Should begin BEFORE extrication
Cardiac monitoring
Hydration (~NS 1.5 L/hr)
Pain control
Albuterol neb
Calcium chloride
1 gram slow IV push over 60 sec
Sodium bicarbonate
Flush IV with NS (prevent precipitation), then
1mEq/kg added to 1L of normal saline, run IV wide open just prior to extrication
Release compression
In the field, use of tourniquet before extrication is controversial
1 gram slow IV push over 60 sec
Flush IV with NS (prevent precipitation), then
1mEq/kg added to 1L of normal saline, run IV wide open just prior to extrication
In the field, use of tourniquet before extrication is controversial
ATLS
Aggressive IVF
Treat Hyperkalemia with typical management
250ml IV bolus q15min until UOP is 2ml/kg/hr
Lasix or Mannitol for forced diuresis
Acetazolamide for pH >7.5
Crush syndrome
Compartment syndrome
Pancoast syndrome
Contusion
Q fever
Decompression sickness
Degloving injury
Ludwig's angina