Study2023

Out-of-Hospital Cold Water Immersion for Classic (Non-Exertional) Heat Stroke Guided by Real-Time Core Temperature Monitoring: A Case Series

Jacobsen RC, Beaver B, Abo B

Prehospital emergency care · 9 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Case report (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2022-11-15 · Prehosp Emerg Care · vol. 27 · issue 6 · pp. 832–837
Publisher
Taylor & Francis
Cited
15 citations · more than 77% of similar papers · 1.1× the field average
References
13 works
Access
Paywalled
Research areas
Thermoregulation and physiological responses · Thermal Regulation in Medicine · Infrared Thermography in Medicine
Keywords
Medicine, Heat illness, Stroke (engine), Core temperature, Core (optical fiber), Medical emergency, Immersion (mathematics), Emergency medicine, Anesthesia, Mechanical engineering, Meteorology, Engineering
MeSH
humans, heat stroke, water, body temperature, immersion, temperature, hospitals, emergency medical services, cold temperature

3 authors

From US

  • Ryan C. Jacobsen · correspondingUniversity of Kansas
  • Bryan BeaverUniversity of Kansas; The University of Kansas Health System
  • Benjamin Norman AboFlorida State University

Abstract

Heat stroke is a problem that occurs primarily in the out-of-hospital environment. "Cool first, transport second" has been emphasized in consensus statements and systematic reviews regarding the treatment of exertional heat stroke by both EMS and the sports medicine/athletic training communities. However, there remains little guidance on cooling recommendations for the out-of-hospital care of non-exertional heat stroke or classic heat stroke. There is no consensus on the safety or feasibility of cooling classic heat stroke patients in the out-of-hospital environment using cold-water immersion. This case series describes the successful application of on-scene cold-water immersion for five classic heat stroke patients guided by real-time core temperature monitoring.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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