Answer
Answer
Indications are as follows:
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Elevated rectal temperature greater than 40°C and altered mental status
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Particularly aggressive temperature reduction is necessary in the setting of hemodynamic instability.
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Suspected or confirmed neuroleptic malignant syndrome and malignant hyperthermia: Cooling techniques should be implemented concomitantly with administration of specific pharmacologic treatment (eg, dantrolene for malignant hyperthermia). [10] The offending drug should be discontinued.
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Media Gallery
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Sample display of equipment useful for various cooling techniques. Clockwise from top: ice pack and water, air-cooling blanket, Foley catheter, and intravenous fluids.
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Sample display of equipment useful for cooling via gastric lavage. Clockwise from top: ice water, nasogastric tube, endotracheal tube, and lavage bag.
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Sample display of equipment useful for cooling via peritoneal lavage. Clockwise from top: iced water, peritoneal catheter, and saline fluid.
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