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Wednesday, August 20, 2025

What to do if someone is crushed or trapped under something heavy?


Crush injuries are extremely serious because they can cause severe bleeding, broken bones, internal organ damage, and crush syndrome (release of toxins from damaged muscles when the pressure is removed). Quick, careful action is vital.


1. Ensure Your Own Safety

  • Do not rush in if the environment is unsafe (e.g., unstable building, machinery, traffic).

  • Call emergency services immediately (911/999/112).


2. Do Not Move the Object Yourself (Unless Safe and Small)

  • If the crushing object is very heavy (vehicle, collapsed structure), wait for trained rescuers with proper equipment.

  • If safe and light enough, you may remove the object, but only if the victim has been trapped for less than 15 minutes.

    • Beyond this time, sudden release can cause life-threatening shock and kidney failure from crush syndrome.


3. While Waiting for Help

  • Talk to the person to keep them calm.

  • Check responsiveness, airway, and breathing.

    • If they are not breathing and the object can be removed safely and quickly, begin CPR.

  • Control visible bleeding with firm pressure using dressings or clean cloths.

  • Immobilize the crushed body part – do not try to reposition limbs.

  • Keep them warm with a blanket or clothing.

  • If possible, elevate uninjured legs slightly to reduce shock, unless this causes pain or breathing difficulty.


4. Special Considerations – Crush Syndrome

  • If the person has been trapped >15 minutes, toxins from damaged muscle can flood the bloodstream when the object is lifted, causing cardiac arrest or kidney failure.

  • In such cases, do not remove the object until medical help arrives—paramedics may give IV fluids and medications before release.


5. If Object Is Removed (Short Duration Only)

  • As soon as the limb is freed, apply firm bandaging and splinting to support the injured part.

  • Continue to monitor for breathing, consciousness, and signs of shock.


6. Signs of Life-Threatening Complications

  • Severe pain, swelling, or deformity.

  • Pale, cold, or numb limb.

  • Weakness, confusion, or collapse.

  • Difficulty breathing or chest pain.

  • Cardiac arrest after release.

If any occur, follow emergency dispatcher instructions while waiting for professionals.




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