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{
    "pk": 1402,
    "title": "Case Report of Malignant Hyperthermia in  the Emergency Department",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH.&nbsp;</p><p><b>Case Report:</b> A 44-year-old male presented to the ED with altered mental status, eventually requiring intubation with etomidate and succinylcholine. Despite being afebrile initially, the patient developed a rectal temperature of 105.3° Fahrenheit (F) with significantly elevated arterial carbon dioxide levels after intubation. The treating team initiated cooling measures and dantrolene, leading to a positive outcome.&nbsp;</p><p><b>Conclusion: </b>Clinicians should strive for expeditious recognition of MH and treatment with an updated institutional protocol.&nbsp;</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report; malignant hyperthermia."
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9n04n73n",
    "frozenauthors": [
        {
            "first_name": "Mitchell",
            "middle_name": "",
            "last_name": "McMurray",
            "name_suffix": "",
            "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky",
            "department": ""
        },
        {
            "first_name": "Austin",
            "middle_name": "",
            "last_name": "Sowers",
            "name_suffix": "",
            "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky",
            "department": ""
        },
        {
            "first_name": "Raymond",
            "middle_name": "",
            "last_name": "Orthober",
            "name_suffix": "",
            "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky",
            "department": ""
        },
        {
            "first_name": "Martin",
            "middle_name": "",
            "last_name": "Huecker",
            "name_suffix": "",
            "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky",
            "department": ""
        }
    ],
    "date_submitted": "2023-05-26T20:43:34.471000Z",
    "date_accepted": "2023-05-26T20:47:51.104000Z",
    "date_published": "2023-05-31T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1402/galley/1023/download/"
        }
    ]
}