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Malignant Hyperthermia Management Guide

The first document provides mnemonics and acronyms to help summarize various medical conditions, treatments, and assessments including causes of coma (MIDAS), resuscitation steps (ABCDE), malignant hyperthermia treatment ("Some Hot Dude Better Give Iced Fluids Fast!"), drugs for ventricular fibrillation/tachycardia (Every Little Boy Must Pray), coma causes checklist (AEIOU TIPS), types of shock (RN CHAMPS), signs of shock (TV SPARC CUBE), causes of falls (CLAE SPADE), and management of diabetic ketoacidosis (F*¢KING). The second document lists additional medical acrony

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Axel RJ
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509 views4 pages

Malignant Hyperthermia Management Guide

The first document provides mnemonics and acronyms to help summarize various medical conditions, treatments, and assessments including causes of coma (MIDAS), resuscitation steps (ABCDE), malignant hyperthermia treatment ("Some Hot Dude Better Give Iced Fluids Fast!"), drugs for ventricular fibrillation/tachycardia (Every Little Boy Must Pray), coma causes checklist (AEIOU TIPS), types of shock (RN CHAMPS), signs of shock (TV SPARC CUBE), causes of falls (CLAE SPADE), and management of diabetic ketoacidosis (F*¢KING). The second document lists additional medical acrony

Uploaded by

Axel RJ
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Coma: Conditions and Resuscitation
  • Coma Causes and Shock Types
  • Fall Causes and Acute Conditions Management

Coma: conditions to exclude as cause MIDAS:

Meningitis
Intoxication
Diabetes
Air (respiratory failure)
Subdural/ Subarachnoid hemorrhage

Resuscitation: basic steps ABCDE:


Airway
Breathing
Circulation
Drugs
Environment

Malignant hyperthermia treatment


"Some Hot Dude Better Give Iced Fluids Fast!"
(Hot dude = hypothermia):
Stop triggering agents
Hyperventilate/ Hundred percent oxygen
Dantrolene (2.5mg/kg)
Bicarbonate
Glucose and insulin
IV Fluids and cooling blanket
Fluid output monitoring/ Furosemide/ Fast heart [tachycardia]

Vfib/Vtach drugs used according to ACLS "Every Little Boy Must


Pray":
Epinephrine
Lidocaine
Bretylium
Magsulfate
Procainamide
Coma causes checklist AEIOU TIPS:
Acidosis/ Alcohol
Epilepsy
Infection
Overdosed
Uremia
Trauma to head
Insulin: too little or or too much
Pyschosis episode
Stroke occurred

Shock: types RN CHAMPS:


Respiratory
Neurogenic
Cardiogenic
Hemorrhagic
Anaphylactic
Metabolic
Psychogenic
Septic
· Alternatively: "MR. C.H. SNAP", or "NH CRAMPS".

Shock: signs and symptoms TV SPARC CUBE:


Thirst
Vomiting
Sweating
Pulse weak
Anxious
Respirations shallow/rapid
Cool
Cyanotic
Unconscious
BP low
Eyes blank

Fall: potential causes CLADE SPADE:


Cardiovascular/ Cerebrovascular
Locomotor (skeletal, muscular, neurological)
Ageing (increased body sway, decreased reaction time)
Drugs (esp. antihypertensives, antipsychotics)
Environmental
Sensory deficits (eg. visual problems)
Psychological/ Psychiatric (depression)
Acute illness
Dementia
Epilepsy

Diabetic ketoacidosis management F*¢KING:


Fluids (crytalloids)
Urea (check it)
Creatinine (check it)/ Catheterize
K+ (potassium)
Insulin (5u/hour. Note: sliding scale no longer recommended in the UK)
Nasogastic tube (if patient comatose)
Glucose (once serum levels drop to 12)

Asthma: management of acute severe "O S#!T":


Oxygen (high dose: >60%)
Salbutamol (5mg via oxygen-driven nebuliser)
Hydrocortisone (or prednisolone)
Ipratropium bromide (if life threatening)
Theophylline (or preferably aminophylline-if life threatening)
11

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