From Overdose to Rhabdo: The Path More Are Taking

Rhabdomyolysis is a serious medical condition usually attributed in the prehospital setting to crush injuries, such as motor vehicle accidents and building collapses. However, the majority of Rhabdo cases are not caused by these infrequent incidents. One of the most common causes of rhabdomyolysis is prolonged overdose, particularly opioids, which are still increasing in frequency. In many of these situations, the administration of naloxone may be contraindicated and overall harmful to the patient’s prognosis. This presentation will discuss the pathophysiology of overdose-induced rhabdomyolysis and how to properly begin treating these patients in the field. After attending this presentation, the learner will be able to

-           Recognize the difference between an acute overdose and a prolonged overdose.

-           Consider the likelihood of rhabdomyolysis in a prolonged overdose patient.

-           Develop treatment priorities, including possibly withholding naloxone, to lead to the best patient outcome.