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The original item was published from 10/17/2023 3:57:18 PM to 10/17/2023 4:20:19 PM.

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Team Norfolk Today

Posted on: October 17, 2023

[ARCHIVED] Don't Be Tricked: Rhabdomyolysis Is Still Here

Graphic for Rhabdo

It may be getting cooler outside, but Rhabdo is still a threat.  It isn't just a heat-related disease. It can also result from physical exertion or overuse and direct trauma. It occurs when damaged muscle tissue releases its proteins and electrolytes into the blood. These substances can damage the heart and kidneys, potentially causing permanent disability or death. 

Learning the signs of Rhabdo can keep you and your team safe.

Common causes of rhabdo in the workplace include:

  • High Body Temperature - People who work outdoors in hot environments have a higher likelihood of developing rhabdo.
  • Overuse of Muscles - People who work physically demanding jobs that involve high levels of physical exertion or participate in high intensity workouts or physical fitness tests have a greater chance of developing rhabdo.
  • Physical Damage to Muscles - Any work that could potentially result in traumatic injuries (such as falls from heights or car accidents) puts workers at a higher risk for rhabdo.

Other things that can increase the chances of developing rhabdo include:

  • Consuming large amounts of caffeine (including energy drinks) or other stimulants
  • Taking supplements, such as creatine and ephedra
  • Certain medical conditions, such as uncontrolled diabetes, sickle cell disease, thyroid disorders, and muscular dystrophy
  • Some medications, including some antibiotics, antidepressants, cholesterol-lowering drugs (statins), and cold and allergy medicines
  • Using illegal drugs, such as cocaine and methamphetamine
  • Excessive alcohol consumption
  • Different infections, including flu, HIV, salmonella, staph, strep, and Epstein-Barr virus (mono)

What can employers do to prevent rhabdo?

  • Employers can help protect their employees from developing rhabdo by implementing the policies and procedures listed below:
  • Follow the Heat Stress Policy to decrease risk of heat-related illness that could lead to rhabdo. Follow the guidelines presented in the NIOSH Heat Stress recommendations.
  • Allow and encourage employees to seek medical care when they have rhabdo symptoms (muscle cramps/pain, abnormally dark urine, weakness, exercise in tolerance, etc). Let employees know they can return to work once they are cleared by their doctor.
  • Encourage employees to take sick leave when sick, as many illnesses increase the risk for rhabdo.
  • Keep employees hydrated. Suggest employees drink caffeine-free and low-sugar products. Provide nutritional and heat related trainings to at risk employees.


View additional safety resources here.

Learn more about Rhabdo

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