Plumber Accidentally Dies While Working on Pipelines in Myersville, MD.
Myersville, Md. – A tragic story of a young plumber who died at the R Adams Cowley Shock Trauma Center in Baltimore. Robert Craig was 26 years old while working as a plumber on pipelines for a home under construction on Hunter’s Knoll in Myersville on Tuesday, 11/25/14. It is reported that Craig fell into a trench next to the home’s foundation where he then became trapped under rock and debris for more than two hours.
Firefighters and fire units at the scene included those from Frederick County and Montgomery County and the rescue operation was assisted by the Frederick County Sheriff’s Office as all parties were engaged in actively trying to free the young man without inflicting further serious physical damages or harm.
Kevin Fox of Fire and Rescue Service said, “Upon arrival, units found that there was an adult male patient that was conscious. He was pinned from the waist down, from dirt and rock.” Craig was successfully rescued at about 2:15 p.m. He was flown to R Adams Cowley Shock Trauma Center in Baltimore via medevac helicopter but unfortunately passed away due to the number of serious injuries he had sustained.
We interview Dr. Lindsay Keith because we were curious about how someone could die from injuries waist down.
“The young plumber tragically died from the injuries he sustained while he was pinned from the waist down by rock and dirt for over two hours. While it is impossible to determine exactly what caused his death without more information, it is entirely likely that his death was precipitated by a process called Rhabdomyolysis, which was induced by his crush injury. During crush injuries, bones are ofter broken, muscle is damaged, life-threatening hemorrhage may occur and extremities may lose their blood supply from compression and/or blood vessel injury.
Rhabdomyolysis, by definition, signifies the destruction of the skeletal muscle causing its breakdown products, or “cellular debris” of proteins and electrolytes, to be released into the bloodstream. It can be caused by massive crush injuries, laying on the ground (found down) for a prolonged period of time, massive burns, and many other causes. The damaged muscle cells release Myoglobin into the bloodstream, which causes obstruction of the “filtering-system” in the kidney. This obstruction along with fluid shifts in the body causes the kidneys to fail. Furthermore, when the crush is relieved and perfusion to the limb is restored, the electrolytes potassium and phosphorus are also released into the bloodstream. This can cause lethal arrhythmias, or irregular heartbeats, and can further exacerbate the kidney failure. Reperfusion may also lead to compartment syndrome or increased pressure within the fascia-encased areas of the extremity, which can impede blood flow to and drainage from the limb, as well as damage the nerve supply. This compounds the damage to the crushed area, increasing the risk of Rhabdomyolysis and subsequent kidney failure, and further threatens amputation of the limb if the patient is not treated very quickly.”
Says Dr. Lindsay Keith.