Remove 2009 Remove Hyperthermia / Hypothermia Remove Shock
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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

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.

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emDOCs Podcast – Episode 110: Primary Spontaneous Bacterial Peritonitis

EMDocs

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. Management: Patients can rapidly progress to septic shock and multiorgan failure. 2009 Mar 7;15(9):1042-9. Hepatology.

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Severely burned patients have impaired thermoregulation and are at risk of hypothermia. National Burn Repository 2019 Update, Report of data from 2009–2018. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. No role for prophylactic antibiotics in burn and inhalation injuries. link] (2019).

Burns 73
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Chemical Burns

Mind The Bleep

Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. 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). Check temperature and blood glucose levels.

Burns 52
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Coffee and Cases Snippets: Don’t Leave Me In Suspense

Greater Sydney Area HEMS

A literature search on ST as recently as 2009 yielded only 5 articles, as compared to thousands of non-medical commentaries. In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). .

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EM@3AM: Hyperthermia

EMDocs

Heat stroke can lead to end-organ dysfunction such as rhabdomyolysis, disseminated intravascular coagulation, cardiogenic shock, liver failure, and cerebral edema. Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. Hyperthermia. Heatstroke.