A 48-year-old male is found in a collapsed building following an earthquake. He has been trapped for 6 hours with his right leg crushed under concrete...

Question

A 48-year-old male is found in a collapsed building following an earthquake. He has been trapped for 6 hours with his right leg crushed under concrete debris. Rescue teams are preparing to extricate him. His right leg is cool, pale, and has no pulses distal to the crush site. What volume of IV fluid should be commenced BEFORE extrication?

Accepted Answer

1 litre of 0.9% normal saline per hour, commenced at least 1 hour before release

Answer

500 mL of 0.9% normal saline total

Answer

No IV fluids are required before extrication

Answer

2 litres of Hartmann's solution as a rapid bolus

Answer

250 mL of 5% dextrose

uk-dipimc MCQ (SBA): Crush Injury Fluid Management