Síndrome do esmagamento associada à síndrome compartimental: relato de caso

A sindrome do esmagamento e condicao clinica potencialmente fatal se nao for tratada prontamente. O choque hipovolemico e a causa mais comum de morte nas primeiras 48 horas, seguida pela insuficiencia renal consequente ao baixo fluxo glomerular e a obstrucao tubular por mioglobina. O objetivo deste estudo e relatar um caso de trauma musculargrave que cursou para sindrome do esmagamento associado a sindrome compartimental, atendido no servico de pronto-socorro do Hospital de Base do Distrito Federal, e mostrar as estrategias adequadas na conducao clinica desse paciente em estado critico. Crush syndrome is often fatal if not treated promptly. Hypovolemic shock is the most common cause of death at the first 48 hours, followed by renal failure due to the low glomerular flow and tubular obstruction by myoglobin.The objective of this report is to present a case of muscle trauma that has evolved to a crush syndrome associated with compartment syndrome, attended at the emergency room of Hospital de Base do DF and to show appropriate strategies in the clinical management of this critically ill patient.