Acute Kidney Injury Following Crush Injury and Earthquakes.

Earthquakes may provoke crush injuries complicated by acute kidney injury (AKI). Manage-ment of rhabdomyolysis and acute renal failure (ARF) following crush injury is through im-prove the setting of primary triage and intensive care unit (ICU). This article summarizes scientific reports on management strategies of the ARF following crush injury available until 2010. Measures that should take into account for disasters and traumatic rhabdomyolysis include establishment of epidemiologic data about specific disaster conditions that predispose traumatic rhabdomyolysis and AKI, assessment and rescue team, local and public interven-tions, and programmed medical and social trained team. Early rehydration, urine alkaliniza-tion and, forced diuresis improve the outcome of kidney injury, risk of permanent renal fail-ure and mortality.