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Your trauma patient has her left hand caught between rollers on a conveyor belt, extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid palm no obvious fractures, no lacerations and minor swelling noted. Knowing that crush injuries can cause all kinds of problems which is not considered a crush injury complication?
Correct Answer: C
Explanation/Reference: Explanation: Crush injuries occur when tissue is caught between two objects causing increased pressure. When this pressure is exerted over a long period of time tissues are damaged including lacerations, fractures and anarobic injuries. When blood flow is cut off and there is no oxygen does not make it to the tissues those tissues will revert to anarobic metabolism generating lactic and piruvic acids. In time this damages more tissues releasing more acids and by products of incomplete metabolism, eventually causing more swelling and coagulation problems, loss of tissue and loss of life.