EMDocs

JANUARY 8, 2024

Magnesium does not improve ROSC, survival, or neurologic outcomes, no matter the presenting rhythm (Level 3: no benefit). Editorial Comment : Yes to PCI after arrest with STEMI on ECG. COR 3, No benefit, LOE B-R. COR 2b, LOE C-LD. C per hour. COR 2b, LOE C-EO.

Seizures 83

Seizures Shock CPR Hyperthermia / Hypothermia 83

Taming the SRU

MAY 1, 2023

Patients must have EKG findings and meet one of a few other criteria (ie family history of sudden death, VF or VT episode, syncope, nocturnal agonal respirations) Most common in patients of Southeast Asian descent and the mean age of death from arrhythmia if untreated is in the 4th decade of life.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

EMDocs

MAY 28, 2024

ECG: Evaluate for ischemia, right heart strain. Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. Causes and outcomes of the acute chest syndrome in sickle cell disease. Overestimates arterial oxygen saturation. Am J Emerg Med.

Blood Transfusions 76

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 76

Mind The Bleep

OCTOBER 29, 2024

Circulation Assess heart rate, blood pressure, peripheral and central CRT, pulses and 3 lead ECG. 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. Administer high-flow oxygen if indicated and consider arterial blood gas ( ABG ).

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Northwestern EM Blog

JANUARY 24, 2022

Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. However, even subclinical hypothyroidism with an elevated TSH but normal T4 increases risk of poor outcomes due to effects on cardiac function. may have greater severity of shock with increased mortality. Understanding adrenal crisis.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Rural Doctors Net

AUGUST 30, 2013

Flooding him with crystalloid is going to dilute his clotting factors, make him hypothermic and potentially worsen outcomes. Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia. Remember “the best clot is the one you’ve got” – don’t dislodge it!

Burns 52

Burns Hospitals Wellness Ambulance Services 52

EMDocs

DECEMBER 16, 2023

A 12-lead EKG shows sinus tachycardia but is otherwise normal. Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. The patient is agitated, not oriented, and becoming combative with ED staff. 1 Fever is usually < 40C. 1 Fever is usually < 40C.

Hyperthermia / Hypothermia 69

Hyperthermia / Hypothermia EMS Stroke Seizures 69

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 63

Documentation/Coding Seizures Psychiatric Wellness 63

EB Medicine

AUGUST 1, 2018

Nachi: Among metabolic abnormalities, patients can present with hyperthermia, hypoglycemia, hypokalemia, hyponatremia, and metabolic acidosis. Jeff: For any patient arriving with suspected cannabis or synthetic abuse, consider checking an EKG. Jeff: Orally and dentally, dry mouth is the most common finding in acute cannabis toxicity.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40