A patient who was found in the snow with impaired consciousness, no shivering, and a body temperature of 33°C is being transported by life flight helicopter to a hospital with rewarming resources. Which interventions should the life flight nurse anticipate?
A) Giving warm beverages
B) Encouraging active movement
C) Applying heat packs to the trunk
D) Taking the time to stabilize at the scene before transporting to hospital
C) Applying heat packs to the trunk
Explanation: A) This patient is at stage II of the Swiss Hypothermia Staging System and has impaired consciousness. Therefore, he should not be given oral fluids.
B) This patient is at stage II of the Swiss Hypothermia Staging System and has impaired consciousness. He should not be encouraged to actively move, but should be gently moved and immobilized.
C) This patient is at stage II of the Swiss Hypothermia Staging System and has impaired consciousness. With a body temperature of 33°C, heat packs should be placed against the trunk to rewarm the patient.
D) This patient is at stage II of the Swiss Hypothermia Staging System, has impaired consciousness, and has a body temperature of 33°C. He should be transported without delay to a hospital with an active rewarming resource.
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