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20

EMR

EMT

AEMT

Paramedic

Extended

Hypothermia/Drowning

Hypothermia/Drowning

Universal Patient Assessment

Document patient

temperature

Remove from source

Remove clothing

Handle gently

Passive rewarming

Adult IV/IO (warmed)

Severe Hypothermia

<86° F (30°C)

Moderate Hypothermia

86-92°F (30-34°C)

Mild Hypothermia

92-96°F (34-36°C)

Avoid medications or limit

to 1 dose, flush with 50cc

warm saline.

Consider limiting

Defibrillation

to 1 dose at

120/200J

Use MFG recommended

defibrillation dose

Use longer intervals for

medications

CPR

if necessary

Support Vital Functions

Appropriate Protocol

based on symptoms

Do not stop treatment until

warm and dead

Consider Trauma

Center

Axillary and oral

temperatures are poor

measures of core

temperature. Rectal

temperatures are more

accurate.

In hypothermia if any

pulse is present, no

matter how slow, do

not begin chest

compressions

Apply

c-collar

CPR

if necessary