SAQ 1081 – Severe accidental hypothermia

An elderly woman is found in her backyard with GCS 9, BP 90/50, HR 45, oxygen saturation 90% on 8 L by Hudson mask, and oral and rectal temperatures of 27 degrees C.

List complications of hypothermia affecting four different organ systems.

(Marked out of 4.0)

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After one hour of rewarming she remains GCS 9 and 29 degrees C. CT brain is planned. Discuss advantages and disadvantages of intubating her before CT.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; max-width: 100%; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Advantage</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Disadvantage</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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She develops ventricular fibrillation. List five ways management differs from standard adult ALS.

(Marked out of 5.0)

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Total Score: 0 / 15

Percentage: 0%