Pinned in a car for two hours, trapped in a building collapse for 12, fallen on the floor for 24. Each of these patients may be experiencing different, but deadly aspects of crush injury, compartment syndrome, and rhabdomyolysis. Why are some victims okay under pressure, but die suddenly when rescued and what, if anything, can EMS do about it? Real-world case-studies bring this presentation to life as it answers these questions and more by bringing you evidence based best practices, protocols and resources that you can use to treat these high-pressure and high-profile patients. For More Information See: www.RomDuck.com www.RescueDigest.com Learning Objectives: Students will be able to: - Identify crush injury, compartment syndrome and injuries consistent with rhabdo-myolysis. - Utilize model pre-hospital protocols for advanced care for crush injury, compart-ment syndrome and rhabdomyolysis patients. - Integrate with trauma systems of care to provide crush injury, compartment syn-drome and rhabdomyolysis patients with the best chance of outcome.

18. https://www.flickr.com/search/?q=mechanical

22. hourshttps://www.flickr.com/photos/dvids/8769767566/

23. hourshttps://www.flickr.com/photos/dvids/8769767566/

30. https://static01.nyt.com/images/2016/08/24/world/europe/25Italyquake-SS-HP-slide-T489/25Italyquake-SS-HP-slide-T489-videoSixteenByNineJumbo1600-v4.jpg

31. Makes Contact
Communicates
Protects
Assesses
Provides Care
https://www.flickr.com/photos/fdnyhome/8735629139/

32. Conditions
 One patient
pinned
under dash
 Limited
Access
 Clear ABC’s
Actions
 Initiated IV
Line
 Protect
 Monitor
Needs
 Trauma
Center
Notification
 Estimated
extrication
time

34. https://www.flickr.com/photos/danibora/980407476/

39. Pictures
Pain / Pathogens
PTSD
Preview
Practice
https://thenews.co.ke/wp-content/uploads/2016/08/Italy-Earthquake-4.jpg

40. https://www.flickr.com/photos/rijans/8731789941/