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  • 1.
    Jonsson, Uno
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Prehospital omvårdnad vid risk för crush syndrom2012Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Abstrakt.

    Background: Crush syndrome or traumatic rehbdomyolys is common in major natural disaster such as earthquakes. It can also arise when people are exposed on the muscle at such stroke, poisoning, structural collapse, industrial accidents. In prehospital care in Sweden we have no treatment plan for this condition and therefore it may be a risk that these patients not receiving the proper care.

    Purpose:The aim of this study was to illuminate the ambulance nurses care at risk of Crush syndrome.

    Method:A literature review was done to examine already published research material. The searches was made in the databases Cinahl and Pubmed. Five articles were included and the contents analyzed by manifest content analysis.

    Results:The patients who are at risk of Crush syndrome has the following symptoms: damage to the muscle mass, prolonged compression, compressed local circulation, heart rate > 120 and abnormal urine color. The most important nursing action that can be lifesaving is initiation of  intravenous crystalloid fluid while the person being detached. The fluid recommended is the usual sodium chloride.

    Clinical implication: A proposal for the nursing care plan are presented.

    Keywords:crush syndrome, prehospital care, crushing, muscle damage,

     

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