A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention? A. Initiate warming measures B. Titrate oxygen to 6 L per nasal cannula C. Bolus with 500 mL isotonic crystalloids D. Vigorously massage the extremities
[Solved]: A patient is brought to the emergency department…
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