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Hannah E. Miller, MD

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EMRA PEM Committee Chair-Elect, 2025 

Medical School: University of Vermont Medical Center 

 

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Pediatric EM , Critical Care

Paroxysmal Sympathetic Hyperactivity: What to Know about This Complex Diagnosis in the Critical Care Unit

11/18/2025 Hannah E. Miller, MD , Alisha Agarwal, MS4
Paroxysmal Sympathetic Hyperactivity (PSH) describes the dysregulation of the sympathetic nervous system. This disease process typically occurs in the setting of severe acquired brain injury, which ca

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