Novel application of chemical cold packs for treatment of exercise-induced hyperthermia: a randomized controlled trial.


OBJECTIVE:Heat-related illness is a common disease with significant morbidity and mortality. Despite no proven efficacy, application of chemical cold packs (CCP) to the skin overlying the large vessels of the neck, groin, and axillae is a traditional recommended cooling modality. The study objective was to compare the cooling rates of CCP applied to these traditional areas vs the glabrous skin surfaces of the cheeks, palms, and soles in exercise-induced hyperthermia. METHODS:Ten healthy adult male volunteers walked on a treadmill in a heated room (40°±0.5°C) while wearing insulated military overgarments until their esophageal temperatures (Tes) reached 39.2°C. Each participant had three heat stress trials on separate days: no treatment followed by randomly ordered traditional (neck, groin, and axillae) cooling and glabrous skin cooling. RESULTS:With no treatment, Tes remained stable after the first 5 minutes of the heat trial (ΔTes=0.12°±0.07°C/10 min). Traditional cooling followed a linear decline (ΔTes=0.17°±0.04°C/10 min; P<.001). Glabrous cooling enhanced the treatment effect by a steeper decline (ΔTes=0.30°±0.06°C/10 min; P<.001), significantly different from traditional cooling by 2-way analysis of variance (P<.001). CONCLUSIONS:Application of CCP to glabrous skin surfaces was more effective for treating exercise-induced heat stress than the traditional CCP cooling intervention. This novel cooling technique may be beneficial as an adjunctive treatment for heat-related illness in the prehospital environment.


Wilderness Environ Med


Lissoway JB,Lipman GS,Grahn DA,Cao VH,Shaheen M,Phan S,Weiss EA,Heller HC




Has Abstract


2015-06-01 00:00:00














  • The Association of Finger Growth Plate Injury History and Speed Climbing in Youth Competition Climbers.

    abstract:INTRODUCTION:Finger growth plate injuries are the most common injury among youth climbers, and the association between these injuries and speed climbing, a mandatory discipline in the 2021 Olympics, has not been examined previously. Our primary purpose was to examine the demographic and training characteristics of adol...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Meyers RN,Howell DR,Provance AJ

    更新日期:2020-12-01 00:00:00

  • Crocodile attack in Australia: an analysis of its incidence and review of the pathology and management of crocodilian attacks in general.

    abstract::Crocodilians represent one of the oldest constant animal lineages on the planet, in no small part due to their formidable array of predatory adaptations. As both human and crocodilian populations expand, they increasingly encroach on each others' territories, bringing morbidity and mortality to both populations. In th...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审


    authors: Caldicott DG,Croser D,Manolis C,Webb G,Britton A

    更新日期:2005-10-01 00:00:00

  • Ventilatory responses to hypoxia and high altitude during sleep in Aconcagua climbers.

    abstract:BACKGROUND/OBJECTIVE:We examined the changes in ventilation during sleep at high altitude using the LifeShirt monitoring system on 2 climbers who were attempting to summit Mount Aconcagua (6956 m). METHODS:Prior to the summit attempt, we measured cardiovascular and pulmonary function at 401 m (Rochester, MN) and gathe...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Snyder EM,Stepanek J,Bishop SL,Johnson BD

    更新日期:2007-07-01 00:00:00

  • A comparison of mountain rescue casualty bags in a cold, windy environment.

    abstract:OBJECTIVE:To help the Mountain Rescue Association of Scotland find the best protective mountain rescue casualty bag in cold and windy conditions. The study investigated how 3 different casualty bags (labeled Bag 1, Bag 2, and Bag 3) performed in a cold (-10 degrees C, dry bulb), windy (wind speed 3.0 m x s(-1)) environ...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Grant SJ,Dowsett D,Hutchison C,Newell J,Connor T,Grant P,Watt M

    更新日期:2002-04-01 00:00:00

  • Possible anaphylactic reaction due to pulmonary hydatid cyst rupture following blunt chest trauma: a case report and review of the literature.

