What is the highest temp you have seen?

Specialties MICU

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The highest temperature you have seen and did they survive? How long can a person sustained a high core temp say at 105 or higher?;):rolleyes:

107.

i was working in ltc and it was a fairly new admit. 23 years old who had od's on some heroin / fentanyl mix going around detroit a few years back.

i was adamant about getting the guy transferred. he was on a vent and his sats were bad also.

of course this was at shift change...

the director of nursing didnt want to send him out because she said "we can handle these things here" and said "he just needs a gram of vanco", and so the adon starts an iv and they hook up the vanco.

i was about losing it here as i wasnt the only one thinking this was not a good situation.

the don/adon did not want to send the patient out. there was a hospital across the street even. but they would not get paid for the day if he left before midnite.

he was sent out shortly after midnite thanks to some vigilant rt's and pulmonologist.

never saw him again after that, so i dont know what happened to him.

something tells me hes probably gone on to greener pastures...

i know most neuros tend to run temps, and this guy was definetly a vegetable, unfortunately, but a temp of 107 in a 23 year old guy in a long term care facility was just too much to deal with.

i am no longer working at that place, thankfully!

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Specializes in ICU/ER.

107.1. malignant hyperthermia. Turned him around, heard he did well. Wasn't my pt, but a coworker-little fuzzy on the details.

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Specializes in ER.

106.5 My little sister when she was 8 and had herpengina (sores all over her mouth and throat). She went to the doc daily for 4 days and stayed home for the whole illness. She hallucinated and cried all night, and was just really stoned looking all day, but fought if they tried to get her to drink. Definitely should have been admitted but I guess the doc didn't believe my mother when she reported the temp. She'd run 102-103 during the day and spike in the evening.

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Specializes in Medical.

43.0 Celsius (109.4 Farenheit) on a young guy who drowned - I could feel the heat radiating off him from the door, and he died around day six.

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My son at 10 months had a 108.1 rectal temp and lived. He had two blood infections from a central line. He suffered brain damage in his motor skill area. He is physically delayed but I don't believe cognitively delayed. Stubborn little boy just likes to do things his way!

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Specializes in ICU.

109- neuro temp. pt coded and died.

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Specializes in Med-Surg, ICU.

Around 109. Severely septic patient that seized for 2 hours straight. He didn't make it.

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I had a temperature of 104.3 F. Postpartum endometritis, the weird thing being I was in no pain or discomfort other than feeling really hot :uhoh21:

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Specializes in NICU.

I had a patient last week that had a rectal temp of 106.7. She was in septic shock maxed on 4 pressors (levo, vaso, neo, dopamine). She survived, was extubated, and transferred to the floor 5 days ago. I went to visit her Saturday. She said she had blurred vision and appeared to have a flat affect.. But she is alive and talking...... Doesn’t remember anything which is good.

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Specializes in Medical.

One of my patients at the moment is a nurse who works in a non-clinical area. She's hella sick and pretty disempowered, and I've been talking about highests and lowests - if I did know she wasn't clinical I could have guessed by her idea of what the highest blood sugar I've seen is (27mmol/L vs 108.2, or 486 vs 1947.6 in mg/dl).

The highest temp I've seen is 43 (109.4F); her guess? 50C/122F! Yeah, I'm pretty sure that's well past Not COmpatible With Life!

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The highest temperature you have seen and did they survive? How long can a person sustained a high core temp say at 105 or higher?;):rolleyes:

Former army medic here. The highest core temp I've ever seen was 109.1 F, at Fort Benning in August of 2010. We were following a road march in an ambulance and someone went down. He was incoherent and combative. When I checked his core temp on the side of the road, my handheld spat out an error message. We got him to the field hospital fast and our machine there (which has a bigger range) said his core was 109.1. Immediate ice burrito, and a frantic rush to the local hospital.

Guy not only survived, but came back for training again during the winter course. Some people never learn. I figure if we had been seconds later he would have died or suffered brain damage. Guy got lucky as hell.

I should also mention that he was an otherwise extremely fit and healthy male of 23

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I had scarlet fever as a kid and ran a temp in the 104s. My son had a reaction to his first round of vacs with the pertussis in it. 104.5 with febrile seizures. Scary! His normal body temp has always been around 97.6 (oral) so that makes the 104.5 even scarier. That was his one and only pertussis vac.

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