Natural Disaster

  • B. Du
  • X. Xi
  • Y. Kang
  • L. Weng
  • China Critical Care Clinical Trial Group (CCCCTG)


At 14:28 on May 12, 2008, an earthquake of 8.0 on the Richter Scale and a maximum intensity of 11 on Modified Mercalli Intensity Scale struck Wenchuan County in Szechuan Province in southwest China. As the most deadly and the strongest earthquake in China since the 1976 Tangshan earthquake, it led to 69,227 deaths, 375,783 injuries, and 17,923 people being reported missing [1].


Natural Disaster Peak Ground Acceleration Severe Acute Respiratory Syndrome Wenchuan Earthquake Necrotizing Fasciitis 


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  1. 1.
    The Central People’s Government of the People’s Republic of China. Summary of earthquake-related casualties in mainland China in 2008 by China Earthquake Administration. (accessed April 1, 2009)Google Scholar
  2. 2.
    Scheuren JM, le Polain de Waroux O, Below R et al (2007) Annual disaster statistical review: the numbers and trends. Disaster Statistical Review 2007.pdf (accessed April 1, 2009)Google Scholar
  3. 3.
    Robinson, L, Nuzzo JB, Inglesby TV (2005) Augmentation of hospital critical care capacity after bioterrorist attacks or epidemics: recommendations of the Working Group on Emergency Mass Critical Care. Crit Care Med 33:E2393CrossRefGoogle Scholar
  4. 4.
    Llewellyn M (2006) Floods and tsunamis. Surg Clin N Am 86:557–578CrossRefPubMedGoogle Scholar
  5. 5.
    Briggs SM (2006) Earthquakes. Surg Clin N Am 86:537–544CrossRefPubMedGoogle Scholar
  6. 6.
    The Central People’s Government of the People’s Republic of China. Summary of Treatment and Prevention of Severe Acute Respiratory Syndrome. (accessed April 1, 2009)Google Scholar
  7. 7.
    The Central People’s Government of the People’s Republic of China. Report of epidemics of human infection with Streptococcus suis in Szechuan Province issued by Ministry of Health. (accessed April 1, 2009)Google Scholar
  8. 8.
    Wang SY, Li YH, Chi GB et al (2008) Injury-related fatalities in China: an under-recognised public-health problem. Lancet 372:1765–1773CrossRefPubMedGoogle Scholar
  9. 9.
    Sever MS, Vanholder R, Lameire N (2006) Management of crush-related injuries after disasters. N Engl J Med 354:1052–1063CrossRefPubMedGoogle Scholar
  10. 10.
    Zhang L, Li H, Carlton JR et al (2009) The injury profile after the 2008 earthquakes in China. Injury 40:84–86CrossRefPubMedGoogle Scholar
  11. 11.
    Wen J, Shi YK, Li YP et al (2009) Risk factors of earthquake inpatient death: a case control study. Crit Care 13:R24CrossRefPubMedGoogle Scholar
  12. 12.
    Solez K, Bihari D, Collins AJ et al (1993) International dialysis aid in earthquakes and other disasters. Kidney Int 44:479–483CrossRefPubMedGoogle Scholar
  13. 13.
    Roy N, Shah H, Patel V, Coughlin RR (2001) The Gujarat earthquake experience in a seismically unprepared area: community hospital medical response. Prehospital Disaster Med 17:186–195Google Scholar
  14. 14.
    International Society of Nephrology. The Asia quake—ISN’s aid in action. _051014_1.html (accessed April 1, 2009)Google Scholar
  15. 15.
    Sever MS, Erek E, Vanholder R et al (2001) The Marmara earthquake: epidemiological analysis of the victims with nephrological problems. Kidney Int 60:1114–1123CrossRefPubMedGoogle Scholar
  16. 16.
    Alexander D (2003) Local planning beats foreign dogs. Reuters AlertNet, London, December 30. April 1, 2009)Google Scholar
  17. 17.
    Goldfarb DS, Chung S (2002) The absence of rhabdomyolysis-induced renal failure following the World Trade Center collapse. Am J Med 113:260CrossRefPubMedGoogle Scholar
