EM Cases · Thyroid storm and myxoedema coma
Thyroid storm — resus sequencing station
ACEM Fellowship OSCE resus station testing clinical storm diagnosis and the mandatory thionamide-before-iodine sequence with real doses.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A thyrotoxic patient with fever, AF and delirium whose nurse offers Lugol iodine first because 'it blocks release'.
Station brief
Format. Clinical-management (resus) station, 11 minutes. You are the EM consultant.
References4ShowHide
- [2]Chiha M, Samarasinghe S, Kabaker AS Thyroid storm: an updated review J Intensive Care Med, 2015.PMID 23920160
- [3]Ylli D, Klubo-Gwiezdzinska J, Wartofsky L Thyroid emergencies Pol Arch Intern Med, 2019.PMID 31237256
- [10]Furukawa Y, Tanaka K, Isozaki O, et al. Prospective Multicenter Registry-Based Study on Thyroid Storm: The Guidelines for Management From Japan Are Useful J Clin Endocrinol Metab, 2024.PMID 38454797
- [17]Taylor P, Okosieme O, Effraimidis G, et al. Management of thyroid emergencies: joint consensus statement on management of thyroid storm. European thyroid journal, 2026.PMID 42554462