Remove 2018 Remove Documentation/Coding Remove Hyperthermia / Hypothermia
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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. 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. Heart Rhythm, 4(2), 198-199. [6]

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A man in his 70s with weakness and syncope

Dr. Smith's ECG Blog

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. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon.

EKG/ECG 92
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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the August 2018 issue of Emergency Medicine Practice. In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. We’re reviewing Cannabinoids -- and emerging evidence in their use and abuse.

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Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?

Dr. Smith's ECG Blog

Code STEMI was called." This repeat ECG is not available in the chart, but sounds similar to the presenting ECG, and it was excellent care that the code "STEMI" was activated despite no evidence of STEMI criteria. The pain resolved again before cath, which found a 80% RCA occlusion. Suffice it to say Much remains to be learned!

EKG/ECG 52
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A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Dr. Smith's ECG Blog

Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. Heart Rhythm 2018. Hyperkalemia 2. Other drugs with sodium channel blockade: Tricyclic antidepressants. Bayes de Luna, A et al.

EKG/ECG 52
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A 50-something man with Chest pain at triage

Dr. Smith's ECG Blog

Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. Unexplained cardiac arrest or documented VF/polymorphic VT: +3 3. Hypothermia. Hyperkalemia 2. Clinical History 2.a. Cardiac arrest.

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ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. tetani infection is also indicated. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512. doi:10.1016/0002-9343(83)90999-3 Hardin J, Griggs R. The Lancet.