Hypothermia

 

Any patient with a suspected core body temperature of 96 F or less. Hypothermic patients are considered viable until rewarmed and pronounced dead by a physician.

 

  1. Administer oxygen at 10-15 LPM per non-rebreather (See Oxygen Administration Protocol).
  2.  

    1. Assist ventilations with BVM as needed and avoid hyperventilation – rapid correction of acidosis may result in cardiac arrest. Refer to Airway Management Protocol as needed.

     

  3. On all patient procedures, handle gently. Do not let the patient walk.
  4.  

  5. Remove wet clothing. Cover patient with dry blankets. Do not rub patient's extremities.
  6.  

  7. Assess vital signs (Check pulse for one full minute).

 

Pulse Present

 

BLS
ALS

 

  1. If patient presents with altered level of consciousness, see Altered Level of Consciousness protocol

 

Pulse Absent

 

BLS

 

  1. Begin CPR and request ALS.

 

ALS

 

  1. If monitor shows an organized rhythm, do not initiate CPR.
  2.  

  3. Initiate CPR if the patient is found to be in asystole or ventricular fibrillation.
  4.  

  5. Intubate or place a supra-glottic airway (refer to Airway Management Protocol) if there are no spontaneous respirations. Do not hyperventilate (rapid correction of acidosis may induce ventricular fibrillation).