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Shiraz E-Medical Journal
Acute Kidney Injury Following Crush Injury and Earthquakes
Author(s):
+Corresponding Author: Department of Intensive Care Unit. Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98(21) 6634-8523, [email protected]. Email: [email protected]
Published online:Apr 02, 2011
Article type:Research Article
Received:Jan 01, 1970
Accepted:Nov 26, 2010
How to Cite:Fallahian F. Acute Kidney Injury Following Crush Injury and Earthquakes. Shiraz E-Med J. 2011;12(2):e20468. doi:
Abstract
Earthquakes may provoke crush injuries complicated by acute kidney injury (AKI). Manage-ment of rhabdomyolysis and acute renal failure (ARF) following crush injury is through im-prove the setting of primary triage and intensive care unit (ICU). This article summarizes scientific reports on management strategies of the ARF following crush injury available until 2010. Measures that should take into account for disasters and traumatic rhabdomyolysis include establishment of epidemiologic data about specific disaster conditions that predispose traumatic rhabdomyolysis and AKI, assessment and rescue team, local and public interven-tions, and programmed medical and social trained team. Early rehydration, urine alkaliniza-tion and, forced diuresis improve the outcome of kidney injury, risk of permanent renal fail-ure and mortality.
Copyright
© 2011, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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