A 45-year-old male has been in a prolonged extrication following a building collapse. He has crush injuries to both legs. The rescue team is 15 minute...

Question

A 45-year-old male has been in a prolonged extrication following a building collapse. He has crush injuries to both legs. The rescue team is 15 minutes from releasing the compression. What IV fluid should be administered and what specific electrolyte must be avoided in the fluid?

Accepted Answer

0.9% normal saline - avoid Hartmann's solution (Ringer's lactate) as it contains potassium, which could worsen the hyperkalaemia expected upon release

Answer

No IV fluids should be given until after extrication

Answer

5% dextrose is the fluid of choice

Answer

Colloid solutions (Gelofusine) should be used

Answer

Hartmann's solution (Ringer's lactate) is the preferred fluid in crush injuries

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

A 45-year-old male has been in a prolonged extrication following a building collapse. He has crush injuries to both legs. The rescue team is 15 minutes from releasing the compression. What IV fluid should be administered and what specific electrolyte must be avoided in the fluid?