A 29-year-old man was pulled from icy water after being submerged for approximately 10 minutes. He is unresponsive, apneic, and pulseless. He does not appear to have any injuries. The MOST appropriate treatment for this patient involves:
A) defibrillating up to three times if he is in ventricular fibrillation, removing his wet clothing and applying blankets, and transporting.
B) immobilizing his spine, initiating CPR, removing his wet clothing, and ceasing resuscitative efforts if unsuccessful after 5 minutes.
C) assessing his cardiac rhythm, but attempting resuscitation only if the cardiac monitor reveals ventricular fibrillation or ventricular tachycardia.
D) protecting his spine, initiating resuscitative measures, removing his wet clothing and applying warm blankets, and transporting to the hospital.
Answer: D) protecting his spine, initiating resuscitative measures, removing his wet clothing and applying warm blankets, and transporting to the hospital.
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