Can vary dramatically, reflecting underlying disease process.
Trauma or crush usually obvious.
Consider nonaccidental trauma with unclear details of history.
If no trau...
Rapid extrication in case of crush injury
Early IV saline before extrication to prevent complications of restored blood flow to injured limb (hypovolemia, hyperkalemia, etc.)
Bicarbonate; add 50 mEq bicarbonate to each 2nd or 3rd liter to keep urine pH >6.5. Discontinue if urine pH fails to rise after 6 hr or if symptomatic hypocalcemia dev...
No renal failure—almost no mortality
Renal failure—3.4–30% mortality
ICU—59% if renal failure, 22% without
Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med. 2009;361(1):62–72.
Huerta-Alardín AL, Varon J, Marik PE. Bench-to-bedside review: Rhabdomy...
958.90 Compartment syndrome, unspecified
T79.6XXA Traumatic ischemia of muscle, initial encounter
240131006 Rhabdomyolysis (disorder)
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