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NDT Advance Access originally published online on March 3, 2009
Nephrology Dialysis Transplantation 2009 24(6):1730-1735; doi:10.1093/ndt/gfp094
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Renal disaster relief: from theory to practice

Mehmet Sukru Sever1,2,3, Norbert Lameire4 and Raymond Vanholder2,5

1 Renal Disaster Relief Task Force (RDRTF) for Turkey 2 RDRTF of the International Society of Nephrology (ISN) 3 Department of Internal Medicine/Nephrology, Istanbul School of Medicine, Istanbul, Turkey 4 Renal Disaster Relief Task Force European Branch, Department of Internal Medicine/Nephrology, University Hospital, Ghent, Belgium 5 Renal Division, Department of Internal Medicine, University Hospital, Ghent, Belgium

Correspondence and offprint requests to: Mehmet Sukru Sever; E-mail: severm@hotmail.com

Keywords: crush injury; crush syndrome; disaster; rhabdomyolysis; scenario

The first 150 words of the full text of this article appear below.



   Introduction
 
The crush syndrome is the second most frequent cause of disaster-related mortality after earthquakes [1]. However, overall burden of the disaster on public support makes emergency teams concentrate on other needs (e.g. housing, primary health care), so that usually not much attention is paid to crush syndrome patients and, by extension, to the renal victims. According to the general perception, they constitute a relatively minor group requiring complex and labour-intensive therapeutic measures and are rarely included in governmental or local disaster plans.

However, the incidence of crush syndrome can rise up to 2–5% overall in disaster victims [2], whereas it takes a lot of effort to extricate them from the rubble. Hence, it would be deplorable and even counter productive if the proper therapeutic possibilities would not be offered, especially in the case of acute kidney injury (AKI) [3], which is one of the . . . [Full Text of this Article]



   ‘Renal disaster’ after earthquakes
 


   Preparations before disaster
 
A. Composing disaster response team
B. Organizing educational activities
Rescue teams
Non-nephrological medical personnel
Nephrological (para-)medical personnel
Chronic dialysis patients
C. Planning of personnel, material and of dialysis services
1. External planning and preparations
2. Local planning


   Measures to be taken in the aftermath of disaster
 
External intervention
Local intervention


   Conclusions
 

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Home page
 Nephrol Dial TransplantHome page
R. Vanholder, S. Stuard, M. Bonomini, and M. S. Sever
Renal disaster relief in Europe: the experience at L'Aquila, Italy, in April 2009
Nephrol. Dial. Transplant., October 1, 2009; 24(10): 3251 - 3255.
[Abstract] [Full Text] [PDF]