Rhabdomyolysis, compartment syndrome and thermal injury

Table 1 Therapeutic goals of fluid resuscitation and therapeutic measures in thermal injury

Goal	Measure
Preventing hypovolaemia and shock	Fluıd overloading (with rationing prehospital fluid delivery)
Improving organ perfusion	Mannitol, high dose vitamin C administration (avoiding early colloids)
Reducing capillary leak and oedema	Not known
Reducing inflammatory storm	Haemodialysis, plasmapheresis, etc.
Avoiding polycompartment syndrome	Permissive hypovolaemia

Table 2 Risk factors for rhabdomyolysis

Risk factors for position-related rhabdomyolysis
Long-lasting surgery (more than 5-6 h) or prolonged immobilization (coma, unconsciousness)
Body weight more than 30% of ideal body weight
Pre-existing azotaemia
Diabetes
Hypertension
Uncontrolled extracellular volume depletion
Associated drug abuse (cocaine, etc.)