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Bayfield-Ashland County EMS Council |
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09 HYPOTHERMIA
(Rectal Core Temp less than 95 degrees F.)
1. Establish level of consciousness. Handle patient gently.
2. Secure and maintain airway. Consider C-Spine precautions.
3. Administer O2 to maintain SaO2 > 95% (90% if hx COPD)
4. Talk to patient and reassure to decrease anxiety.
5. Remove wet clothing, dry patient off, and cover with a dry blanket.
Be sure to cover head. This will protect from additional heat loss.
Severe Hypothermia
(Rectal Temp less than 86 degrees F)
6. CALL INTERCEPT / HELICOPTER.
7. Call Medical Control.
Consider transfer to facility with heart/lung bypass for rewarming measures and further treatment.
8. No active or external rewarming.
*Do not make patient colder or warmer.
*Do not increase heat in ambulance.
9. Complete Initial Assessment.
Initiate BCLS as needed.
10. **If Defibrillation is given 3 times
unsuccessfully, no further attempts to
be given until rectal temp is 86 degrees
F or higher.**
11. Obtain SAMPLE History (from family/
bystanders) and Vital Signs. Check pulse
for one minute.
12. Associated symptoms/change of
condition = Contact Medical Control.
13. Monitor Vital Signs & Condition
enroute .
Mild/Moderate Hypothermia
(Rectal/Body Temp 86 to 95 degrees F)
6. Call Medical Control.
7. CONSIDER INTERCEPT.
8. Begin external warming measures:
blankets, warming blankets, warm
packs to axilla, groin, neck. Increase
heat in ambulance.
9. Complete Initial Assessment.
Initiate BCLS as needed.
10. Be ready to attach defibrillator if
condition deteriorates.
11. Obtain SAMPLE History (from family/
bystanders) and Vital Signs. Check pulse
for one minute.
12. Associated symptoms/change of
condition = Contact Medical Control
13. Monitor Vital Signs & Condition
enroute.
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