Blood purification of critical without authentic life-line

Abstract

If an urban-type earthquake directly hits the area, the onset of acute kidney injury from crush syndrome occurs frequently, and the demand for acute blood purification therapy, such as hemodialysis and hemofiltration for hyperkalemia, increases for several days immediately after the disaster. However, if a disaster occurs, lifeline-dependent treatment cannot be performed; therefore, preparations are conducted daily so that peritoneal or non-machinery dialysis, which does not require critical authentic lifeline, can be selected until transportation to a higher level medical institution or other medical area.