Rhabdomyolysis with renal dysfunction in a hypothermic man

Ea, Hakim; Chiverton, N; Hossenbocus, A

doi:10.1111/j.1742-1241.1990.tb10218.x

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Cited by 6 publications

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“…Rescuers at the scene did not believe that the patient was hypothermic because of his alert mental status and resolved shivering, but hypothermia has been attributed as a cause of rhabdomyolysis, especially when severe. 5,6 Experimental series of mild hypothermia have not, however, demonstrated CPK changes. 7,8 A trial of induced hypothermia down to 33°C after cardiac arrest found no difference in CPK levels compared to the control group.…”

Section: Discussionmentioning

confidence: 99%

Rhabdomyolysis after Prolonged Suspension in a Cave

Wharton

Mortimer²

2011

Wilderness & Environmental Medicine

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A 29-year-old man was caving and could not ascend his rope. He was rescued after 4+ hours of hanging after which he could not feel his legs and could not move one of them. He was shivering but still alert. In the field, he received calcium chloride, normal saline, and bicarbonate. At the hospital, he was found to have elevated creatine phosphokinase levels that resolved after continued intravenous fluid. Suspension trauma can include early syncope and late rhabdomyolysis. Persons suspended passively must be rescued immediately and given intravenous fluid to prevent rhabdomyolysis and renal failure.

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