ETA/BTA/SfE/WEDS 2026 — Management of endocrine emergencies: joint consensus statement for management of myxoedema coma
European Thyroid Association / British Thyroid Association / Society for Endocrinology / Welsh Endocrine and Diabetes Society, 2026
Treat suspected myxoedema coma immediately in a high-dependency or intensive-care setting with supportive resuscitation, empiric stress-dose glucocorticoid, cautious IV levothyroxine replacement, treatment of precipitants, passive warming, and close cardiovascular, respiratory, metabolic and thyroid-function monitoring; liothyronine is reserved for selected cases because of cardiac risk.
Clinical Context & Relevant Topics (2)
Disease ReferenceRecognition and ICU treatment of decompensated profound hypothyroidism with altered mental status and multiorgan dysfunction.
Time-critical recognition and empiric treatment of acute cortisol deficiency causing shock, electrolyte disturbance and hypoglycemia.