Thyroid disease

Management of endocrine emergencies: joint consensus statement for management of myxoedema coma

Eur Thyroid JPublished Consensus statement

Methodological detailsjoint consensus, based on clinician expertise and experience
  • Joint consensus
  • Based on clinician expertise and experience

Recommendations

As issued by the authors

  1. Early recognition of precipitating factors

  2. Early empiric stress dose glucocorticoids

  3. Supportive care in a high-dependency or ICU setting

  4. Cautious thyroid hormone replacement

  5. Ventilatory and circulatory support, correction of electrolyte and metabolic disturbances, and monitoring of therapy

  6. Structured approach to diagnosis and management

Original publication

Management of endocrine emergencies: joint consensus statement for management of myxoedema coma. Eur Thyroid J. Published 17 July 2026. doi:10.1530/etj-26-0044

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