Endocrine Collapse: Thyroid and Adrenal Crisis
The Newly Meds por The Newly Meds
Notas del episodio
Welcome to Season 3 of TheNewlyMeds! Today starts with a classic “not acting like herself” call that looks like sepsis, until it isn’t. Dan and Wil break down the endocrine emergencies EMS can miss when we anchor on infection.
We cover thyroid and adrenal crises that can silently worsen, then crash fast: Graves and thyrotoxicosis, thyroid storm, apathetic hyperthyroidism in older adults, myxedema coma, Addison’s disease and adrenal crisis, plus Cushing syndrome. You’ll get practical prehospital recognition tips you can use without labs, along with what matters most in the field: airway, temperature, rhythms, glucose, fluids, and key pitfalls to avoid.
Quick pattern recap: too fast and too hot: thyroid excess. too slow with hypoventilation: thyroid failure. shocky and refractory: adren ...