    abstract::A hydatid cyst is a parasitic disease caused by the tapeworm Echinococcus granulosus. It is endemic in many areas, including New Zealand, Australia, and the Mediterranean region. Pulmonary hydatid disease can be diagnosed incidentally in asymptomatic patients or may cause symptoms such as cough, chest pain, dyspnea, f...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Topuzlar M,Eken C,Ozkurt B,Khan F

    更新日期:2008-07-01 00:00:00

  • Adverse encounters with alligators in the United States: an update.

    abstract:OBJECTIVE:Severe injuries and fatalities can occur from an alligator attack. Encounters with alligators appear to be increasing in the United States. This review provides information from alligator attacks reported in the United States as well as infections that may occur after an alligator bite. METHODS:Telephone int...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审


    authors: Langley RL

    更新日期:2010-06-01 00:00:00

  • Airway mucociliary function at high altitude.

    abstract::Despite the presence of a number of anecdotal reports in the mountaineering literature, mucociliary dysfunction at high altitude has received little scientific attention. However, the dry, cold, thin air at high altitude has the potential to undermine normal mucociliary function. This seems increasingly likely in moun...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审


    authors: Rodway GW,Windsor JS

    更新日期:2006-01-01 00:00:00

  • Acute Interstitial Nephritis Following Snake Envenomation: A Single-Center Experience.

    abstract:OBJECTIVES:To identify the clinical and histopathological characteristics of patients who develop acute interstitial nephritis (AIN) following snake envenomation. METHODS:A retrospective analysis of patients diagnosed with snake envenomation-induced AIN from October 2013 to November 2014. RESULTS:After snake envenoma...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Priyamvada PS,Shankar V,Srinivas BH,Rajesh NG,Parameswaran S

    更新日期:2016-06-01 00:00:00

  • Acute mountain sickness in children and their parents after rapid ascent to 3500 m (Putre, Chile).

    abstract:OBJECTIVE:Our objective was to determine the incidence of acute mountain sickness (AMS) and the cardiorespiratory responses, in children and their parents, after rapid ascent to 3500 m. The sample population was composed of children and their parents who ascended within 24 hours from Arica (sea level) to Putre (3500 m)...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Moraga FA,Pedreros CP,Rodríguez CE

    更新日期:2008-01-01 00:00:00

  • Brief altitude exposure in New Zealand white rabbits (Oryctolagus cuniculus) does not produce elevated intracranial pressure.

    abstract:OBJECTIVE:Our intent was to observe the effect of simulated altitude exposure on the intracranial pressure (ICP) of New Zealand white rabbits. It is theorized that the hypoxia of high altitude causes a rise in ICP, which may play a role in the pathogenesis of acute mountain sickness (AMS). Dexamethasone is a medication...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Pendon JD,King JA

    更新日期:2003-10-01 00:00:00

  • Stroke at high altitude diagnosed in the field using portable ultrasound.

    abstract::A tool that can differentiate ischemic stroke from other neurological conditions (eg, hemorrhagic stroke, high-altitude cerebral edema) in the field could enable more rapid thrombolysis when appropriate. The resources (eg, an MRI or CT scanner) to investigate stroke at high altitude may be limited, and hence a portabl...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Wilson MH,Levett DZ,Dhillon S,Mitchell K,Morgan J,Grocott MP,Imray C

    更新日期:2011-03-01 00:00:00

  • Is the Puerto Rican racer, Alsophis portoricensis, really harmless? A case report series.

    abstract::Puerto Rico (PR) is home to 10 indigenous species of snake. Alsophis portorricensis has traditionally been considered harmless. In 1961, Hageman classified A portorricensis as somewhere between "venomous" and "nonvenomous." In 1966, Heatwole and Banuchi reported the only case found in the literature of a "venomous" bi...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: García-Gubern C,Bello R,Rivera V,Rocafort A,Colon-Rolon L,Acosta-Tapia H

    更新日期:2010-12-01 00:00:00

  • New Zealand land search and rescue operations: an analysis of medical and traumatic conditions.

    abstract:OBJECTIVE:The aim of this study was to describe the range and types of medical and traumatic conditions encountered in land search and rescue operations in New Zealand. METHODS:Twenty months (May 2010 to December 2011) of land search and rescue operations were analyzed. Data on medical and traumatic conditions were ex...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Visser JT,Campbell AF

