Severe hyperthermia from stimulant use — DipIMC MCQ

Correct answer: E — Start active cooling and arrange urgent transfer with monitoring

Start active cooling and arrange urgent transfer with monitoring is the best answer because severe drug-related hyperthermia is time-critical and cooling should start before hospital arrival. Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems; Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat. Transport without treating the identified time-critical problem and Perform a full secondary survey before treating the abnormality are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; TOXBASE/NPIS guidance