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Hypothermia — MRCEM SBA MCQ

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ModerateEnvironmental MedicineHypothermiaMRCEM SBA

An open-water swimmer is rescued after a winter event. He is shivering, confused and has a core temperature of 33°C. What is the most appropriate management?

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Correct answer: E — Remove wet clothing, insulate and rewarm while monitoring ABCs

Moderate hypothermia requires careful handling, insulation, removal from cold exposure and controlled rewarming. ABC assessment and cardiac monitoring are important because arrhythmia risk increases as core temperature falls. Vigorous exercise and alcohol are inappropriate.

Reference: Wilderness Medical Society hypothermia guidance; FSEM