What should be done if a patient's fever exceeds 102°F or persists for over 48 hours?

When a patient's fever exceeds 102°F or persists for over 48 hours, the most appropriate action is to evacuate the patient to definitive care. A high fever can be indicative of a serious underlying infection or illness that may require medical attention beyond what wilderness first responders can provide. Prolonged fever can lead to complications including dehydration, confusion, and potential for further health deterioration, so timely evacuation ensures that the patient receives appropriate medical evaluation and treatment.

In situations where a fever is significant and persistent, monitoring and administering fluids, using over-the-counter fever reducers, or keeping the patient warm and comfortable may only provide temporary relief or comfort but won't address the underlying issue that could necessitate more advanced medical care. Evacuation is vital for ensuring the patient's health and safety in such cases.