Clinical Practice Guidelines for Exertional Rhabdomyolysis: A Military Medicine Perspective

Nathaniel S. Nye, Korey Kasper, Clifford Marc Madsen, Michelle Szczepanik, Carlton J. Covey, Robert Oh, Shawn Kane, Anthony I. Beutler, Jeffrey C. Leggit, Patricia A. Deuster, Francis G. O'Connor

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Exertional rhabdomyolysis (ER) is an uncommon condition with a paucity of evidence-based guidance for diagnosis, management, and return to duty or play. Recently, a clinical practice guideline for diagnosis and management of ER in warfighters was updated by a team of military and civilian physicians and researchers using current scientific literature and decades of experience within the military population. The revision concentrated on challenging and controversial clinical questions with applicability to providers in the military and those in the greater sports medicine community. Specific topics addressed: 1) diagnostic criteria for ER; 2) clinical decision making for outpatient versus inpatient treatment; 3) optimal strategies for inpatient management; 4) discharge criteria; 5) identification and assessment of warfighters/athletes at risk for recurrent ER; 6) an appropriate rehabilitative plan; and finally, 7) key clinical questions warranting future research.

Original languageEnglish
Pages (from-to)169-178
Number of pages10
JournalCurrent Sports Medicine Reports
Issue number3
StatePublished - 1 Mar 2021


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