Thyroid storm: treat the person, not just the pulse
Educational use only. Not clinically reviewed38-year-old woman for Thyroid emergency treatment and reassessment rehearsal. About 180 simulated minutes.
What you will practise
- Begin qualified multimodal treatment without waiting for laboratory confirmation.
- Assess circulation before selecting individualized rate control.
- Sequence iodine safely within the selected treatment pathway.
- Reassess the whole person and distinguish partial support from resolution.
- Hand off ongoing treatment, precipitant work, and escalation needs.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- European Thyroid Association, British Thyroid Association, Society for Endocrinology, and Welsh Endocrine and Diabetes Society. Management of thyroid emergencies: joint consensus statement on management of thyroid storm. 2026. doi:10.1530/ETJ-26-0043.
- Ross DS et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Recommendations 34–35 and Table 7. doi:10.1089/thy.2016.0229.
- Satoh T et al. 2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society. Sections on iodide and beta-adrenergic antagonists. doi:10.1507/endocrj.EJ16-0336.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.