2019 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
NOVEMBER 19, 2024
1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Rigidity and hyperthermia should raise concerns for NMS. New York, NY: McGraw-Hill Education; 2019. Juurlink D.
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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. 2019 Jan 14;11:13-22. Dig Liver Dis.
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.
Mind The Bleep
OCTOBER 29, 2024
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. 2019 Nov;34(4):276-281. Epub 2019 Nov 29. Check temperature and blood glucose levels. 2019.00647.
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
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. link] (2019). American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. May increase the risk of fungal infections and resistant organism.
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