New October 2018 Malignant Hyperthermia Guidelines: Is Your Emergency Department Prepared?

Abstract

While working in the emergency department, you may be the nurse for a 6-year-old girl with status epilepticus who requires emergency intubation with weight-based etomidate or ketamine. 1 Agrawal D. Rapid sequence intubation (RSI) outside the operating room in children: approach. https://www.uptodate.com/contents/rapid-sequence-intubation-rsi-outside-the-operating-room-in-children-approach?search=rapid-sequence-intubation-rsi-outside-the-operating-room&source=search_result&selectedTitle=2∼150&usage_type=default&display_rank=2. Updated July 23, 2018. Accessed January 2, 2019. Google Scholar Later, the charge nurse assigns you a 9-year-old boy with status asthmaticus who requires intubation with weight-based succinylcholine. 1 Agrawal D. Rapid sequence intubation (RSI) outside the operating room in children: approach. https://www.uptodate.com/contents/rapid-sequence-intubation-rsi-outside-the-operating-room-in-children-approach?search=rapid-sequence-intubation-rsi-outside-the-operating-room&source=search_result&selectedTitle=2∼150&usage_type=default&display_rank=2. Updated July 23, 2018. Accessed January 2, 2019. Google Scholar Which intubation drugs will trigger malignant hyperthermia (MH)? Are you prepared to recognize, intervene, and provide follow-up care to children in the emergency department who are experiencing MH? Patricia A. Normandin, Member, Massachusetts ENA Beacon Chapter, is ED Staff Nurse, Tufts Medical Center, Boston, MA, and Adjunct Nursing Faculty, Massachusetts General Hospital, Institute of Health Professions, Boston, MA. Stacey A. Benotti is Clinical Pharmacist Specialist, Pediatric and Adult Emergency Department, Tufts Medical Center, Boston, MA.