A 74 year old male presents to the Emergency Department with altered mental status. Family reports decreased intake over the past few days. She takes Digoxin for CHF. Her bllood pressure is 78/42 and her HR is 48. Her creatinine is 3.7, K 6.0, serum digoxin level is pending. What is the most appropriate initial therapy for this patient?
John Cafaro MD
A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!
We will continue our focus on thyroid emergencies. Thryoid storm is a life threatening decompensation of thyrotoxicosis with the classic presenting triad of hyperthermia, altered mental status and sympathetic surge. This is largely a clinical diagnosis and timely, accurate treatment is essential. Read ahead for the treatment regimen and pay particular attention to the ORDER of medications!