Question

A 72-year-old woman is brought in on a hot summer day after being found confused and flushed at home without air conditioning. Temperature is 40.3 °C, BP 90/60 mm Hg and she is tachycardic. She is not sweating and has altered mental status. What is the most appropriate immediate management?

Accepted Answer

Rapid evaporative and ice-water cooling with IV fluids and airway support as needed

Answer

Move her to a cool environment and observe

Answer

Give antipyretics such as acetaminophen only

Answer

Treat with antibiotics for presumed sepsis before cooling

Answer

Place warm blankets to prevent shivering

Practice question

A 72-year-old woman is brought in on a hot summer day after being found confused and flushed at home without air conditioning. Temperature is 40.3 °C, BP 90/60 mm Hg and she is tachycardic. She is not sweating and has altered mental status. What is the most appropriate immediate management?