Arizona Engine WCT Rhabdo Case 2018

Just before beginning the last lap of the work capacity test, the patient later stated that his lower legs were sore and painful, that he was experiencing fatigue, and that he became increasingly disoriented. Co-workers noticed the increased exertion, but did not believe it was out of the ordinary. During the final lap, the patient later stated he saw black spots and was afraid of passing out. Upon completing the WCT, the patient appeared to co-workers to be extremely pale and in need of assistance. Treatment was initiated by fire district paramedics. After several minutes of monitoring with little signs of improvement, the patient was transported to a local emergency department at a large hospital. The patient asked ER staff to check him for rhabdomyolysis and compartment syndrome. The patient was quickly diagnosed with rhabdo, but ER staff did not check for compartment syndrome. The patient was admitted and spent 7 days in the hospital. Full recovery was expected in up to 6 months.

Rhabdomyolysis, Health and Fitness, Medical or Exertion