Antipsychotics & hypothermia
What are your experiences with patients having HYPOthermia (not hyperthermia/NMS) as a side effect of antipsychotic therapy? I encountered my first case where this seems to be happening and am not sure what to make of it. From what little literature we could find it seems very rare and to be most common in the time periods after initiation or dose change, neither of which apply to my patient. They also have it as a documented reaction to multiple prior antipsychotics which are quite...
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Source: Student Doctor Network - December 4, 2023 Category: Universities & Medical Training Authors: Celexa Tags: Psychiatry Source Type: forums
Jefferson vs. Rochester(URSMD) vs. MCW vs. Illinois(UICOM)
I have been very fortunate to have gotten off some waitlists so now I have a choice on where to go to medical school.
Illinois (Chicago Campus):
Pros:
True Pass/fail
Non mandatory, recorded lectures
In Chicago, living there would be fun, lots to do
Very close by to family and friends, so near support network
Cheapest option by far ~45k/year
Cons
Non nbme exams (in house)
Lower ranking and prestige than some of...
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Source: Student Doctor Network - May 23, 2022 Category: Universities & Medical Training Authors: Hypothermia Tags: Help Me Decide: X vs Y Medical School (2021-2022) Source Type: forums
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(Source: Student Doctor Network)
Source: Student Doctor Network - November 4, 2021 Category: Universities & Medical Training Authors: Hypothermia Tags: What Are My Chances? WAMC Medical Source Type: forums
515/3.8 no interviews
I am a reapplicant from last year. I was able to get some good app growth in the meantime and am reapplying again this year.
However, right now I have zero IIs. By this time last year I had 2 of my 3 invites and I had a worse application and a worse school list. I’m really worried and also confused as to why.
I must have not had any red flags last year as I got 3 IIs. But logic says I should have more interviews this year already. What’s wrong?
_________________________
I realized my...
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Source: Student Doctor Network - September 28, 2021 Category: Universities & Medical Training Authors: Hypothermia Tags: Re-Applicants Source Type: forums
Cardiac arrest temperature management
After the article in NEJM from June 17, "Hypothermia vs Normothermia..." is there anything left for holding a patient's post-arrest temperature to 32-34 or 36 post arrest?
So much has evolved since the initial 32-34 study, including the 36 study, some data showing no benefit to cooling in-hospital arrest, then Hyperion. Now we have this!
What should practice be now? Cool patients under 65 years of age who have had shockable arresting rhythms? Just top patients out at normothermia until they...
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Source: Student Doctor Network - July 12, 2021 Category: Universities & Medical Training Authors: sluggs Tags: Critical Care Source Type: forums
intrathecal morphine induced hypothermia
Y'all ever seen this? Interesting case this last month. Healthy g1p0 undergoing elective cesarean. Standard spinal dose of 12mg but, 200mcg duramorph, 10mcg feet, and 100mcg epi. Not acute issues during the procedure. In the pacu, pt's temperature drops to 94-95 degrees F and remains there despite forced air warming gown/blanket thingy, warmed fluids etc. Pt's temp eventually returned to normal after several hours. The pt stated she felt fine throughout the ordeal and was not shivering at all. (Source: Student Doctor Network)
Source: Student Doctor Network - September 2, 2020 Category: Universities & Medical Training Authors: MirrorTodd Tags: Anesthesiology Source Type: forums
Why would an infant get hypothermia with bacterial meningitis?
The title says it all. Thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2018 Category: Universities & Medical Training Authors: medlife2017 Source Type: forums
Hypothermia
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Hypothermia
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Hey guys im new to this forum ...
Source: The Student Room - December 31, 2017 Category: Universities & Medical Training Authors: MisbahBCU Tags: Medicine Source Type: forums
Can you get hypothermia from being in a cold bath?
Forum: Chat
Posted By: LeCroissant
Post Time: 11-05-2017 at 22:17 (Source: The Student Room)
Source: The Student Room - May 12, 2017 Category: Universities & Medical Training Source Type: forums
Diagnostic and therapeutic dilemma
62 year old Caucasian woman with a history of diabetes on oral hypoglycemics,active smoker; hospitalized in the recent past for congestive heart failure came in with pulseless electrical activity(PEA) arrest.Ejection fraction (EF) on recent echo done 1 week prior was 65% with mildinferolateral wall hypokinesis. She is admitted this time with respiratory failure leading to intubation in the field, followed by PEA arrest on arrival in the emergency. Resuscitated after 4-5 minutes of cardio-pulmonary resuscitation-no purposeful movements noted, but patient opens eyes spontaneously.Electrocardiogram after resuscitation a...
Source: Doc2Doc BMJ Cardiology - November 11, 2014 Category: Cardiology Authors: Heartfelt Source Type: forums
Should patients in cardiac arrest be taken to hospital?
A head to head debate on the BMJ looks at whether patients in cardiac arrest should be taken to hospital.
Jonathan Benger argues no, just 10% of people who have a cardiac arrest outside of hospital survive to discharge from hospital. Hospital has nothing to offer the 60,000 people who cardiac arrest outside hospital, he argues, and the journey to hospital can actually be harmful.
"Preparing patients for transport, moving them, and driving them to hospital lead to pauses in CPR [cardio-pulmonary resuscitation] and suboptimal chest compressions even with the most skilled and committed staff." Paramedics are the exp...
Source: Doc2Doc BMJ Cardiology - September 24, 2014 Category: Cardiology Authors: AnneG Source Type: forums
The end of therapeutic hypothermia post cardiac arrest?
There is an editorial in the BMJ this week covering the Targeted Temperature management trial (TTM) trial of cooling to 33 degrees versus 36 degrees in cardiac arrest survivors who remain comatose post resuscitation. The results appear clear cut - cooling is harmful - going against what we have previously believed and done for that matter. Will this change your practice?
http://www.ncbi.nlm.nih.gov/pubmed/24237006?dopt=Abstract&access_num=24237006&link_type=MED
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 7, 2014 Category: Cardiology Authors: sadian Source Type: forums
