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Exam questionKROK 2Medicine ยท 2023

A 42-year-old man, a miner, was freed after 12 hours spent under the rubble. Objectively, his both lower legs and feet are pale; there is no pulsation on the peripheral vessels, no sensitivity, and no passive movements in the joints. He was hospitalized with tourniquets applied to both limbs. What urgent first aid must be provided in this case to prevent myoglobinuria and acute kidney failure?

Answer options

  1. Remove the tourniquets, provide detoxification therapy
  2. Do not remove the tourniquets, provide detoxification therapy
  3. Do not remove the tourniquets, provide hyperbaric oxygenation
  4. Remove the tourniquets, provide hyperbaric oxygenation
  5. Do not remove the tourniquets, amputate the limbs above the tourniquets
Correct answer

Do not remove the tourniquets, amputate the limbs above the tourniquets

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