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Avalanche burial with hypothermia — RCPSC EM MCQ

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HardEnvironmental emergenciesAvalanche burial with hypothermiaRCPSC EM

A 38-year-old backcountry skier is caught in an avalanche and extricated after 40 minutes. He is hypothermic at 31°C, has facial trauma and was buried with an air pocket. Potassium is 4.8 mmol/L and he has spontaneous respirations. What is the most appropriate disposition?

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Correct answer: D — Trauma centre admission with active rewarming and evaluation for asphyxia, hypothermia and injuries

Avalanche victims can have combined asphyxia, hypothermia and trauma. Presence of an air pocket, potassium not markedly elevated and vital signs support aggressive resuscitation and trauma-centre care.

Reference: Wilderness Medical Society avalanche burial guidance; Canadian prehospital practice