Overdose/Toxic Ingestion — Pediatric Algorithm

How should a hypothermic or frostbitten child be handled?

Gently.

Why is gentle handling needed for frozen areas?

To prevent further injury to freezing or frozen areas.

What cardiac risk may rough handling increase in hypothermia?

Cardiac dysrhythmias.

Which ages are at higher risk for hypothermia?

The very young and old.

What environmental history is gathered for hypothermia?

Exposure to decreased temperatures.

Can hypothermia occur in normal temperatures?

Yes, it may also occur in normal temperatures.

What general history is gathered for hypothermia?

Past medical history and medications.

What drug use is asked about in hypothermia?

Alcohol or barbiturates.

What infectious history is gathered for hypothermia?

Infections or sepsis.

What exposure details are gathered for hypothermia?

Length of exposure, wetness, and wind chill.