Page 211 - ATP-P 11th Ed

(d) If not breathing, begin ventilations.
(e) If no pulse, begin chest compressions only if patient will not arrive in medi-
cal facility in 3 hours.

Disposition
1. Urgent evacuation for moderate/severe hypothermia cases to a facility capable
of active rewarming and resuscitation.
2. Priority evacuation for cases of freezing cold injuries (frostbite).
3. Routine evacuation for cases of nonfreezing cold injury which are nonambulatory.
4. Evacuation not necessary for cases of nonfreezing ambulatory cold injuries. SECTION 2

References
State of Alaska Cold Injury Guidelines, 2014,
https://health.alaska.gov/dph/Emergency/Documents/ems/documents/Alaska%20DHSS%
20EMS%20Cold%20Injuries%20Guidelines%20June%202014.pdf
SOF Medical Handbook, 2009

200 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 201