Dr. Smith's ECG Blog

JANUARY 21, 2023

Acute and reversible J waves are called "Osborn waves" and are often associated with hypothermia which can also induce ventricular arrhythmias (3), where their size correlates with colder temperatures and resolves with warming (5). Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. TSH came back as 45.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

Pediatric Emergency Playbook

AUGUST 1, 2020

Hyperthermia. Pediatr Rev 2007; 28:249. Environmental issues for team physicians. Am J Sports Med. 2008 Nov;36(11):2226-37. Ishimine P. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Jardine DS. Heat illness and heat stroke.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Best Practices Burns 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care.

Fluid Resuscitation 92

Fluid Resuscitation Documentation/Coding Resuscitation EMS 92

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. Lee C, Porter KM (2007) Suspension trauma. . – Vagally-mediated bradycardia/hypotension , precipitating syncope and ultimately circulatory collapse.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

Alexandra Schick ( with edits by Dr. Smith ) of an elderly woman who was seen in the ED for altered mental status, hyperthermia, and the initial ECG shown above. This case provides an excellent example of a “pseudo-infarction” ECG produced by a hyperthermia-induced Brugada-1 ECG pattern. Circ Res, 85(9), 803-809. [6]:

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 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.

EKG/ECG 85

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 85

Taming the SRU

APRIL 17, 2023

Patients typically present with tachycardia, mydriasis hyperthermia, altered mental status, anhidrosis, and urinary retention. 2007 May;25(2):375-433; abstract ix. Their toxic effects are caused by hyoscyamine and scopolamine. These atropine-like alkaloids produce an anticholinergic syndrome when smoked or ingested. Plant poisoning.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52