THE IMPACT OF KIDNEY INJURY FROM RHABDOMYOLYSIS IN MILITARY POLICE OFFICERS: AN OCCUPATIONAL CHALLENGE

Abstract

Rhabdomyolysis results from necrosis of skeletal muscle cells, leading to the release of intracellular components into the circulation, including myoglobin. This release can trigger a wide range of clinical manifestations and systemic complications, with acute kidney injury (AKI) being one of the most severe, frequently associated with high morbidity and mortality rates. Although widely studied in sports-related contexts, its occurrence among military police officers remains underexplored. This study reviewed the pathophysiological mechanisms of rhabdomyolysis-associated AKI, occupational risk factors, and prevention strategies. Literature analysis indicates that trauma, intense physical exertion, excessive heat exposure, dehydration, and extended work shifts significantly increase the risk of developing the syndrome. Myoglobin contributes to kidney injury through vasoconstriction, tubular obstruction, and direct toxicity. It is concluded that maintaining adequate hydration, using protective equipment, revising training protocols, and promoting early medical intervention are essential to preserving renal health and functional capacity in military police officers.