Management of earthquake-related acute renal injury

Table 2 Checklist for the management of acute crush syndrome

Investigations
Blood tests: Complete blood count, arterial blood gas, creatinine phosphokinase, comprehensive metabolic panel
Coagulation profile: Prothrombin time, activated partial thromboplastin time, international normalized ratio, fibrinogen
Urine tests: Dipstick and urine sediments
The 12-lead electrocardiogram to assess findings for hyperkalemia or hypocalcemia
Management
Start aggressive intravenous fluids to maintain a urine output of around 200-300 mL/hour
Monitor potassium every 4 hours and manage hyperkalemia aggressively
Correct hypocalcemia only when symptomatic (tetany or seizures)
Consult a nephrologist when dialysis is indicated including volume overload, hyperkalemia, severe acidemia, and uremia