T his condition seen people who are trapped under a heavy object or rubbles for hours. They may suffering from the crush syndrome. Rescuers often do not realize that the patient needs treatment before rescue. Without proper preparation, the patient, with pain control, may be cheerful before extrication, but die shortly thereafter. This sudden decompensation is called the "smiling death." It can be expected any event where patients are trapped under a crushing weight more than 4 hours.
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