Occurrence and treatment of crush injury and crush syndome

Crush syndrome develops due to muscle crush injury often found in patients extricated from prolonged compression after disasters.It leads to rhabdomyolysis,kidney failure and hypovolemic shock.It is a challenge for surgeons because it is regularly associated with potentially fatal complications.Treating the acute kidney injury caused by crush syndrome in survivals of the earthquake has been a big challenge to the nephrologists.The comprehensive treatment includes field first aid,compensation of fluid and countershock,infection prevention,nephroprotection,maintenance of water-electrolyte balance,hemodialysis(HD),fasciotomy and systematic alimentotherapy.