During a mid-summer air medical transport, a patient presents with profuse sweating, confusion, and a body temperature of 104°F (40°C). Which of the following interventions is most appropriate to initiate?
Cover the patient with blankets to prevent shock
Administer antipyretics to reduce the fever
Administer supplemental oxygen and continue monitoring vital signs
Apply ice packs to the axillae, groin, and neck, and initiate cold intravenous fluids
The patient shows signs of heatstroke, which is a life-threatening condition characterized by an elevated body temperature and altered mental status. The immediate management should involve rapid cooling methods, such as applying ice packs to the axillae, groin, and neck, and providing cold intravenous fluids. While supplemental oxygen and continuous monitoring are important, the priority is to reduce the body temperature swiftly to prevent organ damage.
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