[xCellarxDoorx]

[niknik]

Originally Posted by LERK ↗

Everyone here involved is retarded, this is why I work alone for the most part or someone who isn’t incompetent.

What the fuck did they think was going to happen.

No fucking way would I have been in that trailer with that.

Stupid mother fuckers.

Merica!

I don't think it matters what country. These types of things happen everywhere. Some a lot more than others. This is kinda rare comparably speaking because of the accountability laws of employers in America.

[cicueto]

Either this is a repost or I saw it on ******. Although I thought there was a better recording of the incident.

[bike1941]

na, no need for 911 he will be okay...

[DanteAntonelli]

Originally Posted by switchpeel ↗

1. RESCUE FROM ENTRAPMENT CAN MAKE A PATIENT WORSE
Many crush syndrome patients get worse after extrication from entrapment. Reperfusion of ischemic tissues spreads cellular toxins into the circulatory system.

2. ASSESSMENT OF CRUSH SYNDROME
The primary cause of crush syndrome is injury to sarcolemma, which is the fiber covering muscles. This leads to water entry into muscle cells, increased pressure in the muscle compartment and disruption in cellular function. Cellular death releases myoglobin into circulatory system, which eventually leads to kidney injury.

Local assessment findings for crush syndrome include pain out of proportion, swelling, bruising and weakness. Worrisome systemic findings are tea-colored urine, fever, malaise, nausea and vomiting, confusion, agitation, delirium and anuria, which is the inability to produce urine.

Hospital diagnosis of crush syndrome includes elevated CK and lactic acid, grossly swollen, hard, cold, insensitive, necrotic muscle tissues, arrhythmias from the complications of electrolyte imbalances and shock.

3. EMS CRUSH SYNDROME PROTOCOL
The focus of prehospital providers is to assure ABCs and deliver supportive care. In addition, initiate aggressive IV fluid administration, while the patient is still entrapped, at 1500 mL/hour. Rapid extrication, pain management and EKG are also important EMS treatment components.

Paramedic level care, especially for long crush syndrome patients with long transport times, includes attempting to alkalize the patient's urine by administering sodium bicarbonate. A patient pH of > 6.5 helps protect kidney function.

Damn, I'm kind of fooled into actually believing I can successfully treat a crush victim after reading this!

[DanteAntonelli]

Originally Posted by angelwane ↗

Shocked to see something out of America

You mean a death that does not involve the "pohleece" killing some random guy?

[angelwane]

Originally Posted by DanteAntonelli ↗

You mean a death that does not involve the "pohleece" killing some random guy?

“Pohleece”? Too many wannabe comedians around here….this isn’t an audition, I’ve already got the part

[switchpeel]

Are you dumb? Where is your EVIDENCE? What I pulled is from a medical professional site called Medscape.

Crush syndrome kidney injury starts right away. Crush syndrome is not caused by ischemia, it is caused by pressure. The trauma causes breakdown of muscle proteins which damage the kidneys and leads to systemic organ failure.

[switchpeel]

^^

Originally Posted by Ferocity ↗

Are you dumb or just posting shit you have no idea about??
"#1Reperfusion of ischemic tissues spreads cellular toxins into the circulatory system." That only happens after the tissue has had no oxygen for several minutes, and then becomes reperfused. This guy was under for less than a minute so what the hell are you spewing nonsense for?

[switchpeel]

[QUOTE=Ferocity;7171360]

Actually, you are right. He would likely not have suffered reperfusion injury. Sorry for calling you dumb.