Review
Year 2023,
Volume: 8 Issue: 1, 99 - 104, 30.04.2023
Abstract
Ezilme sendromu sıklıkla doğal ve insan kaynaklı deprem, maden göçükleri, bina yıkılması, toprak kayması gibi afetler sonucunda meydana gelmektedir. Özellikle 6 Şubat 2023’te yaşanan deprem felaketleri ile birlikte ülkemizin bir deprem bölgesi olduğu gerçeği tekrar bilimsel bir gerçek olarak karşımıza çıkmıştır. Aşırı basınç altında kalan bir uzvun veya vücut bölgesinin hasar görmesi sonucu kas yıkımı ürünlerinin dolaşıma katılması ile ortaya çıkan sistemik bir sendrom olan ezilme sendromu depremlerde sıklıkla karşılaşılan bir durumdur. Ezilme sendromu erken dönemde yüksek mortaliteye sahip olup acil bir durumdur. Ezilme sendromunun tedavi ve bakımı depremzedenin kurtarılma anı ile başlar ve uzun süren bir rehabilitasyon dönemi ile sonuçlanır. Ezilme sendromunda hemşirelik bakımı, hastanın hayatını kurtarmak ve uzuv kaybını önlemek için oldukça önemlidir. Hemşirelerin rolü, hastanın stabilize edilmesi, hayati işlevlerin devamlılığı ve enfeksiyon riskinin azaltılmasıdır. Bu derleme depreme bağlı sıklıkla gelişen ezilme sendromuna dair güncel bilgileri derleyerek ve hemşirelik bakımı hakkında güncel bilgilendirmeyi sağlamak amacıyla yazılmıştır.
Keywords
Supporting Institution
Bulunmamaktadır
Project Number
-
Thanks
-
References
- AFAD. (2023). Kahramanmaraş'ta Meydana Gelen Depremler. Retrieved from https://www.afad.gov.tr/kahramanmarastameydana-gelen-depremler-hk-36
- Akdam, H., & Alp, A. (2015). Ezilme sendromu. İzmir Tepecik Eğitim Hastanesi Dergisi, 25(2), 71-77.
- Anderson, J. L., Cole, M., & Pannell, D. (2022). Management of Severe Crush Injuries in Austere Environments: A Special Operations Perspective. Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals, 22(2), 43-47.
- Aygin, D., & Atasoy, İ. (2008). CRUSH SENDROMU TEDAVİ VE BAKIMI. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 11(1), 93- 100.
- Baysarı, Z. (2023). Deprem Sonrası Yaşanan Travmalar Nedeniyle En Çok Karşılaşılan Ortopedik Sorunlar ve Hemşirelik Bakımı Rehberi/Algoritması. In Ortopedi ve Travmatoloji Hemşireleri Derneği. Ankara.
- Bulut, M., Fedakar, R., Akkose, S., Akgoz, S., Ozguc, H., & Tokyay, R. (2005). Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emergency medicine journal, 22(7), 494-498.
- Damar, H. T., & Bilik, Ö. (2014). Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu Ve Hemşirelik Yaklaşımları. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 7(3), 223-229.
- Demir, B. K., & Başaran, C. (2022). Deprem sonrası çocuk hasta, ezilme (crush) sendromu. TOTBİD Dergisi, 21.
- Dhatt, S. S., & Neradi, D. (2023). Managing Crush Injuries on Arrival. In Acute Trauma Care in Developing Countries (pp. 140-146): CRC Press.
- Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Prescott, H. C. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, 47(11), 1181-1247.
- Falay, M. (2016). Dissemine İntravasküler Koagülasyon (Yaygın Damar içi Pıhtılaşma). Turkiye Klinikleri J Hematol-Special Topics, 9(3), 146-150.
