Dialysis for acute renal failure due to crush injuries after the Armenian earthquake.

نویسندگان

  • N T Richards
  • J Tattersall
  • M McCann
  • A Samson
  • T Mathias
  • A Johnson
چکیده

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منابع مشابه

Disaster nephrology: a new concept for an old problem

Natural and man-made mass disasters directly or indirectly affect huge populations, who need basic infrastructural help and support to survive. However, despite the potentially negative impact on survival chances, these health care issues are often neglected by the authorities. Treatment of both acute and chronic kidney diseases (CKDs) is especially problematic after disasters, because they alm...

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Clinical features and outcome of crush syndrome caused by the Chi-Chi earthquake.

BACKGROUND AND PURPOSE Few reports exist concerning the peak serum concentration of creatine kinase (CK) and the severity of crush syndrome, and the efficacy of fasciotomy in crush syndrome patients remains controversial. This study aimed to analyze and assess the clinical features, treatment, and outcome of patients with crush syndrome sustained in the Chi-Chi earthquake in September 21, 1999....

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Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters.

BACKGROUND The term acute kidney injury (AKI) and its classification in strata defined as Risk, Injury, Failure, Loss and End-stage renal failure (RIFLE) need to be validated in different patient groups. RIFLE may be useful to foresee medical and logistic problems in crush-related AKI in disaster victims. METHODS Taken from the Marmara earthquake crush database, the subjects included 416 pati...

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Oral alkalinizing solution as a potential prophylaxis against myoglobinuric acute renal failure: preliminary data from healthy volunteers.

BACKGROUND Acute renal failure (ARF) secondary to crush injury is one of the leading causes of hospitalization and death in survivors of massive disasters. The standard therapy for crush injury, intravenous (i.v.) hydration and alkalinization of urine, is often not feasible after a mass disaster; therefore, oral rehydration and urinary alkalinization may be a useful substitute. METHODS We dev...

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Clinical findings in the renal victims of a catastrophic disaster: the Marmara earthquake.

BACKGROUND The clinical course of acute renal failure (ARF) related to crush syndrome is very complex, because of co-existing surgical and/or medical complications. After the devastating Marmara earthquake that struck Turkey in August 1999, 639 patients were identified with nephrological problems, whose clinical findings have been the subject of this analysis. METHODS Specific questionnaires ...

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عنوان ژورنال:
  • BMJ

دوره 298 6671  شماره 

صفحات  -

تاریخ انتشار 1989