Crush Injuries and Rhabdomyolysis-1

Crush Injuries and Rhabdomyolysis-1 - Crush Injuries and...

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Crush Injuries and Crush Injuries and Rhabdomyolysis Rhabdomyolysis Tracy So Tracy So Trauma/ICU conference Trauma/ICU conference
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Hemlock ( Conium maculatum ) Old Testament Book of Numbers 11 (31-35): Israelites suffered a “mass plague” during their exodus following ingestion of quail. In the Mediterranean, quails eat hemlock during spring migration, and rhabdo from eating the birds is a recognized phenomenon . Rhabdomyolysis Rhabdomyolysis Release of intracellular components from injured myocytes into the circulation Poison hemlock was used to execute Socrates.
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Causes of Rhabdomyolysis Causes of Rhabdomyolysis In US: alcohol abuse and subsequent immobility and coma, direct myotoxic effects of alcohol Crush injuries , long surgeries in lithotomy or lateral decub, surgery on morbidly obese patients (gluteal), contact sports, burns, lifting heavy weights Vascular compromise – compartment syndrome, embolus and subsequent reperfusion DT’s, NMS, hyperthermia, long-term vecuronium Electrolyte disturbances Drugs (HMGCoA red. inh., psychedelic) Infections- Legionella, strep , influenza, HIV
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Myocyte Injury
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Crush Injuries and Rhabdomyolysis-1 - Crush Injuries and...

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