Early management of crush injury and crush syndrome: a Faculty of Pre-Hospital Care consensus statement
Guidance is required for UK prehospital care providers managing patients with suspected crush injury to minimise preventable morbidity and mortality. This consensus statement gives relevant and practicable recommendations following a structured evidence review and a consensus process. Differences between this and previous guidance reflect, in part, the context for which these recommendations are intended. The role of aggressive fluid administration and concerns regarding hyperkalaemia are de-emphasised. This consensus statement may also be relevant for providers working in other developed healthcare systems.
Authors
- Peter Gimson
- Owen Williams (ORCID: https://orcid.org/0000-0003-2658-8722)
- Hannah Clancy (ORCID: https://orcid.org/0000-0001-9883-1395)
- Felix Wood (ORCID: https://orcid.org/0000-0002-5706-852X)
- Philip Cowburn (ORCID: https://orcid.org/0000-0002-6983-2388)
- Lauren Weekes (ORCID: https://orcid.org/0000-0002-1120-758X)
- Sam Wilkins (ORCID: https://orcid.org/0000-0002-7108-6265)
- Jason Smith (ORCID: https://orcid.org/0000-0002-6143-0421)
- Elizabeth Freeman (ORCID: https://orcid.org/0000-0002-3062-7475)
- Leo Wood (ORCID: https://orcid.org/0000-0002-7980-9296)
- Jake Gluyas-Harris (ORCID: https://orcid.org/0009-0001-6780-6952)
- R. Wilkinson
- Timothy Godfrey
- Oliver Brown
- Benjamin Earle-Wright (ORCID: https://orcid.org/0009-0000-0453-0541)
Institutions
- North Bristol NHS Trust (GB)
- Royal Navy (GB)
- James Cook University Hospital (GB)
- Derriford Hospital (GB)
- Edinburgh Royal Infirmary (GB)
- Bristol Royal Infirmary (GB)
- South Tees Hospitals NHS Foundation Trust (GB)
- Wellington Free Ambulance (NZ)
- South Western Ambulance Service NHS Foundation Trust (GB)
- Medical Defence Union (GB)
- East Midlands Ambulance Service NHS Trust (GB)
- University Hospitals Plymouth NHS Trust (GB)
Publication Details
- Journal
- Emergency Medicine Journal
- Published
- 2026-08-27
- DOI
- https://doi.org/10.1136/emermed-2025-215431
- Primary Topic
- Electrolyte and hormonal disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00