ICJEM

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Letter to the Editor
The importance of inflammatory indices in the early diagnosis and prognostic evaluation of patients with crush syndrome
Crush syndrome management in disasters requires rapid triage despite limited laboratory capacity. Drawing on the findings of Kablan et al., this letter highlights the practical value of complete blood count–derived inflammatory indices, particularly the systemic inflammation response index (SIRI). SIRI remained an independent predictor in multivariable analysis and showed strong diagnostic performance, supporting its potential role as an early, low-cost decision aid when biochemical testing is delayed. Prospective, multicenter validation and comparisons with established scoring systems are recommended for disaster field applicability.


1. Kablan A, Sarcan E, Avcıoğlu G, Kablan S. The importance of inflammatory indices in the early diagnosis and prognostic evaluation of patients with crush syndrome. Intercont J Emerg Med. 2025;3(4):73-79. doi:10.51271/ICJEM-0064
2. Zhou Q, Su S, You W, Wang T, Ren T, Zhu L. Systemic Inflammation Response Index as a prognostic marker in cancer patients: a systematic review and meta-analysis of 38 cohorts. Dose Response. 2021;19(4): 15593258211064744. doi:10.1177/15593258211064744
Volume 4, Issue 2, 2026
Page : 45-47
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