Universidad Peruana Cayetano Heredia

When the earth trembles in the Americas: The experience of Haiti and Chile 2010

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dc.contributor.author Vanholder, R.
dc.contributor.author Borniche, D.
dc.contributor.author Claus, S.
dc.contributor.author Correa-Rotter, R.
dc.contributor.author Crestani, R.
dc.contributor.author Ferir, M.C.
dc.contributor.author Gibney, N.
dc.contributor.author Hurtado, A.
dc.contributor.author Luyckx, V.A.
dc.contributor.author Portilla, D.
dc.contributor.author Rodriguez, S.
dc.contributor.author Sever, M.S.
dc.contributor.author Vanmassenhove, J.
dc.contributor.author Wainstein, R.
dc.date.accessioned 2022-01-18T19:34:34Z
dc.date.available 2022-01-18T19:34:34Z
dc.date.issued 2011
dc.identifier.uri https://hdl.handle.net/20.500.12866/11016
dc.description.abstract The response of the nephrological community to the Haiti and Chile earthquakes which occurred in the first months of is described. In Haiti, renal support was organized by the Renal Disaster Relief Task Force (RDRTF) of the International Society of Nephrology (ISN) in close collaboration with Médecins Sans Frontières (MSF), and covered both patients with acute kidney injury (AKI) and patients with chronic kidney disease (CKD). The majority of AKI patients (19/27) suffered from crush syndrome and recovered their kidney function. The remaining 8 patients with AKI showed acute-to-chronic renal failure with very low recovery rates. The intervention of the RDRTF-ISN involved 25 volunteers of 9 nationalities, lasted exactly 2 months, and was characterized by major organizational difficulties and problems to create awareness among other rescue teams regarding the availability of dialysis possibilities. Part of the Haitian patients with AKI reached the Dominican Republic (DR) and received their therapy there. The nephrological community in the DR was able to cope with this extra patient load. In both Haiti and the DR, dialysis treatment was able to be prevented in at least 40 patients by screening and adequate fluid administration. Since laboratory facilities were destroyed in Port-au-Prince and were thus lacking during the first weeks of the intervention, the use from the very beginning on of a point-of-care device (i-STAT®) was very efficient for the detection of aberrant kidney function and electrolyte parameters. In Chile, nephrological problems were essentially related to difficulties delivering dialysis treatment to CKD patients, due to the damage to several units. This necessitated the reallocation of patients and the adaptation of their schedules. The problems could be handled by the local nephrologists. These observations illustrate that local and international preparedness might be life-saving if renal problems occur in earthquake circumstances. en_US
dc.language.iso eng
dc.publisher Karger
dc.relation.ispartofseries Nephron - Clinical Practice
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject review en_US
dc.subject kidney disease en_US
dc.subject acute kidney failure en_US
dc.subject Chile en_US
dc.subject Haiti en_US
dc.subject screening test en_US
dc.subject point of care testing en_US
dc.subject Disasters en_US
dc.subject Relief Work en_US
dc.subject kidney function en_US
dc.subject Renal Dialysis en_US
dc.subject medical society en_US
dc.subject chronic kidney disease en_US
dc.subject Earthquakes en_US
dc.subject Acute Kidney Injury en_US
dc.subject chronic kidney failure en_US
dc.subject Crush syndrome en_US
dc.subject dialysis en_US
dc.subject Dialysis en_US
dc.subject disaster planning|Emergency Service, Hospital en_US
dc.subject emergency treatment en_US
dc.subject Maps as Topic en_US
dc.subject nephrologist en_US
dc.subject teamwork en_US
dc.title When the earth trembles in the Americas: The experience of Haiti and Chile 2010 en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1159/000320200
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.20
dc.relation.issn 1660-2110


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