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

EM Updates

AUGUST 11, 2020

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

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Hyperthermia / Hypothermia 52

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 EMS Poisoning 52

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 Resuscitation 52

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 CPR Hospitals 40

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

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 Sepsis Seizures Pediatrics 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 Pediatrics EMS 52

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.

Stroke 52

Stroke Hyperthermia / Hypothermia EKG/ECG 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 40

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

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

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 Resuscitation Hospitals 40

Dr. Smith's ECG Blog

JANUARY 21, 2023

Acute and reversible J waves are called "Osborn waves" and are often associated with hypothermia which can also induce ventricular arrhythmias (3), where their size correlates with colder temperatures and resolves with warming (5). Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. TSH came back as 45.

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Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

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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EKG/ECG Hyperthermia / Hypothermia Shock Outcomes 98

The Skeptics' Guide to EM

JULY 3, 2021

Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. Background: Hypothermia has been a mainstay of post-arrest care after the publication of two trials in 2002 that both suggested a benefit. This gives a NNT of 4.

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Hyperthermia / Hypothermia Hospitals Outcomes Wellness 52

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 Shock 102

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 Hyperthermia / Hypothermia EMS 307

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 Emergency Department Outcomes 105

Northwestern EM Blog

MAY 9, 2022

The most acute cause of death from NMS is hyperthermia, which is induced both by D2 receptor antagonism leading to rigidity and impaired thermoregulation from the striatum and hypothalamus. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2]

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Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation Psychiatric 52

Taming the SRU

APRIL 13, 2023

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e.

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Hyperthermia / Hypothermia EKG/ECG Sepsis Seizures 52

Pediatric Education

MAY 7, 2023

Malignant hyperthermia is associated with inhaled anesthetics and some muscle relaxants and occurs usually very suddenly within minutes to hours. Resolution is also longer (9 or so days). Anticholinergic toxicity occurs with taking an anticholinergic agent usually within 1-2 hours with resolution within hours to days.

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Hyperthermia / Hypothermia Pediatrics Infectious Diseases Seizures 40

The Skeptics' Guide to EM

OCTOBER 22, 2022

SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest * SGEM#306: Fire Brigade and the Staying Alive APP for OHCAs in Paris * SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

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CPR Resuscitation Hyperthermia / Hypothermia EMS 52

JournalFeed

JULY 17, 2021

We cover high risk pediatric bruising, urine concentration and UA accuracy, atrial fibrillation management, shorter NPO time for formula fed infants, and TTM2, which showed normothermia was as good as hypothermia post-arrest.

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Pediatrics Hyperthermia / Hypothermia 52

Emergency Medicine Cases

APRIL 20, 2021

How is the treatment of bradycardia different in the patient with hypothermia? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? Cardiac ischemia? Myxedema coma? AV nodal blocker overdose? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing?

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Hyperthermia / Hypothermia EMS 52

EMergucate

NOVEMBER 14, 2017

A 30 year old man present with altered mental state, severe life threatening hyperkalaemia, severe hyperthermia, hypotension and tachycardia. He … Continue reading →

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Sepsis EMS 40

EM Literatue of Note

JANUARY 9, 2022

A Chilling Conclusion to the Hypothermia Debate? link] Effect of Moderate vs Mild Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Comatose Survivors of Out-of-Hospital Cardiac Arrest 31°C was no better than 34°C for improving neurologic outcomes following OHCA. Stylet, No?

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Hyperthermia / Hypothermia Stroke Emergency Department Hospitals 40

Taming the SRU

NOVEMBER 4, 2023

Yates Foot Infection NSTIs are rare but deadly pathology that need to be considered with any soft tissue infection NSTI is a clinical diagnosis, but there are many imaging and laboratory assessments to help increase clinical suspicion Expedited disposition to the OR for NSTIs under 12 hours from ED presentation significantly decreases mortality Emesis (..)

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Resuscitation Hyperthermia / Hypothermia Emergency Department Burns 74

Broome Docs

OCTOBER 31, 2022

PMID: 36168956 Bottom line: Despite the significant imperfections of this trial, it is important data (as we lack data on hypothermia after inpatient cardiac arrest), and it adds to the growing body of evidence that suggests hypothermia provides no benefit. Ortho vs Anaesthesia – bigger, stronger and smarter!

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Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation Seizures 52

EMergucate

FEBRUARY 15, 2017

A young man is brought in by ambulance with severe hyperthermia, tachycardia and tachypnoea. This has a mortality rate of … Continue reading →

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS 40

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

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Hyperthermia / Hypothermia Resuscitation CPR EMS 40

Emergency Medicine Cases

FEBRUARY 9, 2021

How do we mitigate the risk of hypothermia? Once the dust settles, what do we need to tell the patient and/or their family about the consequences of being massively transfused? What should be the lab resuscitation targets? Why is serum calcium important to draw in the ED for the patient who is exsanguinating?

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Hyperthermia / Hypothermia Resuscitation Hospitals EMS 52

The Skeptics' Guide to EM

MARCH 5, 2022

This includes therapeutic hypothermia for out-of-hospital cardiac arrest (OHCA), tranexamic acid (TXA) for epistaxis and electrolyte solutions for mild pediatric gastroenteritis. Case: A resident has been following the literature over their four years of training.

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Hyperthermia / Hypothermia Pediatrics Hospitals Outcomes 40

Sensible Medicine

JUNE 5, 2023

The conclusion therefore read that therapeutic hypothermia “did not confer a significant benefit in survival with a good functional outcome at 1 year.” In THAPCA, trialists reported that meaningful survival at one year occurred in 20% of patients cooled to 33 degrees vs 12% in those kept at a normal body temperature 36.8

Stroke 83

Stroke Hyperthermia / Hypothermia Outcomes Pediatrics 83

The Skeptics' Guide to EM

FEBRUARY 11, 2023

This has included things like therapeutic hypothermia ( SGEM#54 , SGEM#82 , SGEM#183 and SGEM#275 ), supraglottic devices ( SGEM#247 ), crowd sourcing CPR ( SGEM#143 and SGEM#306 ), epinephrine ( SGEM#238 ) and IO vs IV (SGEM#231 and SGEM#340).

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Shock CPR Hyperthermia / Hypothermia Hospitals 54

EMergucate

MAY 30, 2016

for hyperthermia) Risk of aspiration … Continue reading → Indications Loss of airway protection Loss of reflexes, e.g. obtunded /↓GCS (<8), muscle relaxed (e.g.

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EMS Hyperthermia / Hypothermia 40