Disaster medicine and response: Optimizing life-saving potential


  • Mehmet Sukru Sever, MD
  • Giuseppe Remuzzi, MD
  • Raymond Vanholder, MD




disaster medicine, disaster response, disaster victims, disaster ethics, rescue activities


Background: Natural and technological mass disasters strike densely populated areas on a regular basis, causing ever growing numbers of deaths and injured, economical losses, social problems, and damage to the environment.

Objective of the review: This review aims to provide a comprehensive idea about the spectrum of main problems, essentially presenting a number of basic principles to save as many lives as possible after natural and man-made mega disasters.

Discussion: Medical problems following disasters may be acute, acute-on-chronic, or chronic; they appear from the disaster period up till long thereafter. All these problems may be nonspecific, or specific for particular disaster types. Decreasing death toll after mass disasters can be accomplished by preparations before, and effective medical response after disasters. These interventions should be considered at both national/governmental and regional/hospital levels. Disaster medicine, the art and science of providing healthcare to the victims, differs significantly from routine medical practice because of disparities between demand and supply of rescue and healthcare, the need for unusual medical interventions, and the occurrence of ethical and legal dilemmas.

Conclusions: Adherence to the principles of disaster medicine, is vital to minimize the extent of medical, logistic, ethical, and legal problems, and saving as many lives as possible.

Author Biographies

Mehmet Sukru Sever, MD

Department of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey

Giuseppe Remuzzi, MD

Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy; “Chiara Fama” Professor of Nephrology, Department of Biomedical and Clinical Sciences L. Sacco, University of Milan, Milan, Italy

Raymond Vanholder, MD

Nephrology Section, Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium


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How to Cite

Sever, MD, M. S., G. Remuzzi, MD, and R. Vanholder, MD. “Disaster Medicine and Response: Optimizing Life-Saving Potential”. American Journal of Disaster Medicine, vol. 13, no. 4, Oct. 2018, pp. 253-64, doi:10.5055/ajdm.2018.0305.