ICU SAQs · Endocrine & metabolic emergencies
Thyroid storm — the management
A CICM Second-Part SAQ on the thyroid storm — the beta-blocker, the PTU, the iodine-after, the hydrocortisone, the cooling, the treat the trigger.
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Prompt
A 50-year-old with known Graves disease presents with fever of 39.5°C, AF at 150, agitation and heart failure, triggered by a chest infection. Outline the management.
Question
A 50-year-old with known Graves disease presents with fever of 39.5°C, AF at 150, agitation and heart failure, triggered by a chest infection. Outline the management.
References6ShowHide
- [1]De Almeida R, McCalmon S, Cabandugama PK Clinical Review and Update on the Management of Thyroid Storm. Missouri Medicine, 2022.PMID 36118802
- [2]Kruithoff ML, Gigliotti BJ Thyroid Emergencies: A Narrative Review. Endocrine Practice, 2025.PMID 40553957
- [11]Matsuo Y, Miyawaki A, Watanabe H, et al. Potassium Iodide Use and Patient Outcomes for Thyroid Storm: An Observational Study J Clin Endocrinol Metab, 2025.PMID 38546426
- [17]Afifi S, Suryadevara V, Habab Y, et al. Comparing the Incidence of Propranolol and Esmolol-Related Cardiac Arrest in Patients With Thyroid Storm: A Systematic Literature Review Cureus, 2023.PMID 37799246
- [20]Sebe A, Satar S, Sari A Thyroid storm induced by aspirin intoxication and the effect of hemodialysis: a case report Adv Ther, 2004.PMID 15509133
- [21]Farooqi S, Raj S, Koyfman A, et al. High risk and low prevalence diseases: Thyroid storm Am J Emerg Med, 2023.PMID 37104908