Page 388 - 2021 IDMT Digital
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HYPOTHERMIA
Introduction:
• Classically, hypothermia is defined as a core temperature below 95 degrees
Fahrenheit
Subjective:
• 6LJQV DQG 6\PSWRPV
o Shivering, iPSDLUHG PHPRU\ DQG MXGJPHQW GHFUHDVHG FRQVFLRXVQHVV GLIILFXOW\
EUHDWKLQJ LQFUHDVHG XULQDWLRQ
Objective:
• 3K\VLFDO ([DP
o &KDQJHV LQ FRJQLWLRQ WDFK\FDUGLD ODWH EUDG\FDUGLD WHPSHUDWXUH EHORZ F
o $UUK\WKPLDV SXOPRQDU\ HGHPD
Assessment:
• (YDOXDWH IRU RWKHU SRWHQWLDO LQMXULHV RU FRQGLWLRQV as VRPH GLDJQRVHV LQFUHDVH WKH ULVN RI
K\SRWKHUPLD DQG should DOVR EH FRQVLGHUed LQ K\SRWKHUPLF SDWLHQWV WKDW GR QRW UHVSRQG
WR UH ZDUPLQJ
• 'LIIHUHQWLDO
o +HDG WUDXPD GLIIHUHQWLDWHG E\ KLVWRU\ DQG FOLQLFDO H[DP
o +\SRJO\FHPLD KLVWRU\ RI GLDEHWHV PD\ EH SUHVHQW HVSHFLDOO\ ZLWK LQVXOLQ WKHUDS\
o ([SRVXUH WR WR[LQV GUXJV RU DOFRKRO
o $GUHQDO LQVXIILFLHQF\ VXVSHFW LQ SDWLHQW ZKR LV LOO RU LQMXUHG ZKR SUHYLRXVO\ KDV
EHHQ WUHDWHG IRU DQ H[WHQGHG SHULRG ZLWK VWHURLGV
Plan:
• *HW SDWLHQW ZDUP NHHS KRUL]RQWDO DQG GR QRW DOORZ H[HUWLRQ
• 7UHDW ZLWK KHDWHG ,9 VDOLQH LI IHDVLEOH KHDWHG KXPLGLILHG R[\JHQ ZDUP ZDWHU ERWWOHV LQ
JURLQ DQG D[LOODH ZUDS LQ ZDUP FORWKHV EHGGLQJ RU HPHUJHQF\ EODQNHW
• 3UHSDUH IRU $&/6 LQWHUYHQWLRQ
Patient Education:
• )ROORZ SUHYHQWDWLYH PHDVXUHV LQFOXGLQJ SURSHU XVH RI FROG ZHDWKHU FORWKLQJ VWD\LQJ
GU\ JHWWLQJ RXW RI WKH ZLQG DQG PRQLWRULQJ EXGGLHV
• (DW D KLJK FDORULH KLJK IDW GLHW WR LQFUHDVH KHDW SURGXFWLRQ DQG LPSURYH SHUIRUPDQFH LQ
WKH FROG
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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