A 13 year old, 42 kg (92lb) boy is brought to the emergency department (ED) of a 60-bed community hospital following an approximately 10 minute submersion after falling through thin ice on a pond. The patient's rectal temperature is 29C (84F) and Glasgow coma scale rating is 4. He currently has no spontaneous respirations, mottled color, pupils are fixed and dilated, and breath sounds reveal crackles bilaterally. Which of the following should the respiratory therapist recommend?
A. Intubate, hyperventilate, and transport to a trauma facility.
B. Heat the IV fluids to 75C (167F) prior to administration.
C. Administer oxygen by a nonrebreathing mask and monitor the saturation on the right index finger.
D. Intubate, initiate mechanical ventilation, and heat the inspiratory gas to 44C (111F)