What is the first step in managing a patient who presents with suspected rhabdomyolysis?

In the management of a patient with suspected rhabdomyolysis, initiating fluid resuscitation is crucial. This condition arises when muscle tissue breaks down, releasing myoglobin into the bloodstream, which can lead to acute kidney injury if not promptly managed.

Starting fluid resuscitation helps to dilute the concentration of myoglobin in the bloodstream and enhances renal perfusion, promoting the elimination of myoglobin from the kidneys. Larger volumes of intravenous fluids not only help prevent kidney damage but also address electrolyte imbalances that may result from muscle breakdown, such as hyperkalemia.

Other interventions, like administering pain relief medications, conducting imaging studies, or consulting a specialist, may be important in the overall management of the patient, but they do not address the immediate life-threatening complications of rhabdomyolysis as effectively as fluid resuscitation does. The priority should always be to stabilize the patient's condition and prevent further complications by ensuring adequate hydration and renal protection.