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thyrotoxic storm

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3.12.4 - Thyroid Emergencies
from Section 3.12 - Endocrine Disorders
- By Sridhar Nallapareddy, Justin Ang
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 387-390
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Summary

Key Learning Points
1. Severe hyperthyroidism or hypothyroidism should be identified and treated on clinical grounds, as laboratory tests are often delayed.
2. Always look for a trigger (e.g. infection, myocardial infarction).
3. When treating hypothyroidism, it is essential to consider if treatment of concomitant adrenal insufficiency is required.
4. Always give propylthiouracil at least 1 hour before iodides.
5. Avoid aspirin in hyperthyroid states.