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Developed and maintained
by the NFCC

Control measure

Release of a casualty with crush injury

TRAINING SPECIFICATION

Knowledge and understanding

Control measure element Learning outcome

Release or extrication of a casualty with crush injury

Understand:

  • The need to release the casualty as quickly as possible
  • The need to consider the possibility of a spinal injury and take full spinal precautions
  • The need to accurately communicate the status of the casualty to medical responders
  • That personnel may need to assist medical responders or provide casualty care following their instructions

Limb amputation

Understand:

  • That amputation may need to be considered if the casualty is trapped by a limb and may not otherwise survive
  • The need for early mobilisation of expert advice and advanced medical support if surgical release may be required

Use of tourniquets

Understand:

  • That the use of tourniquets by trained personnel may be appropriate to stop bleeding
  • That there is no evidence that the use of tourniquets will reduce crush syndrome

Practical application

Control measure element Learning outcome

Communicate the status of the casualty with a crush injury to medical responders

Demonstrate the ability to:

  • Provide medical responders with an accurate status of the casualty with a crush injury

Assist medical responders treating a casualty with a crush injury

Demonstrate the ability to:

  • Assist medical responders treating a casualty with a crush injury
  • Provide casualty care by following the instructions of medical responders

Request advanced medical support if surgical release of a trapped casualty may be required

Demonstrate the ability to:

  • Request early mobilisation of expert advice and advanced medical support if surgical release may be required