PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

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Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

EMDocs

JUNE 25, 2024

Severely burned patients have impaired thermoregulation and are at risk of hypothermia. 2002 Mar;68(3):240-3; discussion 243-4. 2002 Nov;28(7):665-9. No role for prophylactic antibiotics in burn and inhalation injuries. May increase the risk of fungal infections and resistant organism. 2004;329(7457):101-103.

Burns 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. Adding nuance, this study also showed that the highest-severity arrests did not benefit from hypothermia.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

EMDocs

MAY 28, 2024

Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. Clinical Guide for the Management of Sickle Cell Disease, 2002. Published January 2002. Pulse oximetry is also based on HbA, not HbS. Am J Hematol. 2016;91(12):1185-1190. Br J Haematol.

Blood Transfusions 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

Greater Sydney Area HEMS

APRIL 26, 2023

– Concurrent traumatic injuries , along with hypothermia, hypoglycaemia, pain and fear can all stimulate maladaptive compensation, potentiating the above mechanisms. UK Health and Safety Executive, London; 2002. . – Vagally-mediated bradycardia/hypotension , precipitating syncope and ultimately circulatory collapse.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Dr. Smith's ECG Blog

JULY 22, 2023

This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. Syncope and weakness were attributed to acute illness from influenza. The patient did well and was ultimately discharged home.

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EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 74

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Research into post-arrest after-care, therapeutic hypothermia, reanimatology. The University of Pittsburgh to the Safar Centre for Resuscitation Research 1961–2002. " "AUA Update" Winter, 2002. Helped establish the Freedom House ambulance with paramedic level care. " Peter J. " Resuscitation 50, no.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

EMDocs

DECEMBER 16, 2023

Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. Hyperthermia. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management? 1 Fever is usually < 40C.

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Hyperthermia / Hypothermia EMS Stroke Seizures 68

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

Intensive Blog

FEBRUARY 9, 2023

It refers to hypernatraemia, hyperventilation, haemodialysis, and induced hypothermia. Hypothermia Aiming for a lower core temp (35 o C) reduces cerebral metabolic rate and cerebral blood flow. 2002, Mar). The exact pathophysiology is complex, but an important factor is the accumulation of metabolic toxins such as ammonia.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52