A fractured wound occurs when damage is caused by large and heavy objects, and the victim may experience damage to soft and bone tissue, as well as disorders resulting from compression of the limbs or torso. If the victim is under the rubble of a collapsed building, prolonged exposure to compression can also cause muscle tissue damage and the release of toxins from the injured area, known as crush syndrome. Once the victim is freed from the dumps, these toxins can enter the circulatory system, causing complications such as kidney failure. Causes of a crushed wound Many reasons can lead to the appearance of a fragmented wound, for example, as a result of an earthquake, building collapse, accident, etc. Signs and symptoms of comminuted wounds Damage to soft tissue at the site of compression: • bruises; • swelling; • blue blisters filled with blood. Signs of shock. The pulse may not be palpable in the limb below the injury site. Severe pain, usually followed by loss of sensation. Over time, the victim may experience confusion and loss of orientation. If the victim is not removed and treated in time, the crushed wound can lead to death.