Management of thyroid emergencies: joint consensus statement on management of thyroid storm
Recommendations
As issued by the authors
Diagnosis remains clinical, aided by validated scoring systems (Burch-Wartofsky; Japanese Thyroid Association/Japan Endocrine Society criteria), which also predict outcomes
Multidisciplinary management in high-dependency or ICU settings: supportive measures, aggressive treatment of precipitating factors and targeted therapies
Core treatments: beta-blockade, high-dose antithyroid drugs, corticosteroids and iodide, with careful attention to timing and contraindications
Adjunctive therapies (cholestyramine, lithium, plasmapheresis, extracorporeal membrane oxygenation (ECMO)) and thyroidectomy in selected cases may be required for refractory disease
Definitive management of underlying hyperthyroidism after stabilisation
Original publication
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