[Solved]: A patient is brought to the emergency department…

A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior to transport . The patient is confused . Vital signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths / minute , T 34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non – rebreather mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH of 6.8 . Based on these findings what is the most appropriate intervention