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

Abstract:

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.

journal_name

Wilderness Environ Med

authors

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

doi

10.1016/j.wem.2014.11.006

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

173-9

issue

2

eissn

1080-6032

issn

1545-1534

pii

S1080-6032(14)00405-0

journal_volume

26

pub_type

杂志文章,随机对照试验
  • Induced Hypothermia to 4.2°C with Neurologically Intact Survival: A Forgotten Case Series.

    abstract::The lowest recorded core temperature from which a person with accidental hypothermia has survived neurologically intact is 11.8°C in a 2-y-old boy. The lowest recorded temperature from which an adult has been resuscitated neurologically intact is 13.7°C in a 29-y-old woman. The lowest core temperature with survival fr...

    journal_title:Wilderness & environmental medicine

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.wem.2020.02.003

    authors: Zafren K,Paal P,Brugger H,Lechner R

    更新日期:2020-09-01 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

    doi:10.1580/1080-6032-020.004.0335

    authors: Hay CS,Barton S,Sulkin T

    更新日期:2009-01-01 00:00:00

  • Avalanche trauma and closed head injury: adding insult to injury.

    abstract:OBJECTIVE:The incidence of fatal closed head injury (CHI) and nonfatal CHI causing an altered level of consciousness in avalanche victims is unknown. The purpose of this study was to assess the incidence and potential significance of CHI in avalanche-related deaths. METHODS:The records of the state medical examiner an...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(2001)012[0244:atachi]2.0.co;2

    authors: Johnson SM,Johnson AC,Barton RG

    更新日期:2001-01-01 00:00:00

  • Retained Stingray Barb and the Importance of Imaging.

    abstract::Stingray envenomation is a common occurrence. X-ray evaluation of stingray wounds is an unnecessarily misunderstood diagnostic concept. We present the case of a patient stung by a stingray with a prolonged and complicated course and permanent disability due to a retained barb. The patient had undergone multiple medica...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2015.03.006

    authors: O'Malley GF,O'Malley RN,Pham O,Randolph F

    更新日期:2015-09-01 00:00:00

  • Preparing children for travel in Asia.

    abstract::Families are traveling with their children in increasing frequency. Travel to Asia offers children many opportunities to learn about new cultures and history. It also offers the potential for exposure to numerous infectious agents not commonly encountered in the United States. Families must begin to prepare for travel...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审

    doi:10.1580/06-WEME-RA-026R2.1

    authors: Waasdorp CE,Kim JY

    更新日期:2007-10-01 00:00:00

  • Spontaneous endogenous core temperature rewarming after cooling due to snow burial.

    abstract:OBJECTIVE:To measure afterdrop and rewarming in subjects placed in a hypothermia wrap immediately after extrication from 60 minutes of snow burial. METHODS:We measured esophageal core body temperature (Tes) in 6 subjects buried in compacted snow (mean density 39%) for up to 60 minutes at an altitude of 2450 m while br...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2010.06.007

    authors: Grissom CK,Harmston CH,McAlpine JC,Radwin MI,Ellington B,Hirshberg EL,Crouch A

    更新日期:2010-09-01 00:00:00

  • Into thin air: extreme ultrasound on Mt Everest.

    abstract:OBJECTIVE:Mountaineers face a variety of health risks at altitude including pulmonary edema; portable ultrasound may be used to diagnose high altitude pulmonary edema. This report tests the functionality of electronic equipment in a hypobaric test environment and the ability of remotely guided nonexperts to use ultraso...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/08-WEME-BR-228R2.1

    authors: Otto C,Hamilton DR,Levine BD,Hare C,Sargsyan AE,Altshuler P,Dulchavsky SA

    更新日期:2009-10-01 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

    doi:10.1016/j.wem.2017.05.003

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

    更新日期:2017-09-01 00:00:00

  • HEMS in Alpine Rescue for Pediatric Emergencies.

    abstract:OBJECTIVE:The objective of this study was to describe the pediatric emergencies encountered by the Christophorus-1 helicopter emergency medical service (HEMS) during a period of 2 years. METHODS:Emergency treatment of pediatric casualties by HEMS was evaluated at a helicopter base. Children up to 14 years who were tre...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2016.03.001

    authors: Taubenböck S,Lederer W,Kaufmann M,Kroesen G

    更新日期:2016-09-01 00:00:00

  • Developing Cricothyroidotomy Skills Using a Biomaterial-Covered Model.

