{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T12:17:35Z","timestamp":1742645855942,"version":"3.38.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p> We report on the case of a 28-y-old man with both legs and left arm trapped for nearly 6 h after falling and subsequently being trapped by a boulder during a hike in the wilderness. Extrication required equipment designed for urban environments and was operated by an unconventional team of rescue professionals. The patient experienced multiple right lower-extremity orthopedic injuries, acute kidney injury secondary to rhabdomyolysis, and bilateral segmental pulmonary emboli. In this article, we detail the extrication and review the treatment guidelines for crush injuries that focus on aggressive fluid resuscitation prior to and during extrication and medication administration only if hyperkalemia presents. Wilderness rescuers should plan for the use of unconventional rescue equipment in austere prolonged rescue scenarios. <\/jats:p>","DOI":"10.1016\/j.wem.2023.05.006","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T05:09:04Z","timestamp":1689656944000},"page":"377-382","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Wilderness Rescue of a Hiker with Multiple Trapped Limbs by a Combined Wilderness and Urban Rescue Team Using High-Pressure Airbags"],"prefix":"10.1177","volume":"34","author":[{"given":"Joshua G.","family":"Corsa","sequence":"first","affiliation":[{"name":"Snohomish County Helicopter Rescue Team, Snohomish, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey O.","family":"Brown","sequence":"additional","affiliation":[{"name":"Snohomish County Helicopter Rescue Team, Snohomish, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan M.","family":"Fleming","sequence":"additional","affiliation":[{"name":"Snohomish County Helicopter Rescue Team, Snohomish, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy Thomas","family":"Bergmann","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Washington Hospital, Wenatchee, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Henning","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Washington Hospital, Wenatchee, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey T.","family":"Monson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Washington Hospital, Wenatchee, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,1]]},"reference":[{"key":"bibr1-j.wem.2023.05.006","unstructured":"American College of Emergency Physicians. Crush injury and crush syndrome. https:\/\/www.acep.org\/imports\/clinical-and-practice-management\/resources\/ems-and-disaster-preparedness\/disaster-preparedness-grant-projects\/cdc-blast-injury\/cdc-blast-injury-fact-sheets\/crush-injury-and-crush-syndrome\/. 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