Fluid Therapy in Pediatric Victims of the 2003 Bam, Iran Earthquake

• 2009

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• Houshang Sanadgol; Iraj Najafi; Mostafa Hosseini; Ali Ghafari; M. Rajabi Vahid
PMID: 20066650DOI: https://doi.org/10.1017/s1049023x00007305

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About

This study analyzes the clinical and therapeutic approaches for pediatric crush victims following a devastating earthquake in Southeastern Iran. With a focus on fluid therapy to prevent acute renal failure (ARF), the research collected data from 31 pediatric patients. Early and aggressive fluid resuscitation, particularly with normal saline and alkaline solutions, was crucial in managing hypovolemic shock and crush injuries. The results showed that a higher ratio of delivered IV fluid to expected amount significantly impacted the development of ARF. The study concludes that prompt intravenous volume replacement, guided by the DL/EX ratio, is vital in preventing ARF in pediatric patients with crush injuries.

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Tags

Focus Area: Natural Disasters

Audiences: EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Bundles: Disaster Research Literature Review

Keywords: Age Factors; Child; Crush Syndrome; Disaster Planning; Earthquakes; Fluid Therapy; Iran; Resuscitation; Shock; Wounds and Injuries; Acute Kidney Injury

Institutions: Zahedan University of Medical Sciences

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