Transport was slow to avoid bouncing the patient. No change in the patient’s condition was seen during transport. Rendezvous with ALS provided a cardiac monitor which showed a heart rate of 30 with occasional ectopic beats. Respiratory rate was again assessed as 6. It was decided that no other ALS intervention (intubation, IV, medication) was warranted or wise.
The time from being found to arrival in the cabin was approximately 30 minutes. Assessment and initial treatment in the cabin while transport options were resolved was another 30 minutes. Ground transport to a EMS unit was 60 minutes. The patient arrived in the emergency department 2.5 hours after he was found. He experienced a cardiac arrest at that time, surviving this new challenge after three hours of chest compressions and aggressive hospital warming raised his temperature to the point where defibrillation was successful. He suffered extensive tissue loss from the frostbite. It is believed that after he recovered he moved to southern Texas.