Wilderness Rescue of a Hiker with Multiple Trapped Limbs by a Combined Wilderness and Urban Rescue Team Using High-Pressure Airbags.
Wilderness Environ Med
; 34(3): 377-382, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37468378
ABSTRACT
We report on the case of a 28-y-old man with both legs and left arm trapped for nearly 6 h after falling and subsequently being trapped by a boulder during a hike in the wilderness. Extrication required equipment designed for urban environments and was operated by an unconventional team of rescue professionals. The patient experienced multiple right lower-extremity orthopedic injuries, acute kidney injury secondary to rhabdomyolysis, and bilateral segmental pulmonary emboli. In this article, we detail the extrication and review the treatment guidelines for crush injuries that focus on aggressive fluid resuscitation prior to and during extrication and medication administration only if hyperkalemia presents. Wilderness rescuers should plan for the use of unconventional rescue equipment in austere prolonged rescue scenarios.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Rabdomiólisis
/
Airbags
/
Lesión Renal Aguda
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Humans
/
Male
Idioma:
En
Revista:
Wilderness Environ Med
Asunto de la revista:
SAUDE AMBIENTAL
Año:
2023
Tipo del documento:
Article