Acute Kidney Injury Following Crush Injury and Earthquakes

AUTHORS

F Fallahian *** , +

How to Cite: Fallahian F. Acute Kidney Injury Following Crush Injury and Earthquakes, Shiraz E-Med J. Online ahead of Print ; 12(2):e20468.

ARTICLE INFORMATION

Shiraz E-Medical Journal: 12 (2); 66-76
Published Online: April 2, 2011
Article Type: Research Article
Received: January 1, 1970
Accepted: November 26, 2010
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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.

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