Crush Injury: Recognising the hidden risks (S2 Ep1)

In this first episode of season two, the team explores crush injury and crush syndrome, discussing how these patients present, why they can deteriorate rapidly, and the importance of early recognition in the pre-hospital environment. The conversation covers the difference between local crush injuries and the wider systemic effects that can occur after extrication, including why long lies and seemingly minor presentations can still become life-threatening. The team also discusses practical management strategies, preparation for deterioration, and the importance of understanding the underlying physiology to guide treatment decisions. A practical discussion on recognising high-risk patients, preparing for worst-case scenarios, and managing crush injuries safely and effectively.   References: Crush Syndrome • LITFL • CCC Trauma Rhabdomyolysis - EMCrit Project Gonzalez, Dario MD, FACEP. Crush syndrome. Critical Care Medicine 33(1):p S34-S41, January 2005. | DOI: 10.1097/01.CCM.0000151065.13564.6F