emDOCs.net Emergency Medicine (EM) Podcast
Episode 85: Tricky Cases Part 1
Sep 6, 2023
Join emDOCs.net hosts as they dive into challenging cases involving hyperpyrexia, severe illness with vague symptoms, and ureteral stone complications. Topics include differential diagnoses, rapid cooling measures, and the importance of prompt interventions in critical patients.
10:58
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Quick takeaways
- Rapid cooling is crucial in preventing end organ damage in hyperthermia cases.
- Collaboration with specialists is essential for successful management of complex cases like obstructive urological causes of sepsis.
Deep dives
Challenging Case: Severe Hyperthermia Management
A 42-year-old male with a GCS of 3, heart rate of 190, and a temperature of 105 degrees Fahrenheit, was brought in by EMS. Initial management included IV fluids, antibiotics, and cardioversion for SVT when his heart rate improved to 120 to 130. Despite interventions, his temperature escalated to 107, leading to suspicions of hyperthermia and heat stroke. Cooling measures were implemented, emphasizing the importance of rapid cooling to prevent end organ damage and mortality.
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