A 28-year-old male is brought to the emergency department after a high-speed motor vehicle collision. He is conscious but confused, with a core body temperature of 35°C, a pH of 7.1, and active bleeding from a femur fracture. What should be the immediate priority in managing his condition to address the trauma triad?
The correct answer is to prevent further hypothermia. Hypothermia exacerbates both coagulopathy and metabolic acidosis by decreasing blood clotting efficiency and reducing the body's ability to buffer acid. Addressing hypothermia quickly helps improve overall patient stability. Administering IV fluids and controlling pain are also important but are secondary to stabilizing the patient's core temperature. While close monitoring of vitals is essential, it does not intervene in altering the traumatic triad directly.
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BCEN CFRN
Trauma
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