Evacuating Patients with Ongoing Dialysis

Abstract

Introduction: Efficient planning is crucial for the safe evacuation of dialysis patients during a disaster. The lack of evidence-based approaches for evacuating these patients highlights the need to explore the associated challenges and develop a comprehensive plan to address the unique vulnerabilities of this cohort. Methods: Information was gathered using three methods: First, a thorough literature search was conducted. Secondly, a focus group was established, comprising experts in nephrology, biomedical engineering and safety engineering, as well as senior dialysis nurses. Finally, the research team visited a dialysis centre to examine the dialysis machines and engage in discussions regarding evacuation plans. Results: Three procedures were identified to promptly release patients from a dialysis machine: the ‘clamp and cut’ method, the ‘clamp and cap’ method, and the hand crank method. Factors such as the size and weight of the dialysis machine, battery life, and potential blood loss resulting from immediate interruption of the dialysis process were noted as important considerations. Conclusion: It is essential that dialysis patients be recognized as a vulnerable group, and that time and effort be invested in the design of an evacuation plan specific to their needs.