The EMT would recognize that a hypothermic patient is deteriorating when he observes:

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Slurred speech is a sign of deterioration in a hypothermic patient as it indicates that the brain and nervous system are being affected by the drop in body temperature. Other signs of deterioration in hypothermia include decreased level of consciousness, weak pulse, shallow breathing, and lack of shivering. Vigorous shivering and red-colored skin are actually signs of mild hypothermia and may indicate that the body is attempting to warm itself. Painful extremities may indicate frostbite, which is a complication of hypothermia but may not necessarily signify deterioration of the patient's condition.

The EMT Would Recognize That a Hypothermic Patient Is Deteriorating