Thyroid storm following rapid sequence intubation

Walker Pride, Alexander Smith, Ryan Joseph

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Thyroid storm is a rare complication with an estimated incidence ranging from 0.61 to 0.76 cases per 100,000 people. Common causes include intrinsic hyperthyroidism, such as in Grave's disease, infection, surgery, severe emotional stress, and acute trauma to the thyroid gland. Without immediate treatment, mortality is seen in up to 30% of cases. Here, we report a case of a 46-year-old male who presented with a possible food impaction for the past 48 h. The patient developed extreme hypertension, tachycardia, and diaphoresis immediately following rapid sequence intubation (RSI), which, after further work-up, was due to thyroid storm.

Original languageEnglish (US)
Pages (from-to)2338.e5-2338.e6
JournalAmerican Journal of Emergency Medicine
Volume36
Issue number12
DOIs
StatePublished - Dec 2018

Keywords

  • Adderall
  • Attention deficit hyperactivity disorder
  • Etomidate
  • Fentanyl
  • Graves disease
  • Hyperthyroidism
  • Midazalom
  • Moderate sedation
  • Procedural sedation
  • Propofol
  • Rapid sequence intubation
  • Rocuronium
  • Thyroid storm

ASJC Scopus subject areas

  • Emergency Medicine

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