Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Kodadek L, Carmichael Ii SP, Seshadri A, Pathak A, Hoth J, Appelbaum R, Michetti CP, Gonzalez RP. Trauma Surg Acute Care Open. 2022 Jan 27;7(1):e000836. doi: 10.1136/tsaco-2021-000836. PMID: 35136842; PMCID: PMC8804685.

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The American Association for the Surgery of Trauma (AAST) Critical Care Committee developed a consensus document on the diagnosis and management of rhabdomyolysis in the critically ill surgical/trauma patient. The document acknowledges that “rhabdomyolysis should be suspected in any patient with a medical condition causing increased metabolic demands on myocytes in excess of the available supply of ATP. This may result from extreme exertional demands on skeletal muscle from exercise, exogenous agents such as drugs or toxins, genetic defects or myopathies affecting the muscle cell, and infections”. The document addresses clinical manifestations, management, and outcomes. Each recommendation is followed by a brief discussion.

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