A recent study evaluated the impact of kidney replacement therapy modalities and outcomes in pediatric patients with crush syndrome–associated acute kidney injury. It revealed that a delay in pediatric intensive care unit transfer beyond 47 hours significantly increased the likelihood of dialysis dependency at discharge. The study also found that delayed pediatric intensive care unit transfer and higher Pediatric Trauma Score were independent risk factors for dialysis dependency, highlighting the importance of timely intensive care in pediatric acute kidney injury following crush injuries.