EMDocs

NOVEMBER 13, 2024

Mild hypothermia is normal in patients with advanced cirrhosis; consider lowering threshold for fever to 37.8 Marked hypothermia is specific for SBP (> 90%), and it’s a poor prognostic finding. 2009 Mar 7;15(9):1042-9. Approximately 50% have altered mental status, but it may be subtle. Hepatology. 1990 Oct;12(4 Pt 1):710-5.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

EMDocs

JANUARY 16, 2024

Some authors recommend not starting chest compressions in hypothermia unless there is no organized cardiac activity (e.g., 2 In reality you may start compressions before you confirm that hypothermia was the primary cause of cardiac arrest. Obtaining a core temperature early in any arrest suspected to be from hypothermia is key.

Hyperthermia / Hypothermia 110

Hyperthermia / Hypothermia Resuscitation CPR EMS 110

Mind The Bleep

OCTOBER 29, 2024

Exposure Expose the patient in a systematic manner while keeping remaining body areas covered e.g. 1 limb at a time, to reduce the risk of hypothermia. Cardiovasc Intervent Radiol 32 , 155–158 (2009). Assess pupillary reaction to light. Keep the patient warm using force air warmers such as Bairhugger. Sagoschen, I. 2020.0056.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JUNE 25, 2024

Severely burned patients have impaired thermoregulation and are at risk of hypothermia. National Burn Repository 2019 Update, Report of data from 2009–2018. No role for prophylactic antibiotics in burn and inhalation injuries. May increase the risk of fungal infections and resistant organism. References American Burn Association.

Burns 98

Burns Fluid Resuscitation Resuscitation Poisoning 98

Greater Sydney Area HEMS

APRIL 26, 2023

A literature search on ST as recently as 2009 yielded only 5 articles, as compared to thousands of non-medical commentaries. – Concurrent traumatic injuries , along with hypothermia, hypoglycaemia, pain and fear can all stimulate maladaptive compensation, potentiating the above mechanisms. Get them down, right?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

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.

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

The Skeptics' Guide to EM

MARCH 5, 2022

This includes therapeutic hypothermia for out-of-hospital cardiac arrest (OHCA), tranexamic acid (TXA) for epistaxis and electrolyte solutions for mild pediatric gastroenteritis. JAMA Feb 2009 looked at the ACC/AHA guidelines from 1984 to 2008. Case: A resident has been following the literature over their four years of training.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40