You are called to a building collapse where a man has had his right leg trapped under concrete for approximately 4 hours. Fire and rescue are preparin...

Question

You are called to a building collapse where a man has had his right leg trapped under concrete for approximately 4 hours. Fire and rescue are preparing to lift the debris. Prior to extrication, which of the following is the most critical pre-hospital intervention?

Accepted Answer

Placing cardiac monitoring and having calcium chloride and insulin/dextrose available

Answer

Administering IV morphine for analgesia

Answer

Administering IV sodium bicarbonate 8.4% prior to release

Answer

Applying a tourniquet to the affected limb before release of compression

Answer

Establishing IV access and commencing aggressive fluid resuscitation with normal saline

uk-dipimc MCQ (SBA): Crush Syndrome

You are called to a building collapse where a man has had his right leg trapped under concrete for approximately 4 hours. Fire and rescue are preparing to lift the debris. Prior to extrication, which of the following is the most critical pre-hospital intervention?