- Ferrer, R., Martin-Loeches, I., Phillips, G., Osborn, T. M., Townsend, S., Dellinger, R. P., Levy, M. M. (2014). Empiric antibiotic treatment reduces mortality in severe sepsis and septic shock from the first hour: results from a guideline-based performance improvement program. Crit Care Med, 42(8), 1749-1755. doi:10.1097/ccm.0000000000000330
- Gamkrelidze, N., Khetsuriani, S., Pavliashvili, N., Kemashvili, N., & Kvatchadze, L. (2022). Microbial Spectrum and Pathogenesis of Infections in Crush Syndrome Patients. International Journal of Multidisciplinary Research and Publications, 5.
- Gerkuş, Ş., & Sivrikaya, S. K. (2020) Yoğun Bakım Ünitelerinde Gelişen Akut Böbrek Yetmezliği ve Hemşirelik Yönetimi. Yoğun Bakım Hemşireliği Dergisi, 24(2), 150-156.
- Gibney, N., Sever, M. S., & Vanholder, R. C. (2014). Disaster nephrology: crush injury and beyond. Kidney international, 85(5), 1049-1057.
- Gourd, N. M., & Nikitas, N. (2020). Multiple organ dysfunction syndrome. Journal of intensive care medicine, 35(12), 1564- 1575.
- Gul, A., & Andsoy, I. I. (2015). Performed surgical interventions after the 1999 Marmara earthquake in Turkey, and their importance regarding nursing practices. Journal of trauma nursing, 22(4), 218-222.
- Guner, S. I., & Oncu, M. R. (2014). Evaluation of crush syndrome patients with extremity injuries in the 2011 Van Earthquake in Turkey. J Clin Nurs, 23(1-2), 243-249. doi:10.1111/jocn.12398
- Gupta, R. D., Islam, N., Debnath, D. K., Morshed, S. M., & Rahman, A. (2021). Acute Kidney Injury in Crush Syndrome and Renal Disaster-Experience in Bangladesh after garment factory collapse. Bangladesh Journal of Medicine, 32(2), 107-112.
- Güler, S., & Köse, G. (2022). Kas İskelet Sistemi Cerrahisinde Bakım In H. Bulut & M. Karadağ (Eds.), Cerrahi Hemşireliği (Vol. 2). Ankara: Vize Yayıncılık.
- Hayakawa, M. (2017). Pathophysiology of trauma-induced coagulopathy: disseminated intravascular coagulation with the fibrinolytic phenotype. J Intensive Care, 5, 14. doi:10.1186/s40560-016-0200-1
- He, Q., Wang, F., Li, G., Chen, X., Liao, C., Zou, Y., Wang, L. (2011). Crush syndrome and acute kidney injury in the Wenchuan Earthquake. Journal of Trauma and Acute Care Surgery, 70(5), 1213-1218.
- Jagodzinski, N. A., Weerasinghe, C., & Porter, K. (2010). Crush injuries and crush syndrome-a review. Part 2: the local injury. Trauma, 12(3), 133-148.
- Kalanlar, B. (2017). Dünyada ve Türkiyede Afetler. In B. Kalanlar (Ed.), Afet Hemşireliği (pp. 21-32). Ankara: Hacettepe Üniveresitesi.
- Karadağ, M., & Opak, B. (2022). Cerrahi Hastasında Sıvı Elektrolit ve Asit Baz Dengesi ve Dengesizlikleri. In M. Karadağ & H. Bulut (Eds.), Cerrahi Hemşireliği (Vol. 2, pp. 66-73). Ankara: Vize Yayıncılık.
- Karakas, B., Aydogan, M. S., Yucel, A., Yucel, N., Kacmaz, O., Sari, M. S., & Togal, T. (2017). Management of the crush syndrome in critical patients: 10 cases. Journal of Turgut Ozal Medical Center, 24(1).
- Korach, J., Pionnier, C., & Clauss, M. (2022). Management of MultiOrgan Failure: Nursing Role. International Journal of Nursing and Health Care Research, 5: 1278.
- Lee, N., Peysha, J., & Ferrada, P. (2018). Crush Injury and Extremity Compartment Syndromes. Current Trauma Reports, 4, 284-288.