    abstract:INTRODUCTION:Cricothyroidotomy is an advanced and life-saving technique, but it is also a rare and a difficult procedure. The purpose of the present study was to produce a low-cost simulation model with realistic anatomic features to investigate its effectiveness in developing cricothyroidotomy skills. METHODS:This st...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2020.05.003

    authors: Ozkaya Senuren C,Yaylaci S,Kayayurt K,Aldinc H,Gun C,Şimşek P,Tatli O,Turkmen S

    更新日期:2020-09-01 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

    doi:10.1580/1080-6032(2002)013[0245:ssasii]2.0.co;2

    authors: Federiuk CS,Schlueter JL,Adams AL

    更新日期:2002-01-01 00:00:00

  • Reduction of Arterial Oxygen Saturation Among Rescuers During Cardiopulmonary Resuscitation in a Hypobaric Hypoxic Environment.

    abstract::We experienced a case involving prolonged cardiopulmonary resuscitation (CPR) during cardiac arrest on Mt. Fuji (3776 m), demanding lengthy exertion by the rescuers performing CPR. Considering the effects of exertion on the rescuers, we examined their percutaneous arterial oxygen saturation during simulated CPR and co...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2019.10.008

    authors: Suto T,Saito S,Tobe M,Kanamoto M,Matsui Y

    更新日期:2020-03-01 00:00:00

  • Rupture of the Short Head of the Biceps Brachii Muscle Belly Caused by a Rock-Climbing Accident.

    abstract::The case of a 42-y-old rock climber who sustained a complete, isolated rupture of the short head of the biceps brachii muscle after falling onto his upper arm while bouldering is presented. This is the first description of this rare injury after a climbing accident. Moreover, there is no definitive consensus on whethe...

    journal_title:Wilderness & environmental medicine

    pub_type:

    doi:10.1016/j.wem.2020.04.006

    authors: Simon M,Lutter C,Schöffl V

    更新日期:2020-09-01 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

    doi:10.1016/j.wem.2017.10.003

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

    更新日期:2018-03-01 00:00:00

  • Medical Evaluation for Exposure Extremes: Cold.

    abstract::Risk of injury in cold environments is related to a combination of athlete preparedness, preexisting medical conditions, and the body's physiologic response to environmental factors, including ambient temperature, windchill, and wetness. The goal of this section is to decrease the risk of hypothermia, frostbite, and n...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2015.09.006

    authors: Fudge JR,Bennett BL,Simanis JP,Roberts WO

    更新日期:2015-12-01 00:00:00

  • Pulmonary embolism presenting as high-altitude pulmonary edema.

    abstract::High-altitude pulmonary edema (HAPE) is a recognized risk of rapid ascent to high altitude. Since the recognition of this entity more than 30 years ago, most pulmonary deaths at high altitude have been attributed to HAPE. However, as the bodies can almost never be recovered for postmortem examination, rare diagnoses t...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(1995)006[0220:pepaha]2.3.co;2

    authors: Shlim DR,Papenfus K

    更新日期:1995-05-01 00:00:00

  • Stress hormone responses to an ultraendurance race in the cold.

    abstract:OBJECTIVE:Physical stress (exercise and/or environmental) activates the sympathetic-adrenal-medullary (SAM) and hypothalamic-pituitary-adrenocortical (HPA) axes. The combination of ultraendurance exercise in the cold presents a unique summated stress to the body. The purpose of this study was to assess the stress hormo...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2009.12.020

    authors: Stuempfle KJ,Nindl BC,Kamimori GH

    更新日期:2010-03-01 00:00:00

  • Tranexamic Acid Use in Prehospital Uncontrolled Hemorrhage.

    abstract::The use of tranexamic acid (TXA) in the treatment of trauma patients was relatively unexplored until the landmark Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage-2 (CRASH-2) trial in 2010 demonstrated a reduction in mortality with the use of TXA. Although this trial was a randomized, double-bl...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.wem.2016.12.006

    authors: Huebner BR,Dorlac WC,Cribari C

    更新日期:2017-06-01 00:00:00

  • Piranha attacks on humans in southeast Brazil: epidemiology, natural history, and clinical treatment, with description of a bite outbreak.

