Crtical Care and Shock Journal

Under pressure… Pressure pushing down on me

,

Overview

A 70-year-old male without significant medical history, presented to the hospital after having been trapped under a piece of industrial equipment for several hours. In addition to multiple orthopedic fractures and compartment syndrome requiring left upper extremity fasciotomies, he was found to have rhabdomyolysis and renal failure. The patient was aggressively resuscitated with crystalloid fluids. He arrived to the Surgical Intensive Care Unit (SICU) intubated and was ultimately started on continuous veno-venous hemodialysis (CVVHD) for metabolic derangements including hyperkalemia. Tube feeds were started on hospital day 1 and the patient was noted to have been having good bowel function.

Avi Ruderman, Brian T. Wessman

Download PDF

Archives

Current issue

June 2024, Volume 27 Number 3
Awarded Top 30 Critical Care Blog
Awarded Top 30 Critical Care Blog
Asean Citation Index
Asean Citation Index