- Levi, M., & Scully, M. (2018). How I treat disseminated intravascular coagulation. Blood, The Journal of the American Society of Hematology, 131(8), 845-854.
- Li, N., Wang, X., Wang, P., Fan, H., Hou, S., & Gong, Y. (2020). Emerging medical therapies in crush syndrome–progress report from basic sciences and potential future avenues. Renal Failure, 42(1), 656-666.
- Liu, S., & He, C. (2022). Related factors associated with earthquake inpatient mortality. Disaster medicine and public health preparedness, 16(1), 65-70.
- Moore, H. B., Gando, S., Iba, T., Kim, P. Y., Yeh, C. H., Brohi, K., Stanworth, S. (2020). Defining trauma‐induced coagulopathy with respect to future implications for patient management: communication from the SSC of the ISTH. Journal of Thrombosis and Haemostasis, 18(3), 740-747.
- Oray, N. Ç. (2019). Crush Sendromu. In S. E. Eroğlu (Ed.), Afet Yönetimi ve Tıbbı Uygulamalar (pp. 367-371). İstanbul: EMA Tıp Kitabevi.
- Palmer, B. F., Carrero, J. J., Clegg, D. J., Colbert, G. B., Emmett, M., Fishbane, S., . . . Rastogi, A. (2021). Clinical management of hyperkalemia. Paper presented at the Mayo Clinic Proceedings.
- Peiris, D. (2017). A historical perspective on crush syndrome: the clinical application of its pathogenesis, established by the study of wartime crush injuries. Journal of clinical pathology, 70(4), 277-281.
- Reis, N. D., & Better, O. S. (2016). Crush Injury and Crush Syndrome in an Earthquake Disaster Zone. Orthopedics in Disasters: Orthopedic Injuries in Natural Disasters and Mass Casualty Events, 237-241.
- Rroji, M., Seferi, S., & Barbullushi, M. (2021). An Overview of Treatment of Crush Syndrome. Albanian Journal of Trauma and Emergency Surgery, 5(1), 797-801.
- Savioli, G., Ceresa, I. F., Macedonio, S., Gerosa, S., Belliato, M., Iotti, G. A., Giotta Lucifero, A. (2020). Trauma coagulopathy and its outcomes. Medicina, 56(4), 205.
- Schreiber, M. L. (2017). Lower limb amputation: postoperative nursing care and considerations. MedSurg Nursing, 26(4), 274.
- Sever, M. S., & Vanholder, R. (2011). Management of crush syndrome casualties after disasters. Rambam Maimonides medical journal, 2(2).
- Sever, M. S., & Vanholder, R. (2012). Recommendations for the management of crush victims in mass disasters. Nephrology dialysis transplantation, 27(Suppl_1), i1-i67.
- Stella, M., Santolini, E., Sanguineti, F., Felli, L., Vicenti, G., Bizzoca, D., & Santolini, F. (2019). Aetiology of trauma-related acute compartment syndrome of the leg: A systematic review. Injury, 50, S57-S64.
- Sutera, D., Barbuscia, L., Bonarrigo, A., D'Angelo, G., & Gitto, E. (2020). Intensive management of a crush syndrome case. Atti della Accademia Peloritana dei Pericolanti-Classe di Scienze Medico-Biologiche, 108(1), 1-5.
- Threatt, D. L. (2020). Improving sepsis bundle implementation times: a nursing process improvement approach. Journal of Nursing Care Quality, 35(2), 135-139.
- Vasei, N., & Jahangiri, K. (2020). A Case Report of Crush Syndrome and Delay in Invasive Therapeutic Intervention: Is the Priority to Save the Life of the Patient or to Maintain the Limb? Journal of Safety Promotion and Injury Prevention, 7(3).
- Virani, A., Werunga, J., Ewashen, C., & Green, T. (2015). Caring for patients with limb amputation. Nursing Standard (2014+), 30(6), 51.
- Walters, T. (2016). Crush Syndrome-Prolonged Field Care (CPG ID: 58).
