Objective : It is hardly deniable that due to the nature of the military, all personnel are subject to the same training systems regardless of their individual health status, and that such trend in general is prevalent throughout field units and education institutions. In 2012, a recruit in a division died from rhabdomyolysis despite emergency medical treatment at a military hospital, after his symptoms were recognized upon returning from night training. This study was motivated by the lack of research into this subject, where the dangerous circumstances of the current training system may even lead to death of trainees.
Methods : The subjects of this study were limited to those who have been hospitalized in hospitals under Armed Forces Medical Command from 2011to 2012. We analyzed the cases of rhabdomyolysis to identify the potential causes and examined the medical records of patients who have been hospitalized for approximately two years to obtain the prevalence rate in the military. In this descriptive study, records of the patients were thoroughly reviewed in order to find any evidence that may reveal the potential cause, including personal or circumstantial factors.
Results : Analyzing the general characteristics of the data regarding the prevalence rate of rhabdomyolysis, we found that the private second class (including the BCT trainees) comprised 51.21% out of 123 patients (considering the small size of the group, we only dealt with rates that seemed extraordinary). In terms of the age groups, 74.79% consisted of individuals below 21. In terms of the date of incidence, 84% of the patients were reported from April through September. In terms of the cause, 55.28% of the patients reported corporal punishment as the cause of their disease. In terms of the length of treatment, 97.56% of the patients were treated for less than a month and concluded as mild cases.
We also confirmed that more than 55% of all the cases were caused from corporal punishment.
Conclusions : Supervisors in the military should recognize the causes and cases of the disease, restrain from training that resemble corporal punishment, and require tailored training and prior exercises.