A 68-year-old man is found outdoors after an overnight fall. Core temperature is 29°C, he is bradycardic but has a pulse, blood pressure is 88/54

Question

A 68-year-old man is found outdoors after an overnight fall. Core temperature is 29°C, he is bradycardic but has a pulse, blood pressure is 88/54 mmHg, and he is confused. There is no major external bleeding. What is the most appropriate next step in management?

Accepted Answer

Gentle handling, active rewarming and warmed intravenous fluids with cardiac monitoring

Answer

Immerse in a hot bath immediately as the preferred next management strategy

Answer

Allow him to walk to generate heat as the preferred next management strategy

Answer

Declare death as the preferred next management strategy in this patient

Answer

Give room-temperature fluids rapidly as the preferred next management strategy

Accidental hypothermia — MCCQE Part 1 MCQ

A 68-year-old man is found outdoors after an overnight fall. Core temperature is 29°C, he is bradycardic but has a pulse, blood pressure is 88/54 mmHg, and he is confused. There is no major external bleeding. What is the most appropriate next step in management?