Survey on the acceptance of patients with crush syndrome and the feasibility of implementing continuous renal replacement therapy at disaster base hospitals

• Published in: Japanese Journal of Disaster Medicine Vol. 29; no. 1; pp. 61 - 69
• Main Authors: Yada, Tetsuyasu, Ishii, Mieko, Uchiumi, Kiyono, Koido, Yuichi, Fujita, Retsu, Aluariachy, Larbi
• Format: Journal Article
• Language: Japanese
• Published: Japanese Association for Disaster Medicine 13.04.2024; 一般社団法人 日本災害医学会
• Subjects: clinical engineer; intensive care units; large-scale earthquake; renal replacement therapy; Tokyo Inland Earthquakes; 大規模地震災害; 腎代替療法; 臨床工学技士; 集中治療室; 首都直下地震
• ISSN: 2189-4035; 2434-4214
• DOI: 10.51028/jjdisatmed.29.1_61

【Purpose and Method】This study aimed to determine the current status and issues related to the acceptance of patients with crush syndrome and the ability to respond to blood purification therapy in the event of a major disaster at base hospitals for disaster management in Japan. 【Results】A questionnaire survey was conducted at 755 base hospitals for disasters in Japan. 256 institutions (34.0%) consented to the study, and 214 institutions (83.6%) provided valid responses. 【Discussion】It was clarified that 3,000 patients with crush syndrome, which is expected to occur in the northern Tokyo Bay earthquake, cannot be accepted.