You are leading a week-long spring break backpacking trip in the Southeastern US. It's been raining hard for the past few days and your gear is wet. In order to reach your trip vehicle, you must cross a swollen stream with rapid, and apparently waist, deep current. Rather than attempt a crossing you decide to camp and wait for the water to recede. While the constant rain slows overnight, it doesn't stop and the water in the stream is not appreciably lower the next morning. Resigned to waiting another day (or two) you are surprised to see a solo hiker attempt to cross the stream from the other side around noon using his treking poles for support. The water is approaching waist height when he reaches the main current and is swept off his feet and carried quickly downstream. He appears to be struggling to remove is pack when you lose sight of him as he goes around a bend in the stream.
Grabbing your first aid kit you and a couple of students rush downstream to see if you can help. After a few minutes you spot some color and what may be his body pinned underwater against a debris pile on your side of the stream. It takes another few minutes to confirm that it is indeed the lost hiker and rescue him. He is unresponsive with no pulse or respirations so you start CPR. The water temperature is about 52º F, the air temperature is roughly 60ºF with a slight wind from the south, and the constant rain has become an intermittent drizzle.
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