Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). [...]

Case Presentation: Hypermagnesemia is a rare but serious condition associated with impaired renal function. We report a case of bradycardia with hypothermia secondary to hypermagnesemia from consumption of milk of magnesia (MgOH2) in a patient with end-stage kidney disease (ESKD). A 52-year-old man with ESKD on emergent hemodialysis, diabetes mellitus, hypertension, and hyperlipidemia presented for [...]

Case Presentation: A 61-year-old African American male with past medical history of type I diabetes mellitus, hypertension, benign prostatic hyperplasia, stage IV chronic kidney disease, and peripheral vascular disease presented to the hospital for altered mental status, lethargy, and hypoglycemia. Home medications included amlodipine, atorvastatin, ergocalciferol, insulin detemir, insulin lispro, lisinopril, sertraline and tamsulosin. After [...]