Special Operations Forces Medical Handbook

6-46

YES

SHIVERING

YES

Spontaneous
Rewarming
(Insulate &
Vapor
Barrier)

NO

Heat

if

Possible

Nonarrest Rhythm

Ventilate if Apneic

Central Pulse

Cardiac Monitor YES

YES

Assume

Cardiac Output

Rescue/Examine

RESPONSIVE?

NO

RESPIRATION?

NO

Ventilate 3 Minutes

(Do not hyperventilate)

Cardiac Monitor

Arrest Rhythm

CPR

Heat if Possible

HOSPITAL

No (PEA*)

HYPOTHERMIA:

EMS PREHOSPITAL CARE

Figure 6-2: *Pulseless Electrical Activity (new term for Electromechanical Dissociation)