Hypothermia

Question 1

Stage 1 hypothermia

Answer 1

Conscious
Shivering
Temp 32-35

Question 2

Stage 2 hypothermia

Answer 2

Impaired GCS
Not shivering
28-32

Question 3

Stage 3 hypothermia

Answer 3

Unconscious
Retains vital signs
24-28

Question 4

Stage 4 hypothermia

Answer 4

Cardiac arrest or low flow state
<24

Question 5

Stage 5 hypothermia

Answer 5

Death
<11.8

Question 6

Intermittent cardiac arrest <28

Answer 6

5mins CPR
then up to 5 mins without CPR

Question 7

Intermittent CPR <20

Answer 7

5 mins CPR
Up to 10 mins without CPR

Question 8

Modifications to ALS in hypothermia

Answer 8

Check for signs of like for 1 min (slow irregular pulse)
Stuff chest wall (make compression and ventilation difficult)
Consider withholding/reducing frequency of cardiac drugs

Question 9

Cardiac drugs if temp <30

Answer 9

Withhold until warmed to at least 30

Question 10

Cardiac drugs temp 30-35

Answer 10

Dosing interval doubled eg adrenaline every 6-10 mins

Question 11

When to use standard cardiac drug protocols

Answer 11

Temp >35