SCCM Resource Library-Thyroid Storm and Myxedema Coma

Video Transcription

Video Summary

The session led by Paul Reynolds, titled "Endocrine Emergencies When Zebras Are Real," delves into rare but critical endocrine emergencies like myxedema coma and thyrotoxicosis, or thyroid storm. Paul highlights the historical significance of endocrine-related treatments, such as insulin and corticosteroids, touching on the severe outcomes linked to insulin derangements. Joined by Drs. Liz Farrington and Nicole Palm, the discussion covers diabetic ketoacidosis, hyperosmolar hyperglycemic state, and adrenal crises. Reynolds explains that thyroid emergencies, while infrequent, demand early intervention due to high morbidity and mortality. He details differences between myxedema coma, often marked by glycoprotein accumulation and hypothyroidism-induced coma, and thyroid storm, characterized by multi-organ dysfunction due to excessive thyroid hormones. Treatment strategies include thionamides, potassium iodide, and beta blockers, with considerations for corticosteroid use and emerging therapies like immunotherapy and ECMO in severe cases.

Asset Caption

One-Hour Concurrent Session | Endocrine Emergencies: When Zebras Are Real

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

endocrine emergencies

myxedema coma

thyroid storm

diabetic ketoacidosis

adrenal crises

treatment strategies

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