Crush injuries are difficult to manage in the best of circumstances. In an austere environment by a practitioner with little to no experience they can be overwhelming. In deciding which problem to address in depth first crush syndrome seemed to be a great choice. The Clinical Practice Guideline is well on it's way to being released very soon. As discussed in the podcast, our recommendations are an amalgamation of best practices adapted for our difficult environment. It is an injury that can happen anywhere to anyone and the correct initial management can make all the difference in patient outcome. Enough out of me, I'll let Doc Riesberg explain it via his talk he gave earlier this year to the Joint Trauma System Teleconference.