    更新日期:2014-12-01 00:00:00

  • High work output combined with high ambient temperatures caused heat exhaustion in a wildland firefighter despite high fluid intake.

    abstract::The purpose of this case study is to examine the physiological/behavioral factors leading up to heat exhaustion in a male wildland firefighter during wildland fire suppression. The participant (24 years old, 173 cm, 70 kg, and 3 years firefighting experience) experienced heat exhaustion following 7 hours of high ambie...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Cuddy JS,Ruby BC

    更新日期:2011-06-01 00:00:00

  • Managing anaphylaxis in a jungle environment.

    abstract::Anaphylaxis is a medical emergency requiring prompt action to prevent death from cardio-respiratory collapse. It can be a biphasic, unpredictable, and challenging reaction to deal with even in a hospital environment. The wilderness environments afforded by expeditions, remote health posts, and military exercises pose ...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Stokes S,Hudson S

    更新日期:2012-03-01 00:00:00

  • Hematotoxic Snakebite Victim with Trauma: The Role of Guided Transfusion, Rotational Thromboelastometry, and Tranexamic Acid.

    abstract::Hematotoxic snake bite is a leading cause of mortality in South India. However, it is rare for the emergency physician to encounter a patient with trauma associated with snakebite. Management of such a patient differs substantially from the routine management of either a trauma patient or a snakebite victim. A 59-y-ol...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Abraham SV,Hakkeem B,Mathew D,Rafi AM,Poomali A,Thomas J,Kassyap CK

    更新日期:2020-12-01 00:00:00

  • Core Content for Wilderness Medicine Training: Development of a Wilderness Medicine Track Within an Emergency Medicine Residency.

    abstract::Wilderness medicine training has become increasingly popular among medical professionals with numerous educational opportunities nationwide. Curricula for fellowship programs and for medical student education have previously been developed and published, but a specific curriculum for wilderness medicine education duri...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Schrading WA,Battaglioli N,Drew J,McClure SF

    更新日期:2018-03-01 00:00:00

  • Snake bite by Cerastes vipera in children: report of two cases.

    abstract::Two children, ages 2 and 4 years, envenomed by the snake Cerastes vipera are presented. Both children suffered from local pain and swelling of the hand that spread up to the shoulder in the 2-year-old and up to the elbow in the 4-year-old. A hemorrhagic blister was noted on the bitten finger in the younger patient. Ur...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Lifshitz M,Phillip M,Bernstein T,Sofer S

    更新日期:1995-08-01 00:00:00

  • Recreational surfing injuries in Cornwall, United Kingdom.

    abstract:OBJECTIVE:To analyze the nature of surfing injuries in Cornwall in order to identify trends and inform clinical management. METHODS:The details of patients presenting (with injuries sustained while surfboard/bodyboard riding) to the Emergency Department (ED) of the Royal Cornwall Hospital, Truro (UK), from September 2...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Hay CS,Barton S,Sulkin T

    更新日期:2009-01-01 00:00:00

  • Research Gaps in Wilderness Medicine.

    abstract:INTRODUCTION:Wilderness medicine involves the treatment of individuals in remote, austere environments. Given the high potential for injuries as well as the unique treatment modalities required in wilderness medicine, evidence-based clinical practice guidelines are necessary to provide optimal care. In this study, we i...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Tritz D,Dormire K,Brachtenbach T,Gordon J,Sanders D,Gearheart D,Crawford J,Vassar M

    更新日期:2018-09-01 00:00:00

  • Venomous snake husbandry in Thailand.

    abstract::A captive breeding program for venomous Thai snakes was established at the Queen Saovabha Memorial Institute at Bangkok, Thailand. This was necessary to secure a stable, healthy, and species-confirmed source of snake venom for antivenom production. In 1994, wild-caught specimens were collected, sexed, quarantined, and...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Chanhome L,Jintakune P,Wilde H,Cox MJ

    更新日期:2001-04-01 00:00:00

  • Skiing, snowboarding, and sledding injuries in a northwestern state.

