# Crush Injury Record Review > Crush injury record review: entrapment time, compartment pressures, CK and kidney labs, and the fasciotomy timing, on 1 page-cited timeline. Canonical page: https://medrecords.ai/solutions/crush-injury-record-review/ --- New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/) 1. [Solutions](https://medrecords.ai/solutions/) 2. [Case types](https://medrecords.ai/solutions/case-types/) 3. Crush injuries Crush injury cases ## A crush injury is a race against the clock. *The labs show who kept up.* Medrecords AI puts the entrapment time, the compartment pressures, the CK and kidney labs and the fasciotomy on 1 timeline, down to the minute. Every entry links to its page. Whether the response was fast enough stays with your experts. [Book a demo ](https://medrecords.ai/demo/) [See a sample chronology](https://medrecords.ai/solutions/crush-injury-record-review/#sample) - HIPAA, under a BAA - SOC 2 - 100 pages a minute - First case is free on us **1 leg, the first 36 hours** — tap a point released · 11:50 Labs Clinical 10:00 — 16:00 — 8 Aug, night — 9 Aug, 22:00 8 Aug 2025, 15:40Orthopedics — Clinical Compartment pressures measured. Delta pressure 24 mmHg. p. 26 — cited Illustrative case. The patient, times and pages are fictional. 30mmHg A delta pressure below this is a common threshold for fasciotomy in compartment syndrome. StatPearls, Acute Compartment Syndrome 6hours Roughly how long muscle tolerates raised compartment pressure before damage becomes irreversible. StatPearls, Acute Compartment Syndrome 5times A CK above 5 times the upper limit of normal is the usual lab marker for rhabdomyolysis. StatPearls, Rhabdomyolysis 100pages a minute How fast Medrecords AI reads the file. Medrecords AI Where crush cases turn ### 6 places the defense looks first. The chronology gets you there before they do. In a crush case the damage keeps happening after the release. The record shows how fast each step came. These are the points where it gets decided, each flagged with its page. Clinical #### The entrapment time How long the limb was trapped, from EMS, the fire report and the ED, side by side. Every later clock runs from it. entrapment timeClinical #### Pain out of proportion The first notes of the classic signs of compartment syndrome, with their times. citedClinical #### Pressure to fasciotomy Each compartment pressure reading and the time of the fasciotomy, so the interval is a number on the page. citedLabs #### The CK trend Every CK, potassium, creatinine and urine result in order, so the rise is visible and the time each result posted is known. flaggedLabs #### The kidneys Kidney labs, fluids and the dialysis decision, dated. Acute kidney injury can add months of care. citedBoth #### The records that never arrived The fire rescue report, the pressure monitor readout, the nephrology consult a note mentions. Listed with the page that points to each one. missing-records list Sample output ### What comes back: labs and clinical course, minute by minute, every line cited. | Date | Source | Finding | Page | Flag | | --- | --- | --- | --- | --- | | 8 Aug 2025, 12:30 | Lab | CK 4,800 U/L. Potassium 5.4. | p. 22 | flagged | | 8 Aug 2025, 18:10 | Lab | CK 21,000 U/L. Urine dark, dipstick positive for blood. | p. 30 | flagged | | 9 Aug 2025, 06:00 | Lab | CK 38,000 U/L. Creatinine 2.9, up from 1.0. | p. 44 | flagged | | Date | Source | Finding | Page | Flag | | --- | --- | --- | --- | --- | | 8 Aug 2025, 10:20 | EMS run sheet | Right leg pinned under a steel beam. Released after about 90 minutes. | p. 3 | entrapment time | | 8 Aug 2025, 12:05 | Emergency department | Pain out of proportion. Calf tense. | p. 14 | cited | | 8 Aug 2025, 15:40 | Orthopedics | Compartment pressures measured. Delta pressure 24 mmHg. | p. 26 | cited | | 8 Aug 2025, 17:10 | Operative note | Fasciotomy, 4 compartments. Some muscle not viable. | p. 33 | cited | | 9 Aug 2025, 14:00 | Nephrology | Acute kidney injury. Dialysis started. | p. 51 | cited | Fictional case built for this page. Real output carries the same columns, with every page linked to the source PDF. How it works ### Send the file. Get the timeline back. #### What you send - EMS, fire rescue and emergency department records - Lab results, flowsheets and monitor records - Operative, ICU and nephrology records - Rehab and therapy records - Any format: PDFs, scans, faxes, phone photos #### What you get - A minute-by-minute timeline of the first hours - The CK and kidney trend, with posting times - Pressure readings and the fasciotomy time, side by side - A page-cited chronology through rehab - A list of records the file refers to but does not contain #### We lay out the record. Your experts judge the timing. We place every result and every note in strict order, with pages. We do not say the fasciotomy came too late, interpret the labs or say what caused the kidney injury. Those opinions belong to your medical experts. **HIPAA, under a signed BAA** — Every file is handled under our Business Associate Agreement. **SOC 2** — Encryption in transit and at rest, and PHI access logging on every event. **Never trains a model** — Your records never train any AI model, ours or anyone else’s. **Deleted after delivery** — Files are deleted 30 days after delivery, with an audit log of every access. Questions ### Crush injury record review, answered. **Do you say whether the fasciotomy was done in time?** No. We put each pressure reading, each note and the operation time on 1 timeline, with pages. Whether the timing met the standard of care is for your expert. **Can you track lab trends across the hospital stay?** Yes. Every CK, potassium, creatinine and urine result is listed with its collection and posting time, in order, so the trend and the response to it are easy to follow. **Does this work for workplace crush injuries?** Yes. The same chronology serves a workers' comp claim, a third-party case against an equipment maker, or both. **Do you retrieve records from providers?** No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have, and review starts in minutes from upload. ### Related case types [Amputation and limb loss](https://medrecords.ai/solutions/amputation-injury-record-review/) [Workers' comp](https://medrecords.ai/solutions/workers-comp/) [Train accidents and FELA](https://medrecords.ai/solutions/train-accident-fela-record-review/) [Product liability](https://medrecords.ai/solutions/product-liability-medical-causation-review/) [Medical malpractice](https://medrecords.ai/solutions/medical-malpractice/) [Every case type](https://medrecords.ai/solutions/case-types/) ### Send us 1 crush injury file. The first case is free on us. Book a short demo. 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