You are working in a rural ED near an Australian ski field. A 27-year-old man arrives in the resuscitation room 30 minutes after submersion in a frozen lake while hiking. His core temperature is 27.4 C.
Define hypothermia and classify its severity.
(Marked out of 2.0)
/ 2
Other than ventricular fibrillation, list four ECG features of hypothermia.
(Marked out of 2.0)
/ 2
His rhythm changes to VF. Standard ACLS is commenced with ventilations and compressions, but VF persists after three shocks and 1 mg IV adrenaline. Describe how you would now modify resuscitation compared with the usual ACLS algorithm.
(Marked out of 4.0)
/ 4
Name the two main types of rewarming and give two examples of how each can be achieved.
(Marked out of 2.0)
/ 2
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