Rhabdomyolysis Scenario

You are working on a double crewed Ambulance and are called to a 71-year-old female. The neighbour has expressed concern as she isn’t answering her door or phone and, unusually, hasn’t been seen in a while. On scene, you manage to get into the property, and you find the patient on the floor next to her bed.

She is alert but quite restless and agitated. She explains she attempted to get to the toilet soon after going to bed, tripped over her walking frame, and fell to the floor.  She experienced no pain at the time but now is very stiff and she has general pain. She has very poor mobility and has been unable to move much at all since the fall. She states she has been on the floor for 14 hours.