The Bottom Line: “Although the ECG findings are more subtle in the case of hypokalemia compared to hyperkalemia, it is important that clinicians are alert to these. ECG changes in hypokalemia include increased amplitude of P-waves, prolonged PR interval, prolonged QT-interval, ST-segment depression and appearance of pathologic U-waves or bifid T-waves. The understanding of ECG changes in electrolyte disturbances is important both in the diagnosis and implementation of timely and appropriate treatment to these patients.” (Khan)
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Krakow Conference: What lab values are prognostic for poor outcomes in severe accidental hypothermia?
The Bottom Line:
Lab values that are prognostic of poor outcomes in severe accidental hypothermia:
- serum potassium level > 10 mEq/L
- ammonia level > 250 micromol/L
- fibrinogen level < 50 mg/dL
- acidosis on admission
- coagulopathy
DynaMed [Internet]. Ipswich (MA): EBSCO Information Services. Accidental Hypothermia; [updated 2018 Nov 30, cited 2019 Dec 6].