Effectiveness of cold water immersion in the treatment of exertional heat stroke at the Falmouth Road Race
Demartini JK, Casa DJ, Stearns R, Belval L, Crago A, Davis R, Jardine J
Medicine and science in sports and exercise · 143 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Reporte de caso (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2014-07-02 · Med Sci Sports Exerc · vol. 47 · número 2 · págs. 240–245
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 207 citas · más que el 96% de estudios similares · 4.8× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 39 trabajos
- Acceso
- De pago
- Áreas de investigación
- Thermoregulation and physiological responses · Exercise and Physiological Responses · Infrared Thermography in Medicine
- Palabras clave
- Medicine, Rectal temperature, Incidence (geometry), Internal medicine, Surgery
- MeSH
- rectum, humans, heat stroke, water, body temperature, treatment outcome, retrospective studies, immersion, age factors, sex factors, running, cold temperature, hot temperature
7 autores
- Julie K. DeMartini🇺🇸University of Connecticut; Falmouth Hospital
- Douglas J. Casa🇺🇸University of Connecticut
- Rebecca L. Stearns🇺🇸University of Connecticut
- Luke N. Belval🇺🇸University of Connecticut
- Arthur E. Crago🇺🇸Falmouth Hospital
- Rob Davis🇺🇸Falmouth Hospital