Efficacy of field treatments to reduce body core temperature in hyperthermic subjects

(Effektivität von Feldbehandlungen zur Verringerung der Körperkkerntemperatur bei hyperthermischen Personen)

Purpose: To contrast the effects of three postcooling techniques in reducing body core temperature (Tc) in exercise-induced hyperthermic participants on the cessation of exercise. Methods: Eleven healthy active male volunteers were cooled during a 40-min period using three different methods: ice packs to the neck, axillae, and groin (ICE); water spray and fan (FAN); and 2 L of chilled (20°C) intravenous saline administered during a 20-min period (IV). Rate of decrease in Tc, cardiovascular responses, and any incidence of reported adverse effects were investigated. Trials were presented in a counterbalanced order with the volunteers' body core temperature being elevated to 40.0°C on three occasions via an intermittent walk-run (2 min at 6 km/h and 4 min at 10 km/h) protocol conducted within a climate-controlled chamber (34.2 ± 0.5°C and 62.3 ± 3.1% relative humidity). Results: Rate of Tc reduction during the first 20 min of ooling was greater for FAN compared with ICE (0.09 ± 0.02°C/min vs 0.07 ± 0.02°C/min, P < 0.05), whereas IV did not differ with the other trials (0.08 ± 0.01°C/min, P > 0.05). Three participants complained of numbness or paresthesia in their arm or hand during administration of the chilled saline, although these symptoms resolved within 5 min of ceasing the infusion. Conclusions: All three cooling techniques reduced Tc and would be suitable for first aid application in a field setting during transportation to adequate medical facilities. Chilled IV saline did not produce any contraindications, providing a suitable alternative for Tc cooling.
© Copyright 2009 Medicine & Science in Sports & Exercise. Lippincott Williams & Wilkins. Alle Rechte vorbehalten.

Bibliographische Detailangaben
Schlagworte:
Notationen:Biowissenschaften und Sportmedizin
Tagging:Hyperthermie Kälteapplikation
Veröffentlicht in:Medicine & Science in Sports & Exercise
Sprache:Englisch
Veröffentlicht: 2009
Online-Zugang:https://doi.org/10.1249/MSS.0b013e3181a7ae82
Jahrgang:41
Heft:11
Seiten:1984-1990
Dokumentenarten:Artikel
Level:mittel