Follow General Trauma Protocol.
Mandatory interventions:
a. Cardiac monitoring
b. Oxygen
c. IV access
d. Rapid glucose testing
If HYPOTHERMIA is present:
a. Warm patient with whatever means is available. Be cautious of modalities likely to cause burns.
b. Be aware of dysrhythmia’s that can accompany rewarming.
c. Start IV using warm Isotonic Solution (NS or LR) 0.9% NORMAL SALINE at wide-open rate.
d. Handle patient GENTLY.
If FROSTBITE is present:
a. Warm involved extremities with any available modalities including warm water (1050), warm packs, blankets, placing in axilla, etc.
b. Do not allow patient to ambulate on frostbitten extremities.
c. Offer warm fluids (if no additional trauma present or suspected).
d. Do not allow the patient to smoke.
e. Do not rub frostbitten body parts in attempt to warm.