Crush Injuries
Table of Contents
Overview
A crush injury happens when part of the body is compressed by a heavy object, machinery, debris, or a vehicle. Damage may involve bleeding, fractures, swelling, nerve injury, or internal organ damage.
First Aid
- Check for danger and do not enter an unsafe area.
- Follow DRSABCD.
- Call 000 for any significant crush injury.
- Control external bleeding where possible.
- Support the injured part and minimise movement.
- Keep the casualty warm and monitor for shock.
Prolonged Crush
When a limb or large body area has been trapped for a prolonged time, toxins and fluid shifts can cause serious deterioration after release. This is often called crush syndrome.
- Call 000 before releasing the casualty if the situation allows.
- Tell the call taker how long the casualty has been trapped.
- Be ready to monitor airway, breathing, and responsiveness after release.
- If the environment is immediately dangerous, move or release the casualty as needed to preserve life.
After Release
Continue primary care. Watch for worsening breathing, collapse, confusion, severe pain, or signs of shock, and update emergency services.