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Malignant Hyperthermia

Melodey

Created on November 4, 2025

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Transcript

To beCome an Expert!

start.

map/missions

ESCAPE ROOM Secret Agent

Mission 01

THIS IS YOUR STORY: A mysterious illiness is about to happen. Can you and your team of clinical specialists identify what is causing the illiness and cure the patient. You are trapped in this room with only fragments of patient charts, lab results, and cryptic notes left behind. The key to escape lies in diagnosing the unknown illness and restoring the stability of your patient. Make sure to have your notebook handy to jot down the clues you will be collecting. If you gather all the clues, you will obtain the combination that opens the briefcase with your reward.Good luck!

You are a nurse working in the intensive care unit. You receive a post- op patient from the OR.John Smith is a 39-year-old male who had a lap colectomy performed under general anesthesia. The procedure was uneventful, and he was transferred for routine post-op monitoring due to a history of mild obstructive sleep apnea. His past medical hx includes hypertension, seasonal allergies, HLD, and GERD. He has no known allergies. Dressings are clean dry and intact. Vital Signs are as follows Temp 99.3, HR 110, RR 26, BP 136/85, O2 Sat 90% on 2 L NC, ETCO2 38, and muscle ridgity noted.

First question

What do you anticipate is the Problem?

C Anastomotic Leak

B Bowel Obstruction

A Malignant Hyperthermia

Congratulations! You now have your first secret number to open the briefcase,write it down and keep investigating

Continue

New number obtained

Tips

Correct

map/missions

you have completed mission 1, don't forget the number you just discovered!

Mission 02

Mission 01

Open the letter

Form the code

I got it!

Drag the letters into this space and form the answer to the previous riddle.

TIME IS TICKING Dantrolene is given within how many minutes?

Type the password (lowercase)

Oh No!

You selected the incorrect answer... Try again

map/missions

You have completed mission 2, YOU ARE VERY CLOSE TO OPENING THE BRIEFCASE!

Mission 01

Mission 02

Mission 03

What other Interventions can be done?

Do you have it?

Cool

Hyperventilate

Dysrhythmias

Acidosis

Drag to find out the order of the letters you need.
Congratulations! You now have your last secret number to open the briefcase,write it down and move forward

Continue

New number obtained

Tips

Correct

map/missions

You are almost there! jUST NEED TO COMPLETE THE FINAL MISSION TO esCAPE...

Mission 01

Mission 02

Mission 03

Final Mission

Password?

What is the password?

Enter the correct numbers

Mission accomplished!

Date: 2025

Your Name Here

MH Specialist

MH

You have been promoted to Malignant Hyperthermia Expert.Congratulations!

Must complete evaluation to receive credit

Are you giving up?You were very close to completing

If you leave, you will have to start over again Are you sure you want to leave?

Continue

Exit

  • Intubation might be necessary, hyperventilate the patient to blow of excess CO2.
  • Cool the patient > 39o C, stop cooling if temperature drops < 38.5o C.
  • Insert Foley
  • Labs: CK, UA, coagulation studies, ABGs CMP. Repeat as needed, could be as frequent as every 6 hours for CK.
  • Treat arrthymias following ACLS protocol - avoid Ca Channel blockers (may cause hyperkalemia or cardiac arrest in the presence of Dantrolene)
  • Treat hyperkalemia with Calcium gluoncate or Calcium chloride for arrhtyhmis, glucose/insulin and bicarbonate can also be given. Check blood sugars hourly.
  • Continue to monitor for s/sx
Interventions Helpful Tips

Click on images to enlarge

MHAUS EBP

Riddle

You have Identified the Crisis. What is the Medication that needs to be administered?

Dantrolene Information
  • Stop triggering agent if needed
  • 2.5 mg/kg Rapid IV - Weight based med.
  • 60 ml of Sterile Water for reconsitituation.
  • Repeat until s/sx of MH are reversed.
  • Takes 90 seconds to reconstiute, mulitple people need to be assisting with this.
  • Dantrolene can not be administered with Normal Saline.
  • The average person could need 10-15 vials depending on patient weight.

Click on images to enlarge

MHAUS Dantrolene Video

Don't forget!

Block by block, the mystery unlocks. Write down the missing word to reveal your secret code! (hint what letters are removed)?

Keep going

Once Malignant Hyperthermia is Identified
  • Onset of symtpoms can be immediate or delayed up to 4-8 hours.
  • You need to activate your emergency response team to respond and bring the supplies!
  • Call the MH Hotline at 1-800-644-9737

Click on images to enlarge

MHAUS WEBSITE