Collaborative Management

• Remove Pt from heat source and loosen or remove clothing.
• Establish and manage ABCs per protocol.
• Administer high-flow O₂ or manually ventilate as indicated.
• Obtain baseline VS including core temp.
• Begin rapid cooling measures if indicated.
• Obtain finger-stick blood glucose level.
• Position supine with feet elevated if exhibiting s/s of shock.
• Attach ECG monitor and manage dysrhythmias per ACLS.
• Obtain IV access and bolus with 500-1000 mL NS.

Rapid Cooling Measures

• Indicated for a core temp >104°F (40°C).
• Remove clothing from Pt if not already done.
• Use a fan to increase airflow over disrobed Pt while misting with warm water (warm water helps to prevent shivering).
• Place ice packs to axilla and groin.
• Diazepam or lorazepam will help to suppress shivering.
• Caution: To avoid the risk of hypothermia, stop cooling measure once core
• temp has reached 102°F (39°C).