Thyroid Storm in the Emergency Department
Emergency medicine residents of all levels, and emergency medicine medical students.
Thyroid storm represents the extreme manifestation of thyrotoxicosis.1 It ranks as one of the most critical illnesses in the spectrum of endocrine emergencies.1 Recognition and appropriate management of life-threatening thyrotoxicosis is vital to prevent the high morbidity and mortality that may accompany this disorder. The incidence of thyroid storm has been noted to be less than 10% of patients hospitalized for thyrotoxicosis; however, the mortality rate due to thyroid storm ranges from 20%-30%.1 This simulation case allows the trainee to practice important critical decision-making skills in the evaluation and management of a patient presenting with thyroid storm.
By the end of this simulation-based session, the learner will be able to: 1) Recognize the signs and symptoms of thyroid storm and appropriately diagnose a patient with thyroid storm. 2) Choose appropriate medications for the treatment of thyroid storm. 3) Determine the appropriate disposition for a patient presenting in thyroid storm. 4) Discuss the rationale behind each drug used to treat thyroid storm. 5) List at least three precipitants of thyroid storm.
This case can be run as a low, medium, or high-fidelity simulation.
Thyroid storm, thyrotoxicosis, hyperthyroidism, endocrine emergencies.