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Can Temperate-Water Immersion Effectively Reduce Rectal Temperature in Exertional Heat Stroke Situations?: A Critically-Appraised Topic.
Journal of Sport Rehabilitation 2016 March 22
Clinical Scenario: Exertional heat stroke (EHS) is a medical emergency which, if left untreated, can result in death. The standard of care for EHS patients includes confirmation of hyperthermia via rectal temperature (Trec) and then immediate cold-water immersion (CWI). While CWI is the fastest way to reduce Trec, it may be difficult to lower and maintain water bath temperature in the recommended ranges (1.7°C-15°C [35°F-59°F]) because of limited access to ice and/or the bath being exposed to high ambient temperatures for long periods of time. Determining if Trec cooling rates are acceptable (i.e., >0.08°C/min) when significantly hyperthermic humans are immersed in temperate water (i.e., ≥20°C [68°F]) has applications for how EHS patients are treated in the field.
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