Protocol 2-594 - Hypothermia

CMH EMS & MIH Protocols

EMD:

• No specific protocol.

EMR:

• Remove from exposure.
• Open and maintain airway.
• Be prepared to Suction airway.
• Pulseless: Refer to Protocol 2-198 - Cardiac Arrest.
• Drowning or near drowning: Refer to Protocol 2-286 - Drowning / Near Drowning.
• Dry and warm patient.
• Remove constricting or wet clothing and jewelry.
• Cover effected tissue with loose, dry, sterile dressing.
• Obtain core body Temperature, if able.
• Consider applying Cardiac Monitor limb leads or combo pads.
• Attempt to determine down-time and history.

EMT:

• Ensure completion of applicable items above.
• Assist ALS with Capnography.
• Pulseless:
• Do not delay transport for rewarming.
• Rapid transport to hospital.

AEMT:

• Ensure completion of applicable items above.
• Consider IV warm NS/LR.

RN:

• Ensure completion of all applicable items above.
• Consider IO warm NS/LR.
• Pulseless:
• Shockable ryhthm: Refer to Protocol 2-968 - V-Fib / Pulseless V-Tach, however, only shock once.
• Core Temperature greater than 86° F: Remember patients require longer intervals between drug administrations due to slower absorption and metabolism.
• Core Temperature less than 86° F: Compressions only.
• Pain: Refer to Protocol 2-660 - Pain Control.
• Nausea: Refer to Protocol 2-990 - Vomiting.

Medic:

• Ensure completion of all applicable items above.
• Consider Protocol 2-044 - Airway: RSI.

CP:

• Ensure completion of all applicable items above.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.