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Accidental hypothermia — DipIMC MCQ

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ModerateEnvironmental MedicineAccidental hypothermiaDipIMC

A 74-year-old woman is found indoors in winter, drowsy and cold. Tympanic temperature is 29°C, pulse is slow and she has a palpable central pulse. What is the most appropriate management?

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

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Correct answer: B — Handle gently, insulate, monitor cardiac rhythm and transfer for active rewarming

Moderate to severe hypothermia requires gentle handling because the myocardium is irritable, along with insulation, monitoring and appropriate rewarming pathway. Walking or vigorous rubbing can precipitate collapse and worsens heat loss. Oral drinks are unsafe in a drowsy patient. The pearl is that hypothermia management is slow, careful and rhythm-aware.

Reference: JRCALC Guidelines 2025; Resuscitation Council UK Special Circumstances Guidelines 2025