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      Treatment modalities and outcome of the renal victims of the Marmara earthquake.

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          Abstract

          Treatment of renal problems during natural catastrophes is highly complicated both for medical and logistic reasons. The therapeutic interventions applied to and the outcome of 639 victims with acute renal problems during the catastrophic Marmara earthquake have been the subject of this study.

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          Most cited references 4

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          Prevention of acute renal failure in traumatic rhabdomyolysis.

          Following the collapse of a building, seven subjects (aged 18 to 41 years) were released from under the rubble within one to 28 hours. All seven suffered from extensive crush injuries with evidence of severe rhabdomyolysis and were treated by the induction of an alkaline solute diuresis immediately on their extrication from the debris. The leakage of muscle constitutents was estimated by quantifying the net total body potassium losses, which averaged 395 mEq (SD, +/- 198) over the first 60 hours of therapy. In the past, injuries of similar severity have been associated with a high incidence of acute renal failure and a high mortality rate, yet none of our patients had azotemia or renal failure. We attribute this success to the unprecedented early institution of appropriate therapy.
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            Continuous hemofiltration in the treatment of acute renal failure.

             P K Hilton,  L Forni (1997)
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              HIV-associated respiratory diseases

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                Author and article information

                Journal
                Nephron
                Nephron
                S. Karger AG
                1660-8151
                1660-8151
                Sep 2002
                : 92
                : 1
                Affiliations
                [1 ] Local coordinator for the Renal Disaster Relief Task Force of the International Society of Nephrology (ISN), Department of Nephrology, Istanbul School of Medicine, Istanbul, Turkey. severm@hotmail.com
                Article
                nef92064
                10.1159/000064487
                12187086

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