Podcast 660: Rhabdomyolysis - The Emergency Medical Minute

Podcast 660: Rhabdomyolysis

Contributor:  Ricky Dhaliwal, MD

Educational Pearls:

  • Rhabdomyolysis occurs when high levels of myoglobin are released from dying muscle tissue into the blood
  • Severe levels of myoglobin cause renal injury
  • Causes include elevated temperature, excessive exercise, toxins, infection, muscle ischemia, crush injury, and prolonged immobilization
  • Can also be caused by medications, like antipsychotics, statins, SSRIs, colchicine, lithium
  • Workup typically includes  creatinine kinase, potassium, creatinine levels and serial EKGs
  • Firstline treatment is with  IV fluids with a goal urine output of 300 ml/hr
  • Sodium bicarbonate and mannitol have had some use in treatment but weak evidence

References

Long B, Koyfman A, Gottlieb M. An evidence-based narrative review of the emergency department evaluation and management of rhabdomyolysis. Am J Emerg Med. 2019 Mar;37(3):518-523. doi: 10.1016/j.ajem.2018.12.061. Epub 2019 Jan 2. PMID: 30630682.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

 

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account.

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

 

Stay up to date by
joining our mailing list!