A snowmobiler is found confused after immersion in icy water. Core temperature is 28.5°C, HR 38 with Osborne waves, BP 82/50, glucose is normal, and

Question

A snowmobiler is found confused after immersion in icy water. Core temperature is 28.5°C, HR 38 with Osborne waves, BP 82/50, glucose is normal, and he is breathing spontaneously. What is the most appropriate initial management?

Accepted Answer

Gentle handling, active rewarming, warmed IV fluids, and cardiac monitoring

Answer

Give adenosine for the bradycardia before rewarming

Answer

Terminate resuscitation because profound bradycardia predicts futility

Answer

Place him in a hot bath in the ED

Answer

Rapid ambulation to generate heat before transport

Accidental hypothermia — RCPSC EM MCQ

A snowmobiler is found confused after immersion in icy water. Core temperature is 28.5°C, HR 38 with Osborne waves, BP 82/50, glucose is normal, and he is breathing spontaneously. What is the most appropriate initial management?