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Airway protection → prevent aspiration Cold induced diuresis Usually diuresed 2-5L, replace with warmed IV Fluids Rhabdomyolysis Tissue ischemia and cellular destruction by freezing tissue Causes of Hypothermia Environment Urban hypothermia Most common cause is environmental exposure with acute alcohol intoxication Expedition hypothermia Sepsis/Infection Treat all patients empirically for sepsis Associated with slower re-warming rates (above) Begin empiric broad spectrum antibiotics and sepsis work-up Adrenocortical insufficiency Consider empiric Hydrocortisone 100mg IV q8h or Dexamethasone Hypothyroidism/Myxedema Coma References Accidental hypothermia

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