Hypothermia and Frostbite Case 2

The mountain rescue helicopter has brought in a 24-year-old female who was separated from her climbing group in bad weather.

She was found lying on the mountain side unconscious. The rescue team report that they were unable to obtain a tympanic temperature and that she is unresponsive to painful stimuli.

Her vital signs are:

• Pulse 54/min
• Respiratory rate 6/min
• Blood pressure 70/40 mmHg
• Pre-hospital blood glucose 1.9mmol/L

On moving the patient from the stretcher to the examination trolley, she loses her cardiac output. Cardiac monitoring demonstrates VF. Which of the following are correct?

Select one or more options.

Following a single shock, she has a return of spontaneous circulation and her rhythm is sinus bradycardia.

She is intubated to secure her airway and mechanical ventilation is initiated with warmed, humidified oxygen.

IV access is obtained and she is given 50 mL of 20% dextrose. Her repeat bedside glucose is 5.2 mmol/L.

She is given warmed, IV fluids. An oesophageal thermometer is passed and the temperature is measured at 29^oC.

Her WBC is normal.

Regarding the next steps for this patient:

Select one or more options.