- Zhou, H., & Yu, T. (2022). Effect of Comprehensive Rehabilitation Training Program in Orthopedic Nursing of Patients with Residual Limb Injury Caused by Crush. Journal of healthcare engineering, 2022, 6769572. https://doi.org/10.1155/2022/6769572.
Year 2023,
Volume: 8 Issue: 1, 99 - 104, 30.04.2023
Abstract
Crush syndrome is frequently caused by natural or man-made disasters such as earthquakes, mine collapses, building collapses, and landslides. The notion that our country is an earthquake zone has once again surfaced as a scientific reality, particularly in light of the earthquake tragedies that occurred on February 6, 2023. Crush syndrome, a systemic disease that develops when a limb or body part is destroyed under great pressure and the products of muscle breakdown enter the circulation, is frequently seen in earthquakes. Crush syndrome has a significant death rate in the early stages and is considered an emergency scenario. Crush syndrome treatment and care begins with the rescue of the earthquake sufferer and ends with a lengthy rehabilitation time. Nursing care is critical in crush syndrome to save the patient's life and prevent limb loss. Nurses' roles are to stabilize patients, preserve critical functions, and limit the danger of infection. This review was developed to consolidate current knowledge regarding crush syndrome, which is commonly caused by earthquakes, as well as to provide current information about nursing care.
Keywords
Project Number
-
References
- AFAD. (2023). Kahramanmaraş'ta Meydana Gelen Depremler. Retrieved from https://www.afad.gov.tr/kahramanmarastameydana-gelen-depremler-hk-36
- Akdam, H., & Alp, A. (2015). Ezilme sendromu. İzmir Tepecik Eğitim Hastanesi Dergisi, 25(2), 71-77.
- Anderson, J. L., Cole, M., & Pannell, D. (2022). Management of Severe Crush Injuries in Austere Environments: A Special Operations Perspective. Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals, 22(2), 43-47.
- Aygin, D., & Atasoy, İ. (2008). CRUSH SENDROMU TEDAVİ VE BAKIMI. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 11(1), 93- 100.
- Baysarı, Z. (2023). Deprem Sonrası Yaşanan Travmalar Nedeniyle En Çok Karşılaşılan Ortopedik Sorunlar ve Hemşirelik Bakımı Rehberi/Algoritması. In Ortopedi ve Travmatoloji Hemşireleri Derneği. Ankara.
- Bulut, M., Fedakar, R., Akkose, S., Akgoz, S., Ozguc, H., & Tokyay, R. (2005). Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emergency medicine journal, 22(7), 494-498.
- Damar, H. T., & Bilik, Ö. (2014). Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu Ve Hemşirelik Yaklaşımları. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 7(3), 223-229.
- Demir, B. K., & Başaran, C. (2022). Deprem sonrası çocuk hasta, ezilme (crush) sendromu. TOTBİD Dergisi, 21.
- Dhatt, S. S., & Neradi, D. (2023). Managing Crush Injuries on Arrival. In Acute Trauma Care in Developing Countries (pp. 140-146): CRC Press.
- Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Prescott, H. C. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, 47(11), 1181-1247.
- Falay, M. (2016). Dissemine İntravasküler Koagülasyon (Yaygın Damar içi Pıhtılaşma). Turkiye Klinikleri J Hematol-Special Topics, 9(3), 146-150.
- Ferrer, R., Martin-Loeches, I., Phillips, G., Osborn, T. M., Townsend, S., Dellinger, R. P., Levy, M. M. (2014). Empiric antibiotic treatment reduces mortality in severe sepsis and septic shock from the first hour: results from a guideline-based performance improvement program. Crit Care Med, 42(8), 1749-1755. doi:10.1097/ccm.0000000000000330
- Gamkrelidze, N., Khetsuriani, S., Pavliashvili, N., Kemashvili, N., & Kvatchadze, L. (2022). Microbial Spectrum and Pathogenesis of Infections in Crush Syndrome Patients. International Journal of Multidisciplinary Research and Publications, 5.
