CTAS 1: A 64-year-old is found outdoors after a winter fall. Core temperature is 27.5°C, BP 78/42, HR 32 with Osborne waves, and GCS is 6. Glucose is

Question

CTAS 1: A 64-year-old is found outdoors after a winter fall. Core temperature is 27.5°C, BP 78/42, HR 32 with Osborne waves, and GCS is 6. Glucose is 5.8 mmol/L and potassium is 4.9 mmol/L. No major trauma is found on primary survey. What is the most appropriate next step?

Accepted Answer

Arrange active internal rewarming with extracorporeal support consultation

Answer

Terminate resuscitation because bradycardia is present

Answer

Perform rapid limb massage before transport

Answer

Give repeated atropine until HR exceeds 60

Answer

Rewarm with warm blankets then discharge after awakening

Severe accidental hypothermia with cardiac instability — RCPSC EM MCQ

CTAS 1: A 64-year-old is found outdoors after a winter fall. Core temperature is 27.5°C, BP 78/42, HR 32 with Osborne waves, and GCS is 6. Glucose is 5.8 mmol/L and potassium is 4.9 mmol/L. No major trauma is found on primary survey. What is the most appropriate next step?