Author: Aine Keating / Editor: Steve Corry-Bass / Reviewer: Rebecca Ford / Codes: EnvC3, RP3, SLO1 / Published: 21/09/2020 / Reviewed: 18/07/2024
The standby phone goes … An unknown female in her thirties was found at the bottom of a mountain, her GCS is 12/15, and temperature was unrecordable .
The patient arrives in the department her GCS is 10/15 (E1 V4 M5), HR 44, BP 70/40, tympanic temperature reading is unrecordable and she is cold to touch. After initial primary survey and IV access is gained, she becomes unresponsive and goes into cardiac arrest.
The patient is unidentified so no past medical history or background history is available.
6 responses
Informative
Thanks for this module. Hypothermia is becoming common in our EDs. Using the Bair hugger is often the first action as it is readily available in every ED. Warmed IV fluid, inhaled warmed air etc. Instituting gastric lavage and bladder lavage may be easier but less effective than pleural lavage and peritoneal lavage Cardiopulmonary bypass is an alternative to ECMO for effective rewarming.
good case
Great learning
Nice revision
Good revision!Thank you