- Gerkuş, Ş., & Sivrikaya, S. K. (2020) Yoğun Bakım Ünitelerinde Gelişen Akut Böbrek Yetmezliği ve Hemşirelik Yönetimi. Yoğun Bakım Hemşireliği Dergisi, 24(2), 150-156.
- Gibney, N., Sever, M. S., & Vanholder, R. C. (2014). Disaster nephrology: crush injury and beyond. Kidney international, 85(5), 1049-1057.
- Gourd, N. M., & Nikitas, N. (2020). Multiple organ dysfunction syndrome. Journal of intensive care medicine, 35(12), 1564- 1575.
- Gul, A., & Andsoy, I. I. (2015). Performed surgical interventions after the 1999 Marmara earthquake in Turkey, and their importance regarding nursing practices. Journal of trauma nursing, 22(4), 218-222.
- Guner, S. I., & Oncu, M. R. (2014). Evaluation of crush syndrome patients with extremity injuries in the 2011 Van Earthquake in Turkey. J Clin Nurs, 23(1-2), 243-249. doi:10.1111/jocn.12398
- Gupta, R. D., Islam, N., Debnath, D. K., Morshed, S. M., & Rahman, A. (2021). Acute Kidney Injury in Crush Syndrome and Renal Disaster-Experience in Bangladesh after garment factory collapse. Bangladesh Journal of Medicine, 32(2), 107-112.
- Güler, S., & Köse, G. (2022). Kas İskelet Sistemi Cerrahisinde Bakım In H. Bulut & M. Karadağ (Eds.), Cerrahi Hemşireliği (Vol. 2). Ankara: Vize Yayıncılık.
- Hayakawa, M. (2017). Pathophysiology of trauma-induced coagulopathy: disseminated intravascular coagulation with the fibrinolytic phenotype. J Intensive Care, 5, 14. doi:10.1186/s40560-016-0200-1
- He, Q., Wang, F., Li, G., Chen, X., Liao, C., Zou, Y., Wang, L. (2011). Crush syndrome and acute kidney injury in the Wenchuan Earthquake. Journal of Trauma and Acute Care Surgery, 70(5), 1213-1218.
- Jagodzinski, N. A., Weerasinghe, C., & Porter, K. (2010). Crush injuries and crush syndrome-a review. Part 2: the local injury. Trauma, 12(3), 133-148.
- Kalanlar, B. (2017). Dünyada ve Türkiyede Afetler. In B. Kalanlar (Ed.), Afet Hemşireliği (pp. 21-32). Ankara: Hacettepe Üniveresitesi.
- Karadağ, M., & Opak, B. (2022). Cerrahi Hastasında Sıvı Elektrolit ve Asit Baz Dengesi ve Dengesizlikleri. In M. Karadağ & H. Bulut (Eds.), Cerrahi Hemşireliği (Vol. 2, pp. 66-73). Ankara: Vize Yayıncılık.
- Karakas, B., Aydogan, M. S., Yucel, A., Yucel, N., Kacmaz, O., Sari, M. S., & Togal, T. (2017). Management of the crush syndrome in critical patients: 10 cases. Journal of Turgut Ozal Medical Center, 24(1).
- Korach, J., Pionnier, C., & Clauss, M. (2022). Management of MultiOrgan Failure: Nursing Role. International Journal of Nursing and Health Care Research, 5: 1278.
- Lee, N., Peysha, J., & Ferrada, P. (2018). Crush Injury and Extremity Compartment Syndromes. Current Trauma Reports, 4, 284-288.
- Levi, M., & Scully, M. (2018). How I treat disseminated intravascular coagulation. Blood, The Journal of the American Society of Hematology, 131(8), 845-854.
- Li, N., Wang, X., Wang, P., Fan, H., Hou, S., & Gong, Y. (2020). Emerging medical therapies in crush syndrome–progress report from basic sciences and potential future avenues. Renal Failure, 42(1), 656-666.
- Liu, S., & He, C. (2022). Related factors associated with earthquake inpatient mortality. Disaster medicine and public health preparedness, 16(1), 65-70.
