Acute Caremiddle twist
A 34-year-old bushwalker is winched out of a gully in the Stirling Range after a night in cold rain. He is unresponsive and pulseless. Cardiopulmonary resuscitation is in progress, he has been intubated, and the monitor shows ventricular fibrillation. Three shocks have been delivered with no change in rhythm. An oesophageal probe reads 27 degrees Celsius. He is in the resuscitation bay of a hospital 90 minutes by road from a cardiothoracic centre. Which one of the following should the resuscitation team now do?