Crush Syndrome in Children

  • Leonid M. Roshal
  • Razmik Keshishian
  • Valeriy A. MitishEmail author
  • Olga Karaseva


Traumatic rhabdomyolysis, or crush syndrome, is the most frequent reason for permanent disability or death as a result of earthquakes [2–4, 6–9, 12, 16, 17]. Its prevalence depends on many factors, but, first of all, it depends on the structure (stone or wooden) of the buildings, on their purpose, on the amount of children indoors, on the percentage of the country’s child population, on the time of day when the earthquake occurred, etc.[12]. For instance, in northern Afghanistan (1998) or Japan (1995), the amount of those who suffered from crush syndrome during an earthquake was a few times smaller than during earthquakes in Armenia (1988) or Neftegorsk (Sakhalin, 1995) [12].


Wound Surface Bandage Removal Crush Syndrome Acute Kidney Failure Purulent Infection 
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  1. 1.
    Amcheslavskiy V, Bagaev V, Saratovskiy A, Medinskiy P. The choice of anesthesia to children suffered in an earthquake. Prehosp Disaster Med. 2013;28 Suppl 1:s7–8.Google Scholar
  2. 2.
    Bartal C, Zeller L, Miskin I, Sebbag G, Karp E, Grossman A, Engel A, Carter D, Kreiss Y. Crush syndrome: saving more lives in disasters: lessons learned from the early-response phase in Haiti. Arch Intern Med. 2011;171(7):694–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Bartels SA, VanRooyen MJ. Medical complications associated with earthquakes. Lancet. 2012;379(9817):748–57.CrossRefPubMedGoogle Scholar
  4. 4.
    Becker BM. Chapter 7. Children and disaster. In: Disaster medicine. Philadelphia: Mosby Elsevier; 2006. p. 51–8.CrossRefGoogle Scholar
  5. 5.
    Dönmez O, Meral A, Yavuz M, Durmaz O. Crush syndrome of children in the Marmara earthquake, Turkey. Pediatr Int. 2001;43(6):678–82.CrossRefPubMedGoogle Scholar
  6. 6.
    Erdös J, Dlaska C, Szatmary P, Humenberger M, Vécsei V, Hajdu S. Acute compartment syndrome in children: a case series in 24 patients and review of the literature. Int Orthop. 2011;35(4):569–75.CrossRefPubMedGoogle Scholar
  7. 7.
    Genthon A, Wilcox SR. Crush syndrome: a case report and review of the literature. J Emerg Med. 2014;46:313–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Gonzalez D. Crush syndrome. Crit Care Med. 2005;33(1 Suppl):S34–41.CrossRefPubMedGoogle Scholar
  9. 9.
    Malinoski DJ, Slater MS, Mullins RJ. Crush injury and rhabdomyolysis. Crit Care Clin. 2004;20:171–92.CrossRefPubMedGoogle Scholar
  10. 10.
    Mitish V, Roshal L, Medinskiy P, Nalbandyan R. Role of mobile surgical team in treating children with serious injuries after the earthquakes. Difficulties in organizing the mission. Prehosp Disaster Med. 2013;28 Suppl 1:s41.Google Scholar
  11. 11.
    Mitish VA, Karaseva OV, Granikov OD, Medinskiy PV. Surgical treatment of soft tissues and bones complicated with surgical infection in children in case of mass casualties. Prehosp Disaster Med. “Abstracts of scientific and invited papers 15th world congress for disaster and emergency medicine, Amsterdam, 13–16 May 2007”. 2007;22(2):S. 93.Google Scholar
  12. 12.
    Roshal L. Problems in rendering medical aid to children during disasters. J Prehosp Disaster Med. 2009;24(2):s73.Google Scholar
  13. 13.
    Roshal’ LM, Mitish VA, Medinskiĭ PV. Specialized surgical care for children (victims of the earthquake) with open injuries. Khirurgiia (Mosk). 2014;(1):59–63. Russian.Google Scholar
  14. 14.
    Sagheb MM, Sharifian M, Roozbeh J, Moini M, Gholami K, Sadeghi H. Effect of fluid therapy on prevention of acute renal failure in Bam earthquake crush victims. Ren Fail. 2008;30:831–5.CrossRefPubMedGoogle Scholar
  15. 15.
    Sarisözen B, Durak K. Extremity injuries in children resulting from the 1999 Marmara earthquake: an epidemiologic study. J Pediatr Orthop B. 2003;12(4):288–91.CrossRefPubMedGoogle Scholar
  16. 16.
    Sever MS, Vanholder R. Crush syndrome: a case report and review of the literature. J Emerg Med. 2015;48(6):730–1.CrossRefPubMedGoogle Scholar
  17. 17.
    Sever MS, Vanholder R, Workgroup on Recommendations for the Management of Crush Victims in Mass Disasters. Recommendations for the management of crush victims in mass disasters. Nephrol Dial Transplant. 2012;27:i1–67.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Leonid M. Roshal
    • 1
  • Razmik Keshishian
    • 2
  • Valeriy A. Mitish
    • 3
    Email author
  • Olga Karaseva
    • 4
  1. 1.President of Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Children’s Doctor of the WorldMoscowRussia
  2. 2.Chief Pediatric Traumatologist of Moscow Senior ResearcherMoscowRussia
  3. 3.Director of Clinical and Research Institute of Urgent Pediatric Surgery and TraumaMoscowRussia
  4. 4.Vice-Director of Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Head of Combined Trauma DepartmentMoscowRussia

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