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Trauma-associated hypothermia — DipIMC MCQ

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ModerateEnvironmental MedicineTrauma-associated hypothermiaDipIMC

At a snowy roadside crash, a trauma patient has wet clothing, shivering and a suspected pelvic fracture. Access to the ambulance is delayed by fire service operations. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Cut away wet clothing where needed, insulate from the ground and use active warming if available

Preventing heat loss is part of trauma care because hypothermia worsens coagulopathy. Wet clothing and ground conduction should be addressed while preserving dignity and access. A full secondary survey should not delay basic warming and haemorrhage control. The pearl is that insulation under the patient is as important as blankets over the patient.

Reference: NICE Major Trauma NG39; JRCALC Guidelines 2025