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Renal Failure Patients in Disasters

Published online by Cambridge University Press:  06 May 2019

Kenneth D. Lempert Open the ORCID record for Kenneth D. Lempert [Opens in a new window]  and
Jeffrey B. Kopp
Kenneth D. Lempert*
Affiliation:
Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI
Jeffrey B. Kopp
Affiliation:
National Institute of Diabetes and Digestive and Kidney Diseases, Kidney Diseases Branch, National Institutes of Health, Bethesda, MD
*
Correspondence and reprint requests to Dr Kenneth D. Lempert, 5261 Carlingfort Drive, Toledo, OH 43623-1519 (e-mail: lempertk@icloud.com).
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Abstract

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)

Keywords

dialysisESRDtriagedisasterkidney
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 4 , August 2019 , pp. 782 - 790
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

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