Lessons learned from the Marmara disaster: Time period under the rubble

Sever, Mehmet Şükrü; Erek, Ekrem; Vanholder, Raymond; Özener, Çeti̇n; Yavuz, Mahmut; Kayacan, Seyit Mehmet; Ergin, Hülya; Apaydın, Süheyla; Cobanoglu, Mehmet; Dönmez, Osman; Erdem, Yunus; Lameire, Norbert

doi:10.1097/00003246-200211000-00007

Cited by 55 publications

(27 citation statements)

References 16 publications

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“…According to a retrospective analysis conducted after the Armenian earthquake, only 3.5% of casualties were extricated by specialized teams (73). External rescue takes at least 24-48 hours to organize, whereas rescue during this period may be critical for ultimate outcome (73)(74)(75). Hence, people living in disaster-prone regions should be trained on how to contribute to the rescue if they remain uninjured (76).…”

Section: Logistic Principlesmentioning

confidence: 99%

Management of Crush Victims in Mass Disasters

Sever

Vanholder

2013

Clinical Journal of the American Society of Nephrology

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156

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SummaryCrush syndrome is the second most common cause of death after earthquakes (the first most common is direct trauma). Many logistic problems with the treatment of patients with crush syndrome are due to chaotic disaster circumstances; consequently, medical and logistic recommendations on the treatment of crush victims are needed. In a joint initiative of the Renal Disaster Relief Task Force of the International Society of Nephrology and European Renal Best Practice, a work group of nephrologists, intensivists, surgeons, and logisticians with disaster experience or experts in guideline preparation collaborated to provide comprehensive information and recommendations on the management of crush casualties considering their occurrence with "epidemic" dimensions after mass disasters. The result is the monograph "Recommendations for the Management of Crush Victims in Mass Disasters", which may help provide effective health care to disaster victims with renal problems. This article discusses medical and logistic principles of the treatment of crush victims, both at the disaster field and on admission to hospitals, and guidance is described. The importance of early fluid administration even before extrication of the victims and avoidance of potassium-containing solutions during the treatment of crush victims is underlined. Also, the logistic problems in treating crush casualties are emphasized. The most important aspects of the recently published recommendations are highlighted.

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Section: Logistic Principlesmentioning

confidence: 99%

Management of Crush Victims in Mass Disasters

Sever

Vanholder

2013

Clinical Journal of the American Society of Nephrology

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156

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“…There were two particularly catastrophic earthquakes in the last decade: the 1995 Hanshin-Awaji earthquake in Japan, and the 1999 Marmara earthquake in Turkey. [1][2][3][4][5]16 The sufferers of CS showed similarly high mortality rates of 13.4% and 13.6%, respectively. Out of 372 Hanshin-Awaji earthquake patients with CS, 239 had CI of the lower limbs.…”

Section: Discussionmentioning

confidence: 98%

“…1 Similarly, out of 539 Marmara earthquake victims with CS, 436 had CI of the lower limbs. 16 Thus, the lower limbs appear to be the main CI site during massive disasters.…”

Section: Discussionmentioning

confidence: 99%

New Experimental Model of Crush Injury of the Hindlimbs in Rats

Akimau

Yoshiya

Hosotsubo

et al. 2005

The Journal of Trauma: Injury, Infection, and Critical Care

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“…This important consensus-building conference, which continues every 2 years under the same organizational structure (http:// cybernephrology.ualberta.ca/Banff), led to the Banff Classification, the worldwide standard for renal transplant biopsy interpretation [7][8][9]. Initially, fax was the primary mode used not only in the Banff classification communications, but also in another important activity of the ARF Commission, the Disaster Relief Task Force under the leadership of Norbert Lameire which, in 1999, successfully intervened in a major earthquake in Turkey, saving hundreds of lives [10][11][12][13][14][15][16][17].…”

Section: Cybermedicine/cybernephrology Timeline-authors' Experiencementioning

confidence: 99%

Electronic strategies for information and research: cyberNephrology/cyberMedicine in the emerging world

Solez

Hales

Katz

2005

Kidney International

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Communication and medicine have evolved together. Internet resources now provide an unprecedented opportunity to provide health assistance to the developing world. The International Society of Nephrology Informatics Commission and National Kidney Foundation cyberNephrology initiative (http://www.cybernephrology.org) have created e-mail discussion groups (e.g., NEPHROL, NEPHKIDS, and so forth) and online texts and web resources (e.g., the Schrier Atlas: http://www.kidneyatlas.org) that are, in many respects, ahead of other areas of medicine. On the other hand, nephrology is quite behind in its embrace of some specific communications initiatives that could benefit emerging nations: the Health InterNetwork Access to Research Initiative program, which provides free full-text access to medical journals and books in poorer countries; the Global Health Network Supercourse, which provides specially designed online lectures for the developing world; and Internet2/Abilene and similar research networks around the world, which provide reliable, guaranteed bandwidth for high-quality Internet videoconferencing as an alternative to face-to-face lectures and meetings. The intent of many educational ventures in nephrology, particularly in the clinical practice guideline realm (National Kidney Foundation Kidney Disease Outcomes Quality Initiative, Kidney Disease Improving Global Outcomes, and so forth), is not just to disseminate information but to change human behavior: physician practice and referral patterns, patient compliance, and so forth. Concepts from the worlds of marketing and entertainment, where the science of changing human behavior is highly evolved, can be used to create high-impact, educational offerings to promote health. They can also be highly beneficial to share Internet educational innovations and future vision across boundaries of medical specialties, which is part of the intent of the cyberMedicine joint venture (http://www.cyber-medicine.org).

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Lessons learned from the Marmara disaster: Time period under the rubble

Cited by 55 publications

References 16 publications

Management of Crush Victims in Mass Disasters

Management of Crush Victims in Mass Disasters

New Experimental Model of Crush Injury of the Hindlimbs in Rats

Electronic strategies for information and research: cyberNephrology/cyberMedicine in the emerging world

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