Dr. Smith's ECG Blog

FEBRUARY 2, 2024

These are Osborn waves usually associated with hypothermia. See our other blog posts of hypothermia and Osborn waves -- Massive Osborn Waves of Severe Hypothermia (23.6 Presumably, this is the result of body shivering , that so often accompanies hypothermia once temperatures drop below 30-32°C ( = 86-90°F ).

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Hyperthermia / Hypothermia EKG/ECG Wellness 138

EM Updates

AUGUST 11, 2020

Emergent Management of Hyperthermia (pdf) Emergent Management of Hyperthermia (png)

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Hyperthermia / Hypothermia 52

American Medical Compliance

FEBRUARY 26, 2024

The following Understanding and Managing Malignant Hyperthermia Training is designed to educate healthcare providers (HCP) on the genetic basis of malignant hyperthermia (MH). Nitrous oxide and xenon, while inhaled anesthetics, are not halogenated and have not been linked to malignant hyperthermia.

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Hyperthermia / Hypothermia Outcomes Wellness 52

Resus Review

APRIL 6, 2015

Malignant hyperthermia is a life-threatening reaction to volatile anesthetics and the neuromuscular blocking agent succinylcholine. Dantrolene acts at the ryanodine receptor blocking the release of calcium from the sarcoplasmic reticulum, and reducing the intracellular calcium, thereby countering the effects of the malignant hyperthermia.

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Hyperthermia / Hypothermia Poisoning Administration 52

Emergency Medicine Cases

JANUARY 29, 2019

In this CritCases blog Michael Misch takes us through a case of accidental hypothermia and cardiac arrest, reviewing the controversies in management as well as the guidelines for rewarming, the role of ECMO and the alterations to ACLS cardiac arrest medications, CPR and defibrillations.

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Hyperthermia / Hypothermia CPR Wellness Resuscitation 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

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. This case provides an excellent example of a “pseudo-infarction” ECG produced by a hyperthermia-induced Brugada-1 ECG pattern.

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Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

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.

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Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Emergency Medicine Cases

DECEMBER 8, 2020

In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR.

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Hyperthermia / Hypothermia CPR Poisoning EMS 52

Board Bombs

NOVEMBER 5, 2019

We discuss hypothermia, diagnosis, approach to rewarming, EKG and lab findings, and complications. We discuss hypothermia, diagnosis, approach to rewarming, EKG and lab findings, and complications. Check out our interactive question bank podcast- the FIRST of its kind here: emrapidfire.supercast.tech Winter storm got you shivering?

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Hyperthermia / Hypothermia EKG/ECG 52

Emergency Medicine Cases

OCTOBER 5, 2021

In this Journal Jam podcast, special guest Dr. Mizuho Morrison joins Anton and Justin to clear up the muddy waters of therapeutic hypothermia with a deep dive into the world’s literature. The post Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence appeared first on Emergency Medicine Cases.

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Hyperthermia / Hypothermia Resuscitation EMS 52

Board Bombs

DECEMBER 5, 2021

We dont know, and we are starting to get upset.Lets review some hypothermia pearls, from ACEPs PEERCert Q bank! We dont know, and we are starting to get upset.Lets review some hypothermia pearls, from ACEPs PEERCert Q bank! Want to experience the greatest in board studying?

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Hyperthermia / Hypothermia 52

Board Bombs

DECEMBER 5, 2021

We don’t know, and we are starting to get upset.Let’s review some hypothermia pearls, from ACEP’s PEERCert Q bank! We don’t know, and we are starting to get upset.Let’s review some hypothermia pearls, from ACEP’s PEERCert Q bank! Want to experience the greatest in board studying?

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Hyperthermia / Hypothermia 52

Emergency Medicine Cases

DECEMBER 6, 2016

The post Best Case Ever 52 – Pediatric Hypothermia Cardiac Arrest appeared first on Emergency Medicine Cases. DeCaen tells his Best Case Ever showing us the value of orchestrated team work and a great example of the saying, "they're not dead until they're warm and dead".

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Hyperthermia / Hypothermia Pediatrics EMS CPR 52

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. Pain/tenderness is typically diffuse but may be subtle Fever is less than 40% sensitive, but specificity is over 90%.

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Hyperthermia / Hypothermia Ultrasounds Shock Hospitals 105

EMDocs

FEBRUARY 15, 2024

3-6 Clinical Presentation: Symptoms include altered mental status, tachycardia, hyperthermia, urinary retention, mydriasis, blurred vision, dry skin, hallucinations. Anticholinergic toxicity has overlap with other toxicological causes of hyperthermia which are reviewed here: Hyperthermia in the Toxicological Setting.

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Hyperthermia / Hypothermia Poisoning Seizures COPD 110

The Skeptics' Guide to EM

NOVEMBER 16, 2019

Case: A 59-year-old […] The post SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Background: We have covered therapeutic hypothermia many times on the SGEM. Date: November 6th, 2019 Reference: Lascarrou et al.

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Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

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Hyperthermia / Hypothermia Fractures EMS Pediatrics 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

You are tidying your things […] The post SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)? Are we supposed to be starting hypothermia?” The hypothermia group was cooled using an external device to a target temperature between 32 and 34 degrees Celsius and maintained there for 24 hours.

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Hyperthermia / Hypothermia Hospitals Documentation/Coding CPR 52

Pediatric EM Morsels

SEPTEMBER 22, 2023

Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. Poor venous tone and inability to vasoconstrict in the extremities leads to distribution of blood volume away from the core, causing hypotension and distributive shock. Unopposed vagal tone leads to bradycardia.

