Evaluation of crush syndrome patients with extremity injuries in the 2011 Van Earthquake in Turkey

• Published in: Journal of clinical nursing Vol. 23; no. 1-2; pp. 243 - 249
• Main Authors: Guner, Sukriye Ilkay, Oncu, Mehmet Resit
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.01.2014; Wiley Subscription Services, Inc
• Subjects: Adolescent; Adult; Antibiotics; Crush Syndrome - complications; Earthquakes; Extremities - injuries; Female; Humans; infection control; Injuries; Male; Medical treatment; Middle Aged; Nurses; Nursing; Nursing care; Retrospective Studies; trauma; Turkey; wound care; Wounds and Injuries - complications; Young Adult; Turkey; trauma; wound care; infection control; nursing care
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.12398

Aims and objectives To perform a descriptive analysis of crush syndrome patients with extremity injuries, which will be used as a reference for future disasters. Background In disasters like earthquake, cooperation among medical workers is very important for the follow‐up and treatment of patients. Knowing the complications that may emerge with the crush syndrome is one of the responsibilities of the nurses. Design Descriptive analysis. Methods The medical records of patients with crush syndrome following the 2011 Van Earthquake were retrospectively reviewed. The results were compared with the current literature. Results Of the 46 patients with crush syndrome who had extreme trauma, 26 (57%) were men, 20 (43%) were women, and the average age was 38·9 ± 12·5. Fasciotomy was performed in 21 of the patients due to progressive compartment syndromes. Amputations were performed in seven patients who had previously undergone a fasciotomy. Sepsis was observed in seven patients, wound infection in 18, pericardial effusion in three and pleural effusion in two. Additionally, femoral fracture was observed in one patient, tibial fractures in five, haemothorax in three, abdominal traumas in seven and pulmonary embolism in one. Conclusion Wound care and antibiotic treatment are important to prevent infections in crush injury. In addition to this, dehydration and electrocardiography changes in hyperkalaemia are observed in crush syndrome. Nurses have significant responsibilities to follow up these observations and their implications. Relevance to clinical practice The results of this study may provide the basis for developing strategies in future for optimising attempts to rescue and the nurse care planning of survivors with crush injuries and crush syndrome after earthquakes.