Accidents can happen at any time and in various environments, resulting in different types of injuries. One particularly challenging type of injury to manage is a crush injury. Whether caused by heavy machinery, falling objects, or high-pressure forces, crush injuries can lead to severe damage to body tissues, bones, and organs. In this comprehensive guide, we provide first aid responders with the knowledge and skills needed to effectively manage crush injuries. From assessing the scene and preserving the airway to controlling bleeding and understanding the risks of object removal, we cover crucial steps and considerations. Additionally, we delve into the impact of acidosis in crush injuries, emphasizing the importance of professional medical assistance. By being prepared and informed, first aid responders can provide essential care and potentially save lives in crush injury incidents.