Why is gentle handling emphasized in the field when resuscitating a patient with severe hypothermia and pulselessness?

• A. To hasten rewarming by moving the patient
• B. To prevent rapid defibrillation
• C. To minimize oxygen consumption
• D. Gentle handling reduces the risk of triggering ventricular fibrillation and additional injury during rewarming

Answer: (D)

In severe hypothermia with no pulse, the heart is extremely sensitive to electrical and mechanical stimulation. The cold, irritable myocardium can easily slip into dangerous rhythms if it’s jolted or rough-handled. Gentle handling minimizes physical and sympathetic stimulation during resuscitation and rewarming, reducing the chance of triggering ventricular fibrillation and protecting the heart from additional injury as warmth is restored. Movements or rough contact can provoke arrhythmias despite other measures, so the emphasis is on keeping handling very careful throughout the process.