Assessment
Treatment
Signs & Symptoms
Differential Diagnosis
PEARLS
100

What is the first intervention for a patient with suspected cold-related illness?

What is remove the patient from the cold environment.

100

What procedure should be established during active warming?

What is vascular access.

100

What skin finding is common in hypothermia?

What is cold, clammy skin. 

100

What infectious process can mimic hypothermia?

What is sepsis.

100

Which patients are more prone to cold emergencies?

What is Pediatric and Geriatric patients. 

200

What assessment helps determine the severity of hypothermia?

What is obtaining a temperature. 

200

What is the initial fluid bolus for non-traumatic shock?

What is 500 mL IV/IO.

200

What heart rate abnormality is common in hypothermia?

What is bradycardia.

200

What metabolic emergency should always be considered?

What is Hypoglycemia.

200

Where should hot packs be placed during active warming?

What is the armpits and groin.

300

What should never be done to warm frostbitten tissue?

What is rubbing the skin.

300

What must be avoided after thawing frostbitten tissue?

What is allowing it to refreeze.

300

What is one of the earliest physiologic responses to cold exposure?

What is shivering.

300

What traumatic condition can present similarly to hypothermia?

What is a head injury.

300

Where should hot packs never be placed?

What is directly on the skin.

400

What warming technique should begin immediately for most cold-exposed patients?

What is Passive Warming.

400

What is the maximum amount of fluid recommended in this protocol?

What is 2L.

400

What neurological finding may occur in severe hypothermia?

What is AMS or Coma.

400

What neurological emergency is part of the differential diagnosis?

What is stroke.

400

If you are unable to get a temperature on the patient, what should you expect?

What is the patient has hypothermia. 

500

What must be avoided after thawing frostbitten tissue?

What is allowing the tissue to refreeze.

500

Which IV fluids are recommended. 

What is Normal saline and Lactated Ringer's.

500

What circulatory finding may develop in advanced hypothermia?

What is hypotension of shock.

500

What serious traumatic injury belongs in the differential diagnosis?

What is a spinal cord injury.

500

What important vital sign should be recorded and documented whenever possible?

What is the patient's temperature. 

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