Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit
Our world has been afflicted by natural disasters numerous times throughout the ages, and consequently, several morbidities and mortality have been reported. Earthquakes are natural disasters with widespread and long-lasting effects on the affected population and different clinical complications. Cr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2023-12-01
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| Series: | Cam & Sakura Medical Journal |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-64936 |
| _version_ | 1797361140068515840 |
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| author | Arzu Yıldırım Ar Yıldız Yiğit |
| author_facet | Arzu Yıldırım Ar Yıldız Yiğit |
| author_sort | Arzu Yıldırım Ar |
| collection | DOAJ |
| description | Our world has been afflicted by natural disasters numerous times throughout the ages, and consequently, several morbidities and mortality have been reported. Earthquakes are natural disasters with widespread and long-lasting effects on the affected population and different clinical complications. Crush syndrome (CS) is observed in most patients followed up in the intensive care unit (ICU) after earthquakes. In CS, traumatic rhabdomyolysis, hypotension due to decreased fluid volume in the intravascular space, hyperkalemia, and renal failure due to hypovolemia can ensue. Rhabdomyolysis releases intracellular potassium, phosphorus, nucleic acids, and myoglobin into the circulation. The most important laboratory finding was hyperkalemia. Acute renal failure, compartment syndrome, disseminated intravascular coagulation, and metabolic disorders may be observed because of rhabdomyolysis. Pulmonary complications, infections, and other medical complications may develop in patients with CS. It is important to start treatment at the site of trauma before reaching the hospital, to closely monitor the patient during treatment in the ICU, and to treat patients with a multidisciplinary approach to reduce mortality and morbidity after earthquakes. |
| first_indexed | 2024-03-08T15:50:34Z |
| format | Article |
| id | doaj.art-4b6523cb70af4905b9aafc9db084efe4 |
| institution | Directory Open Access Journal |
| issn | 2791-8823 |
| language | English |
| last_indexed | 2024-03-08T15:50:34Z |
| publishDate | 2023-12-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Cam & Sakura Medical Journal |
| spelling | doaj.art-4b6523cb70af4905b9aafc9db084efe42024-01-09T06:18:49ZengGalenos Publishing HouseCam & Sakura Medical Journal2791-88232023-12-013Suppl 1192410.4274/csmedj.galenos.2023.2023-9-5CSM-64936Treatment and Follow-up for Earthquake Victims in the Intensive Care UnitArzu Yıldırım Ar0Yıldız Yiğit1University of Health Sciences Turkey, Fatih Sultan Mehmet Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, TurkeyUniversity of Health Sciences Turkey, Fatih Sultan Mehmet Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, TurkeyOur world has been afflicted by natural disasters numerous times throughout the ages, and consequently, several morbidities and mortality have been reported. Earthquakes are natural disasters with widespread and long-lasting effects on the affected population and different clinical complications. Crush syndrome (CS) is observed in most patients followed up in the intensive care unit (ICU) after earthquakes. In CS, traumatic rhabdomyolysis, hypotension due to decreased fluid volume in the intravascular space, hyperkalemia, and renal failure due to hypovolemia can ensue. Rhabdomyolysis releases intracellular potassium, phosphorus, nucleic acids, and myoglobin into the circulation. The most important laboratory finding was hyperkalemia. Acute renal failure, compartment syndrome, disseminated intravascular coagulation, and metabolic disorders may be observed because of rhabdomyolysis. Pulmonary complications, infections, and other medical complications may develop in patients with CS. It is important to start treatment at the site of trauma before reaching the hospital, to closely monitor the patient during treatment in the ICU, and to treat patients with a multidisciplinary approach to reduce mortality and morbidity after earthquakes.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-64936anesthesiology and reanimationcrush syndromeearthquakeintensive care unit |
| spellingShingle | Arzu Yıldırım Ar Yıldız Yiğit Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit Cam & Sakura Medical Journal anesthesiology and reanimation crush syndrome earthquake intensive care unit |
| title | Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit |
| title_full | Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit |
| title_fullStr | Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit |
| title_full_unstemmed | Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit |
| title_short | Treatment and Follow-up for Earthquake Victims in the Intensive Care Unit |
| title_sort | treatment and follow up for earthquake victims in the intensive care unit |
| topic | anesthesiology and reanimation crush syndrome earthquake intensive care unit |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=csmedj&un=CSM-64936 |
| work_keys_str_mv | AT arzuyıldırımar treatmentandfollowupforearthquakevictimsintheintensivecareunit AT yıldızyigit treatmentandfollowupforearthquakevictimsintheintensivecareunit |