Free Board Review Questions of the Week – Hypothermia

Adam WandermanEM Questions of the Week, Personal Education, Question of the Week

free board review question of the week Hypothermia

This week's free board review question...

A 23-year-old woman is found with a suicide note on a park bench in the winter with a core body temperature of 82.4°F. During transfer from the ambulance to the hospital gurney, her cardiac monitor suddenly demonstrates the following (see Figure).

Hypothermia, cardiac monitor, ECG, ventricular fibrillationFigure.

What is the most appropriate therapy?

Answer Options

Active core rewarming and cardiopulmonary resuscitation (CPR) until temperature is 30°C (86°F), then attempt defibrillation.
Administer 3 defibrillation attempts; if unsuccessful, administer sodium bicarbonate, cardiopulmonary resuscitation (CPR), active core rewarming, and reattempt defibrillation after 5 minutes of CPR.
Administration of an antidysrhythmic (e.g., amiodarone) followed by defibrillation.
A single attempt of regular energy defibrillation followed by active core rewarming; subsequent defibrillation attempts during rewarming may be reasonable.

And the answer is ...

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