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Case Report of Malignant Hyperthermia in the Emergency Department
Mitchell McMurray1, Austin Sowers1, Raymond Orthober1
1University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky.
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.
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