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Crush Injuries

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Penetrating Trauma
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Abstract

Crush injuries represent a special challenge to the trauma surgeon, as they tend to present with attention-grabbing injury patterns that occupy the forefront of the mind. While one is preoccupied in dealing with the mangled extremity or a concomitant solid organ injury, however, other problems silently mount. These complications of a crush injury can kill your patient or endanger the ultimate salvage of their limb every bit as easily as the disfiguring injury pattern that diverts your attention as soon as they roll in the door. If you allow yourself to get distracted by the wound to the exclusion of all else, you will be dealing with arrhythmias, hypotension, and worse before long. If you take nothing else away from this chapter, recognize that it is vital to manage the metabolic and physiologic consequences of the crush syndrome concurrently with the anatomic aspects of the injury itself.

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Correspondence to Herb A. Phelan .

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Phelan, H.A. (2017). Crush Injuries. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_70

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  • DOI: https://doi.org/10.1007/978-3-662-49859-0_70

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

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