- Moore, H. B., Gando, S., Iba, T., Kim, P. Y., Yeh, C. H., Brohi, K., Stanworth, S. (2020). Defining trauma‐induced coagulopathy with respect to future implications for patient management: communication from the SSC of the ISTH. Journal of Thrombosis and Haemostasis, 18(3), 740-747.
- Oray, N. Ç. (2019). Crush Sendromu. In S. E. Eroğlu (Ed.), Afet Yönetimi ve Tıbbı Uygulamalar (pp. 367-371). İstanbul: EMA Tıp Kitabevi.
- Palmer, B. F., Carrero, J. J., Clegg, D. J., Colbert, G. B., Emmett, M., Fishbane, S., . . . Rastogi, A. (2021). Clinical management of hyperkalemia. Paper presented at the Mayo Clinic Proceedings.
- Peiris, D. (2017). A historical perspective on crush syndrome: the clinical application of its pathogenesis, established by the study of wartime crush injuries. Journal of clinical pathology, 70(4), 277-281.
- Reis, N. D., & Better, O. S. (2016). Crush Injury and Crush Syndrome in an Earthquake Disaster Zone. Orthopedics in Disasters: Orthopedic Injuries in Natural Disasters and Mass Casualty Events, 237-241.
- Rroji, M., Seferi, S., & Barbullushi, M. (2021). An Overview of Treatment of Crush Syndrome. Albanian Journal of Trauma and Emergency Surgery, 5(1), 797-801.
- Savioli, G., Ceresa, I. F., Macedonio, S., Gerosa, S., Belliato, M., Iotti, G. A., Giotta Lucifero, A. (2020). Trauma coagulopathy and its outcomes. Medicina, 56(4), 205.
- Schreiber, M. L. (2017). Lower limb amputation: postoperative nursing care and considerations. MedSurg Nursing, 26(4), 274.
- Sever, M. S., & Vanholder, R. (2011). Management of crush syndrome casualties after disasters. Rambam Maimonides medical journal, 2(2).
- Sever, M. S., & Vanholder, R. (2012). Recommendations for the management of crush victims in mass disasters. Nephrology dialysis transplantation, 27(Suppl_1), i1-i67.
- Stella, M., Santolini, E., Sanguineti, F., Felli, L., Vicenti, G., Bizzoca, D., & Santolini, F. (2019). Aetiology of trauma-related acute compartment syndrome of the leg: A systematic review. Injury, 50, S57-S64.
- Sutera, D., Barbuscia, L., Bonarrigo, A., D'Angelo, G., & Gitto, E. (2020). Intensive management of a crush syndrome case. Atti della Accademia Peloritana dei Pericolanti-Classe di Scienze Medico-Biologiche, 108(1), 1-5.
- Threatt, D. L. (2020). Improving sepsis bundle implementation times: a nursing process improvement approach. Journal of Nursing Care Quality, 35(2), 135-139.
- Vasei, N., & Jahangiri, K. (2020). A Case Report of Crush Syndrome and Delay in Invasive Therapeutic Intervention: Is the Priority to Save the Life of the Patient or to Maintain the Limb? Journal of Safety Promotion and Injury Prevention, 7(3).
- Virani, A., Werunga, J., Ewashen, C., & Green, T. (2015). Caring for patients with limb amputation. Nursing Standard (2014+), 30(6), 51.
- Walters, T. (2016). Crush Syndrome-Prolonged Field Care (CPG ID: 58).
- Zhou, H., & Yu, T. (2022). Effect of Comprehensive Rehabilitation Training Program in Orthopedic Nursing of Patients with Residual Limb Injury Caused by Crush. Journal of healthcare engineering, 2022, 6769572. https://doi.org/10.1155/2022/6769572.
There are 48 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Review |
| Authors | |
| Project Number | - |
| Early Pub Date | April 26, 2023 |
| Publication Date | April 30, 2023 |
| Published in Issue | Year 2023Volume: 8 Issue: 1 |
