Analysis of Pre-hospital First Aid for 51 Cases of Crush Injury_West China Medical Journal

Authors：

 ChenHuaixiang ,  TianHaiping , LiuXuejun

Chongqing Three Gorges Emergency Medical Center, Wanzhou, Chongqing 404100, P. R. China;

Corresponding author：

TianHaiping, Email: 327005649@qq.com

Keywords：

Crush injury; Crush syndrome; Pre-hospital first aid; Knowledge; Prognosis

DOI：

10.7507/1002-0179.20160013

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To understand the pre-hospital emergency medical staff's knowledge on crush injury and crush syndrome, and the influence of active and effective pre-hospital measures on the prognosis of patients with crush injury. Methods We retrospectively analyzed the clinical data of 51 patients with crush injury treated from September 2004 to August 2014, and recorded the number of cases in which pre-hospital emergency medical staff recognized and/or took effective measures to control crush syndrome. Treatment group included those patients who accepted effective prevention and control measures, and the rest of the patients were included in the control group. We compared the two groups of patients in terms of the incidence of serious complications such as crush syndrome and amputation. Results Twenty-five cases (49.0%) of crush injury were recognized before the patients were admitted into the hospital, among whom 20 (39.2%) accepted effective preventive and control measures. The mangled extremity severity score between the two groups of patients had no significant difference (6.69±1.96 vs. 7.23±3.54, P>0.05). After being admitted into the hospital, the treatment group had one complication case of crush injury, while the control group had 10 complication cases including 7 of crush injury and 3 of amputation. The complication rate of the treatment group (5.0%) was significantly lower than that of the control group (32.3%, P<0.05). Conclusion Active and effective prehospital preventive and control measures are very important in the treatment of crush syndrome and reduction of morbidity, but the pre-hospital emergency personnel's knowledge of crush injury and crush syndrome is not enough.

Citation： ChenHuaixiang, TianHaiping, LiuXuejun. Analysis of Pre-hospital First Aid for 51 Cases of Crush Injury. West China Medical Journal, 2016, 31(1): 53-56. doi: 10.7507/1002-0179.20160013 Copy

1.	Heifer DL, Howey T, Sanders R, et al. Limb salvage versus amputation:preliminary results of the mangled extremity severity score[J]. Clin Orthop Relat Res, 1990(256):80-86.
2.	范士志, 蒋耀光, 黄显凯, 等. 现代创伤治疗学[M]. 北京:人民军医出版社, 2009:206-208.
3.	卢世璧. 汶川地震挤压综合征患者肌肉挤压伤的特点[J]. 中华骨科杂志, 2008, 10(28):793-798.
4.	Vanholder R, Sever MS, Erek E, et al. Acute renal failure related to crush syndrome:towards an era of seismo nephrology[J]. Nephrol Dial Transplant, 2000, 15(10):1517-1521.
5.	徐卫东, 张春才, 李明. 地震灾害伤员的挤压伤早期处理[J]. 中国矫形外科杂志, 2008, 16(20):1532-1535.
6.	Sever MS, Vanholder R, Lameire N. Management of crush related injuries after disasters[J]. N Engl J Med, 2006, 354(10):1052-1063.
7.	马俊, 康鹏德, 裴福兴, 等. 5·12汶川地震挤压伤患者高钾血症的救治及相关因素分析[J]. 中国矫形外科杂志, 2009, 17(20): 1544-1546.
8.	Aoki N, Demsar J, Zupan B, et al. Predictive model for estimating risk of crush syndrome:a data mining approach[J]. J Trauma, 2007, 62(4):940-945.
9.	Oda J, Tanaka H, Yoshioka T, et al. Analysis of 372 patients with crush syndrome caused by the Hanshin-Awaji earthquake[J]. J Trauma, 1997, 42(3):470-476.
10.	康鹏德, 屠重棋, 黄富国, 等. 汶川地震所致肢体挤压伤及挤压综合征相关危险因素分析[J]. 中华骨科杂志, 2008, 10(28):799-802.
11.	何庆, 杨旻, 姚蓉. 对地震挤压伤院前急救的反思与思考[J]. 华西医学, 2009, 24(4):968-970.
12.	Better OS. The crush syndrome revisited(1940-1990)[J]. Nephron, 1990, 55(2):97-103.

1. Heifer DL, Howey T, Sanders R, et al. Limb salvage versus amputation:preliminary results of the mangled extremity severity score[J]. Clin Orthop Relat Res, 1990(256):80-86.
2. 范士志, 蒋耀光, 黄显凯, 等. 现代创伤治疗学[M]. 北京:人民军医出版社, 2009:206-208.
3. 卢世璧. 汶川地震挤压综合征患者肌肉挤压伤的特点[J]. 中华骨科杂志, 2008, 10(28):793-798.
4. Vanholder R, Sever MS, Erek E, et al. Acute renal failure related to crush syndrome:towards an era of seismo nephrology[J]. Nephrol Dial Transplant, 2000, 15(10):1517-1521.
5. 徐卫东, 张春才, 李明. 地震灾害伤员的挤压伤早期处理[J]. 中国矫形外科杂志, 2008, 16(20):1532-1535.
6. Sever MS, Vanholder R, Lameire N. Management of crush related injuries after disasters[J]. N Engl J Med, 2006, 354(10):1052-1063.
7. 马俊, 康鹏德, 裴福兴, 等. 5·12汶川地震挤压伤患者高钾血症的救治及相关因素分析[J]. 中国矫形外科杂志, 2009, 17(20): 1544-1546.
8. Aoki N, Demsar J, Zupan B, et al. Predictive model for estimating risk of crush syndrome:a data mining approach[J]. J Trauma, 2007, 62(4):940-945.
9. Oda J, Tanaka H, Yoshioka T, et al. Analysis of 372 patients with crush syndrome caused by the Hanshin-Awaji earthquake[J]. J Trauma, 1997, 42(3):470-476.
10. 康鹏德, 屠重棋, 黄富国, 等. 汶川地震所致肢体挤压伤及挤压综合征相关危险因素分析[J]. 中华骨科杂志, 2008, 10(28):799-802.
11. 何庆, 杨旻, 姚蓉. 对地震挤压伤院前急救的反思与思考[J]. 华西医学, 2009, 24(4):968-970.
12. Better OS. The crush syndrome revisited(1940-1990)[J]. Nephron, 1990, 55(2):97-103.

Previous Article
Prognosis and Clinical Characteristics of Inflammatory Breast Cancer
Next Article
Temporal Orbicularis Oculi Muscle Transposition Surgery for Senile Lower Eyelid Entropion

West China Medical Journal

Analysis of Pre-hospital First Aid for 51 Cases of Crush Injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content