Case Report of Malignant Hyperthermia in the Emergency Department
Introduction: Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH. C...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2023-05-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/9n04n73n |
| _version_ | 1827931334029344768 |
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| author | Mitchell McMurray Austin Sowers Raymond Orthober Martin Huecker |
| author_facet | Mitchell McMurray Austin Sowers Raymond Orthober Martin Huecker |
| author_sort | Mitchell McMurray |
| collection | DOAJ |
| description | Introduction: Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH. Case Report: A 44-year-old male presented to the ED with altered mental status, eventually requiring intubation with etomidate and succinylcholine. Despite being afebrile initially, the patient developed a rectal temperature of 105.3° Fahrenheit (F) with significantly elevated arterial carbon dioxide levels after intubation. The treating team initiated cooling measures and dantrolene, leading to a positive outcome. Conclusion: Clinicians should strive for expeditious recognition of MH and treatment with an updated institutional protocol. |
| first_indexed | 2024-03-13T06:49:55Z |
| format | Article |
| id | doaj.art-d3d1005b5a8e46c392c4717445b7815e |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-03-13T06:49:55Z |
| publishDate | 2023-05-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-d3d1005b5a8e46c392c4717445b7815e2023-06-07T18:52:53ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2023-05-017210.5811/cpcem.1402cpcem-7-85Case Report of Malignant Hyperthermia in the Emergency DepartmentMitchell McMurrayAustin SowersRaymond OrthoberMartin HueckerIntroduction: Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH. Case Report: A 44-year-old male presented to the ED with altered mental status, eventually requiring intubation with etomidate and succinylcholine. Despite being afebrile initially, the patient developed a rectal temperature of 105.3° Fahrenheit (F) with significantly elevated arterial carbon dioxide levels after intubation. The treating team initiated cooling measures and dantrolene, leading to a positive outcome. Conclusion: Clinicians should strive for expeditious recognition of MH and treatment with an updated institutional protocol.https://escholarship.org/uc/item/9n04n73n |
| spellingShingle | Mitchell McMurray Austin Sowers Raymond Orthober Martin Huecker Case Report of Malignant Hyperthermia in the Emergency Department Clinical Practice and Cases in Emergency Medicine |
| title | Case Report of Malignant Hyperthermia in the Emergency Department |
| title_full | Case Report of Malignant Hyperthermia in the Emergency Department |
| title_fullStr | Case Report of Malignant Hyperthermia in the Emergency Department |
| title_full_unstemmed | Case Report of Malignant Hyperthermia in the Emergency Department |
| title_short | Case Report of Malignant Hyperthermia in the Emergency Department |
| title_sort | case report of malignant hyperthermia in the emergency department |
| url | https://escholarship.org/uc/item/9n04n73n |
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