Crush syndrome sustained in the 1995 Kobe, Japan, earthquake : treatment and outcome.

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TextDescription: [6] pDDC classification:

617.1026 21

Subject: The objective of the study was to assess the treatement and outcome of patients with crush syndrome sustained in an earthquake disaster. A retrospective analysis was conducted of eight patients with crush syndrome and subsequent acute kidney failure who were treated in the ICU of a university hospital. All eight patients had been extricated from buildings that collapsed in the 1995 Kobe, Japan, earthquake. Crush injury involved the upper extremities in one patient and the lower extremities in seven. Each patient received intravenous fluid infusion and diuretic drugs and underwent hemodialysis. Emergency fasciotomy was performed in some patients, 17 to 100 hours after extrication. Findings support current therapeutic strategies for crush syndrome, despite the long delay to initiation of intensive therapy. All patients recovered kidney function and were weaned from herodialysis; none required amputation

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Books	Australian Emergency Management Library	BOOK	617.1026 CRU (Browse shelf(Opens below))	Available		900075913

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Previous	616.99244 NAG Nagasaki symposium on Chernobyl : update and future.	617.1026 ARO Injuries and occupant behavior in earthquakes.	617.1026 BOW Surgical philosophy in mass casualty management: with detailed notes on practical care.	617.1026 CRU Crush syndrome sustained in the 1995 Kobe, Japan, earthquake : treatment and outcome.	617.1026 EME Emergency care and transportation : of the sick and injured.	617.11 ACC Accident and emergency burns: lessons from the Bradford disaster: proceedings of an extended panel discussion held in Bradford on October 8, 1985.	617.11 MAN The Management of mass burn casualties and fire disasters : proceedings of the First International Conference on Burns and Fire Disasters.	Next

From: Annals of emergency medicine, vol. 30, no. 4, 1997, pp. 507-512

Includes references

The objective of the study was to assess the treatement and outcome of patients with crush syndrome sustained in an earthquake disaster. A retrospective analysis was conducted of eight patients with crush syndrome and subsequent acute kidney failure who were treated in the ICU of a university hospital. All eight patients had been extricated from buildings that collapsed in the 1995 Kobe, Japan, earthquake. Crush injury involved the upper extremities in one patient and the lower extremities in seven. Each patient received intravenous fluid infusion and diuretic drugs and underwent hemodialysis. Emergency fasciotomy was performed in some patients, 17 to 100 hours after extrication. Findings support current therapeutic strategies for crush syndrome, despite the long delay to initiation of intensive therapy. All patients recovered kidney function and were weaned from herodialysis; none required amputation

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