Documentation/Coding Hyperthermia / Hypothermia Pediatrics 
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. Pediatric and elderly patients were more predisposed to developing an arrhythmic event in the setting of fever [7]. She was on amitriptyline 50 mg/day but no other medications that would affect the sodium channel.
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.
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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. Readers must verify validity to their own practice.
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.
EMDocs
FEBRUARY 9, 2024
The same principles can be applied to pediatric patients with modified doses. 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. mg/kg/hour infusion 1.
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. Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it.
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.
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