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EMCrit 356 – More on Accidental Hypothermia with Ken Zafren

EMCrit

A deeper dive on accidental hypothermia in anticipation of my much awaited winter EMCrit Project by Scott Weingart, MD FCCM.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

1,2 Neuroleptic malignant syndrome (NMS) (hyperthermia, autonomic instability, rigidity, altered mental status [AMS]) can occur as well and is most often seen with clozapine but has been observed with other atypicals. Rigidity and hyperthermia should raise concerns for NMS. 1 Seizures may occur due to lowered seizure threshold.

Poisoning 111
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Hypothermia & Non-Freezing Cold Injury

EM Ottawa

In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field. Furthermore, I’ll […] The post Hypothermia & Non-Freezing Cold Injury appeared first on EMOttawa Blog.

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Emergent Management of Hyperthermia

EM Updates

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

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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

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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Dantrolene for Malignant Hyperthermia

Resus Review

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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CritCases 12 Accidental Hypothermia and Cardiac Arrest

Emergency Medicine Cases

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.