Hi. Just want to thank you for your answer. Crush injuries and their associated causes and effects on the body formed a portion of a test paper that I have already finished. What I found was that Mosbys Paramedic textbook didn't provide me with enough information to actually fully understand the effects behind crush injuries further than the aspect of natural disasters and obvious crush. What I want to know and understand is how can a crush injury be caused by a not so obvious MVA, Building collapse and so forth. I have read ncbi and found it to very useful in digging further into the whole "pre-cursor" for crush injuries. Especially in relation to crush caused by an excessively overweight patient who has suddenly become immobilized, this was a very interesting read. I do appreciate your help in pointing me in the direction of additional information. Hi Off Label. I agree with your reasoning. However would the end organ damage exist if the crush didn't occlude the anatomical process that would have taken place without the obstruction. From my understanding the end of organ damage is caused by the release of the crush object or by an occlusion met when the crush has occurred. So far I have found this topic very interesting. In Australia up until recently the ANZCOR actually advised against removal of crush objects, however have moved away from this and recommended where safe to do so that they are removed. Thanks again for your feedback. Hi Spock, Thank you for this, you are right in so far as the DKA from a diabetic patient, in fact this was a case scenario in my workbook. I found researching it interesting. What I was further trying to understand is not so much the "cut and dry" of crush injuries causing toxic releases but more the other side of the equation where a medical condition may promote a crush injuries (DKA diabetic who is immobilized).
Hi Everyone, I am having a little trouble seeking an answer to this question. what type of medical conditions could result in a crush injury or crush syndrome. Would this be something along the lines of Diabetes? Thank you for your input.
Thank you guys appreciate the information.
Ha You are right, why do we need to know what cytochrome oxidase is, at a cellular level. We are there to treat it. But that is the question they wish to have an answer for. But to answer your question, Cytochrome oxidase is just part of the cellular reaction that cyanide has, the most important thing that we need to know at an EMT or above level is the shift in the oxyhaemoglobin dissociation curve and how our treatment can rectify this injury. The enzyme cytochrome c oxidase or Complex IV is a large transmembrane protein complex found in bacteria and the mitochondrion of eukaryotes. I believe that your cyanide poison kits that are present in some states in the Americas actually acts on this enzyme to promote a positive shift in the curve, however I have no researched this a lot. But hey I am just a training, I like this forum so far, very helpful people. I am sure I will have other questions. Thanks again all.
Hi There, I don't judge people, no need to clarify. I appreciate any and all feedback required. Thank you very much for your time mate.