The Skeptics' Guide to EM

MAY 8, 2021

The issue of whether corticosteroids should be administered is brought up during the code. CPR is initiated and a hospital rapid response team is called. The resuscitation team arrives and ACLS protocols are continued. It is estimated that the survival to discharge for an IHCA is approximately 18% with only 10% for OHCAs.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Advanced Emergency Nursing from AENJ

MAY 2, 2017

Useful combinations can be made such as near-drowning & hypothermia & intoxication. As with a well-run ‘mega-code’, these are rehearsals for future events that may present suddenly. Not an impossible likelihood, eh?) The main points should be brief, lucid, and memorable.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Emergency Nursing Documentation/Coding Pediatrics 40

EMDocs

FEBRUARY 9, 2024

Common causes include hypokalemia, hypocalcemia, hypomagnesemia, and hypothermia 3. The literature base for the use of lidocaine for torsade storm is documented primarily by case studies in drug-induced TdP. Treat the cause of acquired prolonged QT Other causes of long QT should also be identified and treated.

EKG/ECG 97

EKG/ECG Hyperthermia / Hypothermia EMS Documentation/Coding 97

Emergency Medicine Ireland

MAY 3, 2021

Now is not the time for permissive hypercapnoea and so for your patients with head injury and ARDS this can be really challenging The BTF guidance is the key guideline document that should be referenced and it is well worth a read for any exam candidate and indeed any clinician dealing with TBI. The following summarises some of the headlines.

Head Injuries 40

Head Injuries Hyperthermia / Hypothermia Documentation/Coding Outcomes 40

Dr. Smith's ECG Blog

JANUARY 30, 2019

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.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. 2019;154(7):e191152.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). Patients presenting with hypothermia should not be warmed too quickly (allowing their temperature to increase by <0.5°C/hour). PulmCCM is not affiliated with the American Heart Association. Here’s PulmCCM’s take on the new changes. °C was advised).

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

Dr. Smith's ECG Blog

JULY 22, 2023

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

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness 92

Emergency Medicine Journal

NOVEMBER 28, 2023

Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. 0[0 , 12] HYPOTHERMIA 23 3 11 47.8 Results and Conclusion Data was collected from 84,999 patients, of which 1,159 people died within 30 days of attendance. Chest pain was not a high risk presenting complaint. NEEDLESTICK/BODY FLUIDS) 113 0 12 10.6

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

EB Medicine

AUGUST 1, 2018

In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Nachi: Among metabolic abnormalities, patients can present with hyperthermia, hypoglycemia, hypokalemia, hyponatremia, and metabolic acidosis. Chronic use has also been linked to severe periodontitis.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

MAY 23, 2022

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.

EKG/ECG 52

EKG/ECG Documentation/Coding Hyperthermia / Hypothermia Research 52

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. Hyperkalemia 2. Other drugs with sodium channel blockade: Tricyclic antidepressants. Other sodium channel blockers, such as flecainide.

EKG/ECG 52

EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

Dr. Smith's ECG Blog

JANUARY 13, 2025

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.

Hyperthermia / Hypothermia 70

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 70

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

MARCH 4, 2025

Cracking the code: an integrated electronic medical record approach to early diagnosis of genetic kidney disease in children with microscopic haematuria. Whole-Body Hypothermia for Neonatal Encephalopathy in Preterm Infants 33 to 35 Weeks’ Gestation: A Randomized Clinical Trial. J Pediatr Gastroenterol Nutr. 2025 Feb 3.

Pediatrics 59

Pediatrics Hyperthermia / Hypothermia Hospitals Documentation/Coding 59

EMDocs

NOVEMBER 6, 2024

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. 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. DIAZEPAM TREATMENT IN A CASE OF STRYCHNINE POISONING.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98

EMDocs

JANUARY 6, 2025

4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. About three-quarters of the countries in sub-Saharan Africa serve as origin or destination points for refugees.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75