    abstract::There are many tales describing ferocious schools of piranha attacking humans, but there are few scientific data supporting such behavior. The very few documented instances of humans attacked and eaten by piranha schools include 3 that occurred after death by other causes (eg, heart failure and drowning). These predac...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(2003)14[249:paohis]2.0.co;2

    authors: Haddad V Jr,Sazima I

    更新日期:2003-01-01 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

    doi:10.1580/1080-6032(2000)011[0257:pfaaem]2.3.co;2

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

    更新日期:2000-01-01 00:00:00

  • Electromagnetic interference from electronic devices used in the management of type 1 diabetes can impair the performance of an avalanche transceiver in search mode.

    abstract:OBJECTIVE:Portable electronic devices play an important role in the management of type 1 diabetes mellitus. Electromagnetic interference from electronic devices has been shown to impair the function of an avalanche transceiver in search mode (but not in transmitting mode). This study investigates the influence of elect...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2014.12.016

    authors: Miller SC

    更新日期:2015-06-01 00:00:00

  • Work performance after dehydration: effects of physical conditioning and heat acclimatization. 1958.

    abstract::Three groups of five men each were dehydrated overnight in the heat (115 degrees F) on two occasions (D1 and D2) to approximately 5.5% of their starting body weight. During the 3-week period between D1 and D2, one group (AC) was acclimatized to heat and physically conditioned, the second group (C) was physically condi...

    journal_title:Wilderness & environmental medicine

    pub_type: 传,古典文章,历史文章,杂志文章

    doi:10.1580/1080-6032(2000)011[0204:wpadeo]2.3.co;2

    authors: Buskirk ER,Iampietro PF,Bass DE

    更新日期:2000-10-01 00:00:00

  • Smoking increases the risk of acute mountain sickness.

    abstract:OBJECTIVE:We aimed to ascertain risk factors for acute mountain sickness (AMS) in miners exposed to chronic intermittent high altitude conditions. METHODS:All new hires (2009-2012) for mine employment (4000 m above sea level) were followed up for 12 months after first ascent. Demographics, physiologic data, and cigare...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2014.10.006

    authors: Vinnikov D,Brimkulov N,Blanc PD

    更新日期:2015-06-01 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

    doi:10.1016/j.wem.2010.07.001

    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

  • Search and rescue in the Intermountain West states.

    abstract:BACKGROUND:Minimal data exist regarding the activity, membership, training, and medical oversight of search and rescue (SAR) teams. OBJECTIVE:Our objective was to describe these characteristics in the Intermountain West SAR organizations. METHODS:A contact list was generated and electronic surveys were sent to SAR of...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2013.08.002

    authors: Russell KW,Weber DC,Scheele BM,Ernst RP,Kanaan NC,Smith WR,McIntosh SE,Wheeler AR 3rd

    更新日期:2013-12-01 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

    doi:10.1580/pr05-05.1

    authors: Derlet RW,Carlson JR

    更新日期:2006-04-01 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

    doi:10.1580/1080-6032(2002)013[0036:acomrc]2.0.co;2

    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

  • How to teach emergency procedural skills in an outdoor environment using low-fidelity simulation.

    abstract::Teaching emergency procedural skills in a wilderness setting can be logistically challenging. To teach these skills as part of a wilderness medicine elective for medical students, we designed an outdoor simulation session with low-fidelity models. The session involved 6 stations in which procedural skills were taught ...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1016/j.wem.2013.11.001

    authors: Saxon KD,Kapadia AP,Juneja NS,Bassin BS

    更新日期:2014-03-01 00:00:00

  • A tragic report of probable high-altitude pulmonary edema in the Himalayas: preventive implications.

    abstract::High-altitude pulmonary edema (HAPE) is a well-recognized disease entity in trekkers to the Nepal Himalayas. We present the case of a patient who had clinical features consistent with HAPE but did not descend the mountain on time, which contributed to his death. The important factors of the diagnosis, the descent, and...

    journal_title:Wilderness & environmental medicine

    pub_type: 杂志文章

    doi:10.1580/1080-6032(2000)011[0099:atroph]2.3.co;2

    authors: Goodman T,Basnyat B

    更新日期:2000-07-01 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

    doi:10.1580/06-WEME-BR-041R.1

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

    更新日期:2007-07-01 00:00:00