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{
    "pk": 11401,
    "title": "Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management",
    "subtitle": null,
    "abstract": "Peritoneal dialysis (PD) is a means of renal replacement therapy (RRT) that can be performed in remote settings with limited resources, including regions that lack electrical power. PD is a mainstay of end-stage renal disease (ESRD) therapy worldwide, and the ease of initiation and maintenance has enabled it to flourish in both resource-limited and resource-abundant settings. In natural disaster scenarios, military conflicts, and other austere areas, PD may be the only available life-saving measure for acute kidney injury (AKI) or ESRD. PD in austere environments is not without challenges, including catheter placement, availability of dialysate, and medical complications related to the procedure itself.  However, when hemodialysis is unavailable, PD can be performed using generally available medical supplies including sterile tubing and intravenous fluids. Amidst the ever-increasing global burden of ESRD and AKI, the ability to perform PD is essential for many medical facilities.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Austere Medicine"
        },
        {
            "word": "Nephrology"
        }
    ],
    "section": "Disaster Medicine/ Emergency Medical Services",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/49x587f6",
    "frozenauthors": [
        {
            "first_name": "Chad",
            "middle_name": "",
            "last_name": "Gorbatkin",
            "name_suffix": "",
            "institution": "Uniformed Services University of the Health Sciences, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "B.",
            "last_name": "Bass",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "Frederic",
            "middle_name": "O.",
            "last_name": "Finkelstein",
            "name_suffix": "",
            "institution": "Yale University, Department of Nephrology, New Haven, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Steven",
            "middle_name": "M.",
            "last_name": "Gorbatkin",
            "name_suffix": "",
            "institution": "Atlanta VA Medical Center, Emory University, Department of Nephrology, Atlanta, Georgia",
            "department": "None"
        }
    ],
    "date_submitted": "2017-10-15T21:14:09Z",
    "date_accepted": "2017-10-15T21:14:09Z",
    "date_published": "2018-04-05T19:01:49Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/11401/galley/6175/download/"
        }
    ]
}