2015 Trumbull Memorial Hospital Demo

Hypothermia/Drowning Hypothermia/Drowning

Consider Trauma Center

Universal Patient Assessment

Axillary and oral temperatures are poor measures of core temperature. Rectal temperatures are more accurate.

Remove from source Remove clothing Handle gently

In hypothermia if any pulse is present, no matter how slow, do not begin chest compressions

Apply c-collar

Document patient temperature

Passive rewarming

Adult IV/IO (warmed)

Severe Hypothermia <86° F (30°C)

Moderate Hypothermia 86-92°F (30-34°C)

Mild Hypothermia 92-96°F (34-36°C)

CPR if necessary

CPR if necessary

Support Vital Functions

Avoid medications or limit to 1 dose, flush with 50cc warm saline. Consider limiting Defibrillation to 1 dose at 120/200J Use MFG recommended defibrillation dose

Use longer intervals for medications

Appropriate Protocol based on symptoms

Do not stop treatment until warm and dead

20

EMR

EMT

AEMT

Paramedic

Extended