Recognizes the serotonergic toxidrome and initiates rapid cooling and medical therapy Employs a tailored approach to ventricular dysrhythmia in the patient with serotonin syndrome Sample Questions for Debriefing What was your initial approach to the febrile altered patient? When did you consider serotonin syndrome as a possible diagnosis? What you in to this diagnosis? This patient did not take an overdose of her medications. Why might she have developed serotonin syndrome anyways? What are the main clinical features of serotonin syndrome? What is the main priority in the management of a patient with serotonin syndrome? What are some end-stage considerations for management? Why did the patient have a prolonged QRS? Was this part of the serotonin syndrome or related to something else? (Answer: cocaine-induced Na-channel toxicity) Key Moments Identification of sick patient who is febrile and altered with initially broad work-up Recognition of serotonin syndrome and treatment of same with benzos and active cooling Recognition of torsades and appropriate, rapid treatment
Recognizes the serotonergic toxidrome and initiates rapid cooling and medical therapy Employs a tailored approach to ventricular dysrhythmia in the patient with serotonin syndrome Sample Questions for Debriefing What was your initial approach to the febrile altered patient? When did you consider serotonin syndrome as a possible diagnosis? What you in to this diagnosis? This patient did not take an overdose of her medications. Why might she have developed serotonin syndrome anyways? What are the main clinical features of serotonin syndrome? What is the main priority in the management of a patient with serotonin syndrome? What are some end-stage considerations for management? Why did the patient have a prolonged QRS? Was this part of the serotonin syndrome or related to something else? (Answer: cocaine-induced Na-channel toxicity) Key Moments Identification of sick patient who is febrile and altered with initially broad work-up Recognition of serotonin syndrome and treatment of same with benzos and active cooling Recognition of torsades and appropriate, rapid treatment