Question

A 40-year-old miner collapses on site on a very hot day. He is confused, with core temperature 41.5 °C, tachycardia and hypotension. What is the most appropriate immediate management?

Accepted Answer

Aggressive active cooling with evaporative and ice pack methods plus IV fluids

Answer

Give paracetamol and observe

Answer

Restrict fluids to avoid hyponatraemia

Answer

Wrap in blankets to prevent chills

Answer

Delay cooling until transfer to hospital 2 hours away

Practice question

A 40-year-old miner collapses on site on a very hot day. He is confused, with core temperature 41.5 °C, tachycardia and hypotension. What is the most appropriate immediate management?