A Patient Who Was Shoveling Snow Developed Chest Pain, Immediately

Multiple Choice

A patient who was shoveling snow developed chest pain, immediately sat down in a nearby bus shelter, and called 911. Prior to moving him into the ambulance, your partner performs a primary assessment and reports that the patient's capillary refill is 5 seconds. Which one of the following statements would be most appropriate for you to make?

A) "That is a significant finding. We really need to get him on oxygen and moving to the hospital."
B) "The cold temperature may cause the capillary refill to be 5 seconds; we should assess further."
C) "That seemingly indicates he has lost blood and it is not perfusing the skin adequately."
D) "If his skin is also warm and moist, then he is most likely in shock."