Renal Failure Patients in Disasters
Autor: | Jeffrey B. Kopp, Kenneth D. Lempert |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Time Factors medicine.medical_treatment 030232 urology & nephrology Early death Dialysis care 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Renal Dialysis medicine Humans Renal Insufficiency Dialysis business.industry Public Health Environmental and Occupational Health Acute kidney injury Attendance Civil Defense Emergency department medicine.disease Triage Emergency medicine business Public health preparedness Delivery of Health Care |
Zdroj: | Disaster Medicine and Public Health Preparedness. 13:782-790 |
ISSN: | 1938-744X 1935-7893 |
DOI: | 10.1017/dmp.2018.142 |
Popis: | Disasters occur regularly, and frequently large numbers of patients treated with maintenance dialysis or with the recent onset of acute kidney injury are put at risk owing to the lack of access to dialysis care precipitating also a kidney failure disaster. The absence of necessary dialysis treatments can result in excessive emergency department visits, hospitalizations, morbidity, or an early death. Those with kidney failure are often evaluated in disaster medical locations or hospitals without nephrologists in attendance. Here we offer guidance for medical personnel evaluating such patients so that dialysis-dependent individuals can be properly assessed and managed with the need for urgent dialysis recognized. A disaster dialysis triage system is proposed. (Disaster Med Public Health Preparedness.2019;13:782–790) |
Databáze: | OpenAIRE |
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