  18. 18.
    Alson R, Alexander D, Leonard RB et al (1993) Analysis of medical treatment at a field hospital following Hurricane Andrew. Ann Emerg Med 22:1721–1728CrossRefPubMedGoogle Scholar
  19. 19.
    D’Amore AR, Harin CK (2005) Air Force Expeditionary Medical Support Unit at the Houston flood: use of a military model in civilian disaster response. Mil Med 170:103–108PubMedGoogle Scholar
  20. 20.
    Currier M, King DS, Wofford MR et al (2006) A Katrina experience: lessons learned. Am J Med 119:986–992CrossRefPubMedGoogle Scholar
  21. 21.
    Allworth A (2005) Tsunami lung: a necrotizing pneumonia in survivors of the Asian Tsunami. Med J Aust 182:364PubMedGoogle Scholar
  22. 22.
    Ito J, Fukagawa M (2009) Predicting the risk of acute kidney injury in earthquake victims. Nature Clin Pract Nephrol 2009 5:64–65CrossRefGoogle Scholar
  23. 23.
    Najafi I, van Biesen W, Sharifi A et al (2008) Early detection of patients at high risk for acute injury during disasters: developing of a scoring system based on the Bam earthquake experience. J Nephrol 21:776–782PubMedGoogle Scholar
  24. 24.
    Greenough PG, Lappl MD, Hsu EB et al (2008) Burden of disease and health status among Hurricane Katrina-displaced persons in shelters: a population-based cluster sample. Ann Emerg Med 51:426–432CrossRefPubMedGoogle Scholar
  25. 25.
    Kopp JB, Ball LK, Cohen A et al (2007) Kidney patient care in disasters: Lessons from the hurricanes and earthquake of 2005. Clin J Am Soc Nephrol 2:814–824CrossRefPubMedGoogle Scholar
  26. 26.
    Schultz CH, Koenig KL, Noji EK (1996) A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med 334:438–444CrossRefPubMedGoogle Scholar
  27. 27.
    Society of Critical Care Medicine Ethics Committee (1994) Consensus statement on the triage of critically ill patients. JAMA 271:1200–1203CrossRefGoogle Scholar
  28. 28.
    Blackwell T, Bosse M (2007) Use of an innovative design mobile hospital in the medical response to Hurricane Katrina. Ann Emerg Med 49:580–588CrossRefPubMedGoogle Scholar
  29. 29.
    Farmer JC, Carlton PK (2006) Providing critical care during a disaster: the interface between disaster response agencies and hospitals. Crit Care Med 34(Suppl):S56–S59CrossRefPubMedGoogle Scholar
  30. 30.
    Peoples GE, Jezior JR, Shriver CD (2004) Caring for the wounded in Iraq — A photo essay. N Engl J Med 351:2476–2480CrossRefPubMedGoogle Scholar
  31. 31.
    Thiel CC, Schneider JE, Hiatt D et al (1992) 911 EMS process in the Loma Prieta earthquake. Prehosp Disaster Med 7:348–358Google Scholar
  32. 32.
    Noji EK, Kelen GD, Armenian HK et al (1990) The 1988 earthquake in Soviet Armenia: a case study. Ann Emerg Med 19:891–897CrossRefPubMedGoogle Scholar
  33. 33.
    Schultz CH, Koenig KL, Lewis RJ (2003) Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med 348:1349–1355CrossRefPubMedGoogle Scholar
  34. 34.
    Schultz CH, Koenig KL, Lewis RJ (2007) Decision making in hospital earthquake evacuation: Does distance from the epicenter matter? Ann Emerg Med 50:320–326CrossRefPubMedGoogle Scholar
  35. 35.
    Devereaux A, Christian MD, Dichter JR et al (2008) Summary of suggestions from the Task Force for Mass Critical Care Summit. Chest 2008 133:1S–7SCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • B. Du
    • 1
  • X. Xi
    • 2
  • Y. Kang
    • 3
  • L. Weng
    • 1
  • China Critical Care Clinical Trial Group (CCCCTG)
  1. 1.Medical ICUPeking Union Medical College HospitalBeijingChina
  2. 2.ICU, Fuxing HospitalCapital University of Medical SciencesBeijingChina
  3. 3.ICUWest China HospitalChengdu, SzechuanChina

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