Disaster nephrology: crush injury and beyond.
Kidney Int
; 85(5): 1049-57, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24107850
ABSTRACT
Disasters result in a substantial number of renal challenges, either by the creation of crush injury in victims trapped in collapsed buildings or by the destruction of existing dialysis facilities, leaving chronic dialysis patients without access to their dialysis units, medications, or medical care. Over the past two decades, lessons have been learned from the response to a number of major natural disasters that have impacted significantly on crush-related acute kidney injury and chronic dialysis patients. In this paper we review the pathophysiology and treatment of the crush syndrome, as summarized in recent clinical recommendations for the management of crush syndrome. The importance of early fluid resuscitation in preventing acute kidney injury is stressed, logistic difficulties in disaster conditions are described, and the need for an implementation of a renal disaster relief preparedness program is underlined. The role of the Renal Disaster Relief Task Force in providing emergency disaster relief and the logistical support required is outlined. In addition, the importance of detailed education of chronic dialysis patients and renal unit staff in the advance planning for such disasters and the impact of displacement by disasters of chronic dialysis patients are discussed.
Texto completo:
1
Temas:
ECOS
/
Gestao
Bases de dados:
MEDLINE
Assunto principal:
Diálise Renal
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Síndrome de Esmagamento
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Planejamento em Desastres
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Insuficiência Renal Crônica
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Injúria Renal Aguda
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Hidratação
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Acessibilidade aos Serviços de Saúde
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Nefrologia
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
/
Guideline
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
Idioma:
En
Revista:
Kidney Int
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Canadá