Estimation and Reduction of Casualties in Buildings During Earthquakes

Mark Klyachko, Tatyana Markacheva
1999 Prehospital and Disaster Medicine  
Results: The final logistic regression models included peak CK and macroscopic abnormal urine finding for RE; peak CK, macroscopic abnormal urine finding, tachycardia, and delay of rescue response for HD; and peak CK and presence of body injury for death. The patients whose peak CK was > 100,000, always had H D or death. Although the outcomes of patients with severe crush syndrome (peak CK >75,000) were not severe (RE) if they had received massive volume resuscitation (>160ml/kg/day), the
more » ... -Haenszel test showed no significant relationship between the amount fluid administered and outcome (f = 0.63). Conclusions: We found several risk factors for each outcome following crush syndrome that are pathophysiologically reasonable. The peak CK was a strong prognostic factor for all three outcomes. Because only 3% of patients received massive fluid resuscitation, the beneficial effects of fluid resuscitation did not show statistical significance. However, it may be useful for crush syndrome except for extremely severe patients (peak CPK >100,000).
doi:10.1017/s1049023x0003404x fatcat:5oy6edghnvg5pcomhk3ylytry4