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Tranexamic acid pharmacology — DIPIMC MCQ

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HardPharmacology (Pre-Hospital)Tranexamic acid pharmacologyDIPIMCDipIMC

A conscious hiker has been exposed to cold rain for hours. They are shivering, confused and ataxic, with no major trauma. Which initial management is appropriate?

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

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Correct answer: D — Insulate, handle gently, prevent further cooling and begin evacuation

The best answer is “Insulate, handle gently, prevent further cooling and begin evacuation”. Confusion and ataxia suggest clinically important hypothermia. Prevent further cooling, remove or cover wet clothing as practical, insulate from the ground and environment, handle gently and arrange monitored evacuation. Rough movement can provoke arrhythmia in more severe hypothermia, while alcohol, vigorous exertion and direct intense limb heating can worsen instability or cause burns and inappropriate peripheral vasodilation.

Reference: Resuscitation Council UK, 2025 First aid guidelines: https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/first-aid-guidelines