    abstract:OBJECTIVE:Winter sports continue to be a popular form of recreation, but few studies have focused on serious injuries. The objectives of this study were to evaluate the major morbidity associated with downhill skiing, snowboarding, and sledding and to determine the incidence of serious injuries sustained while downhill...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Federiuk CS,Schlueter JL,Adams AL

    更新日期:2002-01-01 00:00:00

  • Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning.

    abstract::The Wilderness Medical Society convened a panel to review available evidence supporting practices for the prevention and acute management of drowning in out-of-hospital and emergency medical care settings. Literature about definition and terminology, epidemiology, rescue, resuscitation, acute clinical management, disp...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,实务指引


    authors: Schmidt AC,Sempsrott JR,Hawkins SC,Arastu AS,Cushing TA,Auerbach PS

    更新日期:2016-06-01 00:00:00

  • Planning for an annual episodic mass gathering: emergency department and clinic utilization in Yellowstone.

    abstract:OBJECTIVE:Planning and providing emergency and primary care for a large transient population of visitors and employees in a national park can be problematic. Furthermore, planning for emergency and primary health care needs of visitors and itinerant workers in a wilderness area national park has not been well documente...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Chang EC,Koval E,Freer L,Kraus S

    更新日期:2000-01-01 00:00:00

  • Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? That Is the Question.

    abstract:OBJECTIVES:To determine the incidence of femur fractures in mountain rescue in England and Wales. To investigate the attitudes of rescuers toward the use of femoral traction splints. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral tractio...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Runcie H,Greene M

    更新日期:2015-09-01 00:00:00

  • Coliform bacteria in Sierra Nevada wilderness lakes and streams: what is the impact of backpackers, pack animals, and cattle?

    abstract:OBJECTIVE:The presence of coliform bacteria indicates a watershed risk for harboring microbes capable of causing human disease. We hypothesized that water from watersheds that have different human- or animal-use patterns would have differing risks for the presence of coliform bacteria. METHODS; Water was collected in w...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Derlet RW,Carlson JR

    更新日期:2006-04-01 00:00:00

  • First authenticated case of Sri Lankan flying snake (Chrysopelea taprobanica) bite.

    abstract::Flying snakes (Genus Chrysopelea) are a group of ophisthoglyphous colubrids in South and South East Asia known for gliding in the air. Of the five species of flying snakes, Sri Lankan flying snake, Chrysopelea taprobanica, is endemic to Sri Lanka. Authenticated bites and the venom characteristics of this uncommon snak...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Silva A,Weerawansa P,Pilapitiya S,Maduwage T,Siribaddana S

    更新日期:2013-09-01 00:00:00

  • The impact of an ultramarathon on hormonal and biochemical parameters in men.

    abstract:OBJECTIVE:To examine circulating hormonal responses in men competing in the Western States Endurance Run (WSER, June 23 to 24, 2012): a 161-km trail run that starts in Squaw Valley, CA, and concludes in Auburn, CA. METHODS:We examined 12 men who completed the WSER. Blood samples were obtained the morning before the ra...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Kupchak BR,Kraemer WJ,Hoffman MD,Phinney SD,Volek JS

    更新日期:2014-09-01 00:00:00

  • Translating Tactical Combat Casualty Care Lessons Learned to the High-Threat Civilian Setting: Tactical Emergency Casualty Care and the Hartford Consensus.

    abstract::Combat operations necessitate bold thought and afford the opportunity to rapidly evolve and improve trauma care. The development and maturation of Tactical Combat Casualty Care (TCCC) is an important example of a critical process improvement strategy that reduced mortality in high-threat combat-related trauma. The Com...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审


    authors: Callaway DW

    更新日期:2017-06-01 00:00:00

  • Scorpion Stings in Jordan: An Update.

    abstract:OBJECTIVE:Scorpionism is an endemic public health problem in Jordan encountered by health providers in all parts of the country. This study updates epidemiological data on scorpion sting encounters in Jordan. METHODS:Data on scorpion sting encounters were obtained from government and military hospitals around the coun...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章


    authors: Amr ZS,Al Zou'bi R,Abdo N,Bani Hani R

    更新日期:2017-09-01 00:00:00