Earthquake-Related Crush Syndrome and Nursing Care

Abstract

Crush syndrome is frequently caused by natural or man-made disasters such as earthquakes, mine collapses, building collapses, and landslides. The notion that our country is an earthquake zone has once again surfaced as a scientific reality, particularly in light of the earthquake tragedies that occurred on February 6, 2023. Crush syndrome, a systemic disease that develops when a limb or body part is destroyed under great pressure and the products of muscle breakdown enter the circulation, is frequently seen in earthquakes. Crush syndrome has a significant death rate in the early stages and is considered an emergency scenario. Crush syndrome treatment and care begins with the rescue of the earthquake sufferer and ends with a lengthy rehabilitation time. Nursing care is critical in crush syndrome to save the patient's life and prevent limb loss. Nurses' roles are to stabilize patients, preserve critical functions, and limit the danger of infection. This review was developed to consolidate current knowledge regarding crush syndrome, which is commonly caused by earthquakes, as well as to provide current information about nursing care.

Keywords

• crush syndrome
• earthquake
• nursing
• care

Depreme Bağlı Yaşanan Ezilme Sendromu ve Hemşirelik Bakımı

Abstract

Ezilme sendromu sıklıkla doğal ve insan kaynaklı deprem, maden göçükleri, bina yıkılması, toprak kayması gibi afetler sonucunda meydana gelmektedir. Özellikle 6 Şubat 2023’te yaşanan deprem felaketleri ile birlikte ülkemizin bir deprem bölgesi olduğu gerçeği tekrar bilimsel bir gerçek olarak karşımıza çıkmıştır. Aşırı basınç altında kalan bir uzvun veya vücut bölgesinin hasar görmesi sonucu kas yıkımı ürünlerinin dolaşıma katılması ile ortaya çıkan sistemik bir sendrom olan ezilme sendromu depremlerde sıklıkla karşılaşılan bir durumdur. Ezilme sendromu erken dönemde yüksek mortaliteye sahip olup acil bir durumdur. Ezilme sendromunun tedavi ve bakımı depremzedenin kurtarılma anı ile başlar ve uzun süren bir rehabilitasyon dönemi ile sonuçlanır. Ezilme sendromunda hemşirelik bakımı, hastanın hayatını kurtarmak ve uzuv kaybını önlemek için oldukça önemlidir. Hemşirelerin rolü, hastanın stabilize edilmesi, hayati işlevlerin devamlılığı ve enfeksiyon riskinin azaltılmasıdır. Bu derleme depreme bağlı sıklıkla gelişen ezilme sendromuna dair güncel bilgileri derleyerek ve hemşirelik bakımı hakkında güncel bilgilendirmeyi sağlamak amacıyla yazılmıştır.

Keywords

• ezilme sendromu
• deprem
• hemşirelik
• bakım

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