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Accidental hypothermia without arrest — DipIMC MCQ

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ModerateEnvironmental MedicineAccidental hypothermia without arrestDipIMC

A 78-year-old woman is found on the floor in an unheated house. She is drowsy, core temperature 31°C, pulse 48/min, systolic blood pressure 104 mmHg and glucose 6.0 mmol/L. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AGentle handling, insulation, warmed environment and transfer for monitored rewarming

Moderate hypothermia needs gentle handling, insulation, prevention of further heat loss and monitored transfer. Vigorous movement or rubbing can precipitate arrhythmia and worsen afterdrop. Direct hot objects risk burns and peripheral vasodilation.

Reference: JRCALC Guidelines; Resuscitation Council UK Special circumstances 2025