The occurrence of fatal renal insufficiency following crush injuries of the limbs was first clearly described by Bywaters and Beall1 in 1941, who reported four cases and described a typical clinical syndrome. Their observations have since been confirmed by a number of other British writers.
These cases were all victims of bombing disasters and had been buried several hours under the debris of wrecked houses in such a manner that the muscles of the limbs or trunk had been subjected to intense pressure. On release, in some cases there was evidence of severe local trauma, with weals like those following
CRUSH SYNDROME. Ann Intern Med. ;16:792–795. doi: 10.7326/0003-4819-16-4-792
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Published: Ann Intern Med. 1942;16(4):792-795.
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