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Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

JournalFeed

APRIL 24, 2021

We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication. It’s the JournalFeed Podcast for the week of Apr 19-23, 2021.

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Hyperthermia / Hypothermia Seizures Sepsis Leadership 52

The Skeptics' Guide to EM

MAY 20, 2023

She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Therapeutic hypothermia after out-of-hospital cardiac arrest in children.

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Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

EMDocs

JUNE 12, 2024

Previous triad of death = hypothermia, acidosis, and coagulopathy. Liver dysfunction, secondary cirrhosis, critical illness, trauma, and hypothermia reduce citrate metabolism. Hypothermia also leads to hypoCa. Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we look at hypocalcemia in trauma and the diamond of death.

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Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

Intensive Blog

FEBRUARY 14, 2025

Examples of common relevant toxidromes include: Sympathomimetic : e.g. agitation, tachycardia, hypertension, and hyperthermia. Anticholinergic : e.g. dry skin, mydriasis, urinary retention, and altered mental status. Serotonin toxicity: CNS (confusion, agitation), Autonomic (e.g. HR, BP changes), neuromuscular (e.g.

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Hyperthermia / Hypothermia Psychiatric Forensics PPE 52

JournalFeed

SEPTEMBER 17, 2022

Infant hypothermia Spoon Feed There is significant practice pattern variation in the ED management of infants ≤90 days of age with hypothermia. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia 40

Board Bombs

NOVEMBER 5, 2019

We discuss hypothermia, diagnosis, approach to rewarming, EKG and lab findings, and complications. We discuss hypothermia, diagnosis, approach to rewarming, EKG and lab findings, and complications. Check out our interactive question bank podcast- the FIRST of its kind here: emrapidfire.supercast.tech Winter storm got you shivering?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EKG/ECG 40

Taming the SRU

DECEMBER 8, 2023

It is possible she was just severely hypothermic.

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Hyperthermia / Hypothermia Head Injuries Resuscitation Documentation/Coding 88

The Skeptics' Guide to EM

DECEMBER 16, 2017

Hypothermia for Neuroprotection in Convulsive Status Epilepticus. Case: Johnny is a […] The post SGEM#199: Therapeutic Hypothermia – What is it Good For? Hypothermia for Neuroprotection in Convulsive Status Epilepticus. Background: We have covered hypothermia a number of times on the SGEM. Reference: Legriel et al.

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Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Severe hypothermia not uncommonly has accompanying T waves inversions. Another frequent feature of hypothermia is atrial fibrillation (not seen in this case) Core temperature of this patient was 29,5 Celsius. Maybe the main cause of the ECG-findings here then is benign T inversion and not hypothermia. There is SR.

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Hyperthermia / Hypothermia EKG/ECG Shock Wellness 123

PulmCCM

MARCH 10, 2025

These “Hs and Ts” are most commonly associated with PEA/asystole arrests but should be considered in all cardiac arrests.

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CPR Hospitals Hyperthermia / Hypothermia Resuscitation 52

PulmCCM

JANUARY 22, 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.

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Hyperthermia / Hypothermia Outcomes Research Hospitals 80

Taming the SRU

MARCH 30, 2024

Predictions scores such as the HOPE score can be used to guide treatment.

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Hyperthermia / Hypothermia Leadership Emergency Department Seizures 95

EMDocs

NOVEMBER 6, 2023

Patients with severe agitation from sympathomimetic poisoning require sedation to manage hyperthermia and acidosis, to prevent rhabdomyolysis and injury, and to allow evaluation for other life-threatening conditions. Life-Threatening Cocaine Toxicity We recommend rapid external cooling for life-threatening hyperthermia from cocaine poisoning.

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Poisoning Hyperthermia / Hypothermia Seizures Administration 115

PulmCCM

JUNE 12, 2023

Induced hypothermia after cardiac arrest is also called “active temperature control” or “targeted temperature management.”

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Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

EM SIM Cases

NOVEMBER 3, 2023

CLINICAL VIGNETTE 58 y/o M presents with hyperthermia and confusion, and was found by bystanders to be acting strange. CASE SUMMARY In this case of exertional heatstroke, the team must identify hyperthermia and actively cool the patient while working the patient up for other causes.

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Hyperthermia / Hypothermia EKG/ECG EMS Hospitals 52

EM SIM Cases

NOVEMBER 20, 2023

Co-morbid illnesses and medications can be risk factors and can also mask the usual responses to hyperthermia such as tachycardia. Classic Hyperthermia Download From Life in the Fast Lane, ECG Library [link]. The case will progress to the diagnosis and treatment of heatstroke/ heat related illness.

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Stroke Hyperthermia / Hypothermia EMS EKG/ECG 52

Pediatric EM Morsels

AUGUST 9, 2024

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. Fortunately, we have addressed many neonatal issues in the PedEMMorsels. Obviously, one of the most concerning considerations in neonates is the potential for infection.

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Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

The Skeptics' Guide to EM

JANUARY 13, 2024

For a full list of check out the links below to the SGEM blogs: * SGEM#50: Under Pressure Journal Club: Vasopressin, Steroids and Epinephrine in Cardiac Arrest * SGEM#54: Baby It’s Cold Outside: Pre-hospital Therapeutic Hypothermia in Out of Hospital Cardiac Arrest * SGEM#59: Can I Get a Witness: Family Members Present During CPR * SGEM#64: Classic (..)

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Hospitals CPR Resuscitation Airway Management 109