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Cardiac Arrest
Advanced
15 minute stationCold Water Drowning With Hypothermic Cardiac Arrest
Dispatch
Cat 1 — adult male pulled from river after approximately 20 minutes submersion, CPR in progress by fire and rescue.
On arrival
Patient recovered from water, wet clothing, core temperature very low, CPR ongoing, fixed dilated pupils, monitor attached.
Initial observations
- Core temp
- 24.8 °C
- Rhythm
- On the monitor — interpret the strip below
- Airway
- Managed with supraglottic device, water suctioned
- EtCO2
- 2.0 kPa
- Pulse
- Absent
- Pupils
- Fixed and dilated
Monitor, lead II — rhythm check on handover from fire and rescue
Interpret the trace yourself — the mark sheet expects your rate, rhythm, axis and ST analysis, not a written finding.