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Thu Aug 30 21:53:04 BST 2007

This was also done extensively in Zimbabwe by ruling party thugs. We saw it
in the war leading up to independence, villagers who were thought not to be
supportive enough of Mugabe’s guerrillas would publicly lain down and
thrashed on their backs with sticks. Those that survived eventually made it
to hospital with extensive skin loss over the buttocks, thighs and backs,
and some also presented in established renal failure. We saw the same
injuries during the “Gukurahundi” campaign against the residents of
Matabeleland 1982-7 when 20000 or so were murdered by the North Korean
trained 5th brigade. Children were not spared either. Owing to the late
presentations surgery consisted of debridement and skin grafting.

Matt Oliver

Bendigo

Australia (ex Zimbabwe)

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of johan.malmgren at vgregion.se
Sent: Monday, 27 August 2007 7:44 PM
To: Trauma &amp, Critical Care mailing list
Subject: Ang: crush injury

Would be nice to hear Tim Hardcastles opinion on this. From working with him
a few years ago I recall that they have a lot of cases from something I
think was called Shambok. Supposedly it's some kind of rubber whip used in
people's courts.

Johan Malmgren 
Resident, Anaesthesia, Critical Care & Traumatology
Dept of Anaesthesia and Critical Care
Sahlgrenska University Hospital
Gothenburg, Sweden
+46313428073 [Work]
+46707696961 [Mobile]

-----trauma-list-bounces at trauma.org skrev: -----

Till: trauma-list at trauma.org
Från: "Sa'ad Lahri" <slahri at webmail.co.za>
Sänt av: trauma-list-bounces at trauma.org
Datum: 2007-08-25 21:45
Ärende: crush injury

requesting opinions and possible suggestion for management

A 25
y old man was caught by members of his community for stealing chickens. He
was beaten with a belt (community assault) and arrived to hospital with
his relatives.

his back, both arms and thighs were bruised.

couple of questions regarding crush injury?
how do you
estimate severity? do you use % body surface area involved?
How
useful is CK measurement?
what type of fluid is used?
ringers/saline?

kind regards
Sa'ad

Dr Sa'ad
Lahri 
Emergency Medicine Registrar 
UCT/US 
Cape Town 
South Africa

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