PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

Northwestern EM Blog

MAY 9, 2022

There is no gold standard with respect to its definition, and it requires a medication history (which we typically don't do very well in the emergency department). Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] McGraw Hill; 2019. A tricky cause of NMS is the removal of a dopamine agonist.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Administration 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

First described in 1953 ( by Dr. John Osborn ) — these Osborn waves are most commonly associated with significant hypothermia ( usually not seen until core temperature is below 90°F ). Rituparna et al — as well as Chauhan and Brahma ( Int. They’ve also been called the “camel-hump” sign.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation 52

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. 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.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JUNE 25, 2024

Consider escharotomy if there is any issue with perfusion or neurologic deficit, as well as difficult ventilation in the intubated patient. 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).

Burns 73

Burns Fluid Resuscitation Resuscitation Poisoning 73

Dr. Smith's ECG Blog

OCTOBER 12, 2024

The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. Potassium resulted as 4.9, initial troponin I 0.05 ng/mL (consistent with prior baseline), and a repeat EKG was obtained 1 hour after the initial EKG.

EKG/ECG 103

EKG/ECG Documentation/Coding Emergency Department COPD 103

Pediatric Education

SEPTEMBER 3, 2023

He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. Other states which could also affect sickling would be dehydration, acidosis, hypoxia and hyperthermia. The past medical history was positive for sickle cell trait.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

Greater Sydney Area HEMS

APRIL 26, 2023

Both the stuff of legend and go by multiple names including harness hang syndrome and orthostatic intolerance, as well as bigfoot and the abominable snowman, respectively. – Concurrent traumatic injuries , along with hypothermia, hypoglycaemia, pain and fear can all stimulate maladaptive compensation, potentiating the above mechanisms.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Dr. Smith's ECG Blog

FEBRUARY 16, 2020

Well, don't we see diffuse ST Elevation in Myo-pericarditis (with STD in aVR)? had at least 2 potential etiologies for developing acute myocarditis: i ) Profound hypothermia ( core temperature = 90°F = 32.2°C So this is STEMI, right? Which artery? There is ST Elevation in every lead except aVR (STD in aVR). Our THANKS to Dr.

Shock 52

Shock Hyperthermia / Hypothermia EKG/ECG Hospitals 52

Don't Forget the Bubbles

JANUARY 24, 2024

The first human trials for children with SRSE were conducted in 2014 where 2 patients responded well to the treatment and there have been encouraging results in open label adult trials more recently. 2019 Apr;85(4):526-537. Epub 2019 Mar 8. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. Ann Neurol.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Taming the SRU

AUGUST 27, 2024

This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely. J Am Acad Dermatol 2019; 81:686. The first step is to determine what disease you are dealing with.

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Taming the SRU

APRIL 17, 2023

Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. Deadly Nightshade and Jimson Weed are well known among the poisonous plants. Patients typically present with tachycardia, mydriasis hyperthermia, altered mental status, anhidrosis, and urinary retention.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties. 2010; 36: 2019-2029.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2019 Jan 24;14:263-292. C or 100.4 mg/kg, max 0.4 C or 100.4 mg/kg, max 0.4

Pediatrics 75

Pediatrics Dehydration EMS Hospitals 75

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

These include ( among others ) — acute febrile illness — variations in autonomic tone — hypothermia — ischemia-infarction — malignant arrhythmias — cardiac arrest — and especially Hyperkalemia. I suspect we are seeing a combined ECG effect ( as well as a tall, slender R' in lead V1 from myocardial contusion-induced incomplete RBBB).

EKG/ECG 52

EKG/ECG Fractures Hyperthermia / Hypothermia Wellness 52

Don't Forget the Bubbles

JUNE 30, 2023

You will be running the show today, and you want to use your preparation time well. 2019 Aug;31(4):683-687. All you know, back in ED, is that the ETA is 10 minutes, and there is a single stab wound to the chest. The trauma call goes out. So, what are your key priorities? Emerg Med Australas. 2023 Jun;35(3):412-419. Emerg Med Australas.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Dr. Smith's ECG Blog

DECEMBER 5, 2019

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. How well does the computer interpretation perform? Annals of Noninvasive Electrocardiology 2019. 8, 2019 ) — ( Jan.

EKG/ECG 52

EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40