Acute Kidney Injury Following Crush Injury and Earthquakes

摘要

Earthquakesmayprovokecrushinjuriescomplicatedbyacutekidneyinjury(AKI).Manage-mentofrhabdomyolysisandacuterenalfailure(ARF)followingcrushinjuryisthroughim-provethesettingofprimarytriageandintensivecareunit(ICU).ThisarticlesummarizesscientificreportsonmanagementstrategiesoftheARFfollowingcrushinjuryavailableuntil2010.MeasuresthatshouldtakeintoaccountfordisastersandtraumaticrhabdomyolysisincludeestablishmentofepidemiologicdataaboutspecificdisasterconditionsthatpredisposetraumaticrhabdomyolysisandAKI,assessmentandrescueteam,localandpublicinterven-tions,andprogrammedmedicalandsocialtrainedteam.Earlyrehydration,urinealkaliniza-tionand,forceddiuresisimprovetheoutcomeofkidneyinjury,riskofpermanentrenalfail-ureandmortality.