Management of Hypovolemic Shock in Crush Injury of Lower Leg: Case Report

Abstract

Multiple crush injuries are very important to be treated immediately, as an external force that involves muscle necrosis, soft tissue edema, and compartment syndrome should have an accurate diagnosis and timely intervention for limb salvage. Early therapy, such as resuscitation and correction of life-threatening electrolyte imbalance and renal failure. A 19-year-old male who was a pedestrian was admitted to the emergency room after being hit from behind by a car 5 hours before admission. The physical examination showed an open wound with multiple right lower leg fractures, followed by active bleeding. The patient also felt pain; the VAS score showed scores of 9, paresthesia, pallor, pulseless, paralysis, and poikilothermia were shown during investigation. Also, the patient has hypovolemic shock grade 3. A proper primary survey and initial fluid management are a vital part of saving someone's life during massive blood loss in a crush injury. Definitive surgical management in combination with fluid resuscitation was essential to keep hemodynamic stats within normal limits and prevent further tissue damage. A multidisciplinary care and causative therapy in combination with prompt recognition is essential. A comprehensive primary survey is essential to rapidly identify and control sources of massive hemorrhage, thereby reducing the risk of hypoperfusion-induced acute kidney injury. Prompt resuscitation with appropriate fluids and blood products plays a crucial role in restoring circulatory volume, maintaining distal tissue perfusion, and preventing ischemic complications.