2018 Hyperthermia / Hypothermia Shock 
Pediatric EM Morsels
SEPTEMBER 22, 2023
Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.
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.
Dr. Smith's ECG Blog
FEBRUARY 16, 2020
A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. Referring to Figure-1 — this 53-year old woman who presented in extremis with cardiogenic shock and an initial pH = 6.9, This was sent by a reader. and K was normal. Here was the ECG: There is sinus tachycardia.
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. Management: Patients can rapidly progress to septic shock and multiorgan failure. 2018 Apr;36(4):689-698. 2018 Dec;15:41-47.
The Skeptics' Guide to EM
AUGUST 14, 2021
Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Date: August 12th, 2021 Reference: Daya et al.
Northwestern EM Blog
JANUARY 24, 2022
Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.
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. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. No role for prophylactic antibiotics in burn and inhalation injuries. link] (2019).
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