What is Emergency Medicine- Does the physical examination include any tools to help distinguish between primary and secondary hypothermia?
If the tachycardia is out of proportion to the temperature, hypoglycemia, an overdose, or hypovolemia should be suspected. An indication of a CNS lesion or a systemic acidosis (such as diabetic ketoacidosis or lactic acidosis) is hyperventilation with moderate or severe cold. A rectus spasm and ileus brought on by a cold can conceal or resemble an acute abdomen. When the decreased degree of consciousness is inconsistent with the temperature, suspect an overdose, alcohol intoxication, or CNS injury.
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