A 45-year-old male patient is being transported by air after collapsing at a construction site on a hot day. Upon assessment, he is found to be disoriented, with a core temperature of 40.5°C (105°F), hot dry skin, and no sweating. What is the most immediate action you should take?
The most immediate concern in a suspected case of heatstroke is to rapidly lower the patient's core temperature to prevent further organ damage and complications. Initiating active cooling measures, such as immersing the patient in cold water, applying ice packs to major arteries, or using a cooling blanket, should be done promptly. Other options like administering IV fluids and providing oxygen are supportive but won't address the critical need to rapidly reduce the core temperature.
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