Slow to warm up

Slow to warm up

Slow to warm up

Slow to warm up Slow to warm up

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Question 1 of 3

1. Question
Where would you measure this patient’s core temperature?
- Tympanic membrane
- Thermometer placed in the bladder
- Rectal temperature
- Lower third of the oesophagus
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Question 2 of 3

2. Question
What modification to the ALS algorithm would you consider?
- Check for signs of life for up to 10 seconds
- Consider the use of mechanical chest compression devices as hypothermia causes stiffness of the chest wall
- Withhold adrenaline and other CPR drugs until the patient has been warmed to a core temperature of >32
- If VF persists after three shocks, delay further attempts until core temperature above 32 degrees
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Question 3 of 3

3. Question
What would constitute the most effective rewarming strategy in this case?
- If temperature below 30 degrees consider forced peritoneal lavage
- Rewarm using active external methods and minimally invasive methods
- Consider using ECMO if temperature <32ºC and K < 8mmol.l-1
- Avoid large volume of warmed IV fluids
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1 Comment

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Dr. Chukwuemeka Augustine Umeh November 10, 2020 at 7:21 am

Brilliant

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