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Revisiting Rhabdomyolysis: A Critical Health Concern for Firefighters and Workers

As the weather begins to change across the state, it is crucial to revisit the serious illness rhabdomyolysis, which has hospitalized several workers, including multiple firefighters, over the past few years. With rising temperatures and increased workloads, this health concern becomes even more pertinent. 

Key Points: 

  • Rhabdomyolysis: A serious illness often linked to heat-related conditions, exacerbated by the use of workout supplements and energy drinks. 
  • Recent Cases: Several firefighters have been diagnosed with rhabdomyolysis in the past five years. 

Action Steps: 

  1. Review Heat-Related Illness Programs: Ensure your district’s program is up-to-date and addresses the protection of firefighters in the upcoming months. 
  1. Training and Awareness: Conduct quick training sessions using Oregon OSHA’s hazard alert to educate employees about the dangers of heat-related illnesses and rhabdomyolysis. 
  1. Monitor Symptoms: Be vigilant for symptoms of heat stress, which can often be mistaken for other medical issues. 

Oregon OSHA Directive: The Program Directive PD-299 Preventing Heat Related Illness, effective since June 15, 2021, emphasizes the importance of managing heat stress. OSHA will be considering heat-related illness issues during accident reviews and complaints/referrals. 

Symptoms of Rhabdomyolysis: 

  • Muscle aches or pains disproportionate to exercise 
  • Muscle weakness and cramping 
  • Tea-colored or cola-colored urine 
  • Reduced or no urine output 
  • Nausea or vomiting 
  • Rapid heart rate 
  • Abdominal pain 
  • Confusion 
  • Fever 

Preventive Actions: 

  • Educate employees about the signs, symptoms, and dangers of heat-related illness and rhabdomyolysis. 
  • Schedule physically demanding activities during cooler parts of the day. 
  • Encourage drinking plenty of un-caffeinated fluids and taking rest breaks. 
  • Report symptoms immediately to supervisors. 
  • Consult healthcare providers about job-related risks for rhabdomyolysis. 

For more information, visit the Oregon OSHA Heat Stress Topic Page. 

To request additional information or assistance with your heat stress program contact SDAO’s Risk Management Team at riskmanagement@sdao.com