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Hypothermia, Hyperthermia, and Rhabdomyolysis

hypothermia , Hyperthermia, and Rhabdomyolysis Janice L. Zimmerman, MD, FCCP. Objectives: tone and shivering. These homeostatic mechanisms To understand the physiologic responses associated with deteriorate with age. hypothermia To outline supportive measures and rewarming techniques for management of hypothermia hypothermia To describe predisposing factors for heat stroke, the clinical manifestations, and cooling methods Definition and Etiologies To discuss the clinical presentations and management of malignant hyperthermia and neuroleptic malignant syn- drome hypothermia is defined as the unintentional To describe etiologies, clinical presentation, and treatment lowering of core body temperature (tympanic, of Rhabdomyolysis esophageal, or rectal) to < 35 C (< 95 F). Multiple factors may lead to increased heat loss, decreased Key words: heat stroke; hyperthermia; hypothermia ; ma- lignant hyperthermia; neuroleptic malignant syndrome.

322 Hypothermia, Hyperthermia, and Rhabdomyolysis (Zimmerman) ACCP Critical Care Board Review 2003 323 Table 2. Manifestations of Hypothermia*

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