Table 5.

Fluid administration strategy in patients with impending or ongoing traumatic rhabdomyolysis

  • Find a vein in arm or leg even if the patient is still trapped

  • Administer fluid as early as possible: start with 1 L before extrication

  • Preferable fluid combination (for 2 L)

    • 1 L of isotonic saline

    • 1 L of glucose 5% + 100 mmol bicarbonate

  • Administer at least 3 to 6 L/d (in emergencies when supervision is not guaranteed) or up to 10 L/d or more if continuous supervision is available

  • Add 10 ml of mannitol per hour if urine output is greater than 20 ml/h