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Classic heat stroke

EM SIM Cases

WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations. Co-morbid illnesses and medications can be risk factors and can also mask the usual responses to hyperthermia such as tachycardia.

Stroke 52
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What Are the Classifications of Perinatal Stroke?

Pediatric Education

She had a history of neonatal stroke for which she had received physical and occupational therapy. The mother and medical records confirmed that a cause had not been determined but the child had a neonatal arterial ischemic stroke. The mother had been evaluated for hypercoagulability which was negative.

Stroke 52
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Its Getting Hot in Here: Exertional Heat Stroke Part 1

Kings County Downstate EM

EMS reports […] The post Its Getting Hot in Here: Exertional Heat Stroke Part 1 appeared first on County EM. The patient is an 18-year-old male who collapsed on the route of a half marathon. You reflect that this day is particularly warm and humid.

Stroke 40
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The Latest in Critical Care, 1/22/24 (Issue #26)

PulmCCM

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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Heat related illness

EM SIM Cases

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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Targeted temperature management for post-cardiac arrest is officially over (for now)

PulmCCM

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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A Simple Study May Herald a Big Change in Evidence-Based Medicine

Sensible Medicine

For instance, in the FOURIER trial, the super-expensive PCSCK9 inhibitor, evolocumab, reduced a primary composite outcome (CV death, MI, Stroke, unstable angina, coronary revascularization) vs placebo. We call this acute ischemic stroke or AIS. The absolute risk decrease was just 1.5%, and it was driven by non-fatal outcomes.

Stroke 92