Acute Kidney Injury and ESRD Management in Austere Environments

Gaurav Raman, Robert M. Perkins, Bernard G. Jaar

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Current knowledge about managing acute kidney injury in disaster situations stems mostly from lessons learned while taking care of crush syndrome patients during major earthquakes. More recently, there has been a greater focus on emergency preparedness for ESRD management. Natural or man-made disasters create an " austere environment," wherein resources to administer standard of care are limited. Advance planning and timely coordinated intervention during disasters are paramount to administer effective therapies and save lives. This article reviews the presentation and management of disaster victims with acute kidney injury and those requiring renal replacement therapies. Major contributions of some key national and international organizations in the field of disaster nephrology are highlighted. The article intends to increase awareness about nephrology care of disaster victims, among nephrology and non-nephrology providers alike.

Original languageEnglish (US)
Pages (from-to)149-157
Number of pages9
JournalAdvances in Chronic Kidney Disease
Issue number3
StatePublished - May 2012


  • Acute kidney injury
  • Crush syndrome
  • Disaster medicine
  • ESRD
  • Renal replacement therapy

ASJC Scopus subject areas

  • Nephrology


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