RESUMO
An unusual motor vehicle collision case is presented involving a complex, prolonged extrication with crush injury. While crush injury and crush syndrome are often considered to be in the realm of disaster medicine and urban search and rescue, more typical single-patient or few-patient incidents such as industrial accidents and vehicular crashes can involve these clinical entities. All emergency medical services (EMS) personnel should have a basic working familiarity with the operational and clinical issues involved in crush injury and crush syndrome. Crush syndrome is reviewed here from the perspective of prehospital management.
Assuntos
Acidentes de Trânsito , Síndrome de Esmagamento/fisiopatologia , Serviços Médicos de Emergência/métodos , Trabalho de Resgate , Adulto , Síndrome de Esmagamento/diagnóstico , Síndrome de Esmagamento/diagnóstico por imagem , Síndrome de Esmagamento/cirurgia , Humanos , Masculino , Radiografia , Resultado do TratamentoRESUMO
This patient suffered multiple injuries in a motor vehicle crash. She had an optional IVC filter placed in the usual fashion and location which resulted in a functional obstruction of the third part of the duodenum much as one would expect with a Superior Mesenteric Artery (SMA) syndrome. The symptoms persisted over the sixteen-day filter dwell time and resolved completely with the retrieval of the filter.