transported to a highly equipped dialysis facilities.
The crush injuries result in severe damage to blood vessels, muscles and bones. The damage of blood vessels is called Vascular Trauma, and the condition is taken care of by a vascular surgeon. In some injuries, muscles suffer from damage due to impaired circulation until blood vessels are repaired. The damaged muscles are repaired surgically, and the procedure is called a fasciotomy.
Severe crush injuries can damage the whole skeletal part, and an orthopaedic trauma surgeon is one who takes care of structural damage. They use different techniques to treat such conditions. Bone reconstruction takes place in some conditions, and in some cases, artificial implants are implanted to provide support and even in case of bone loss; also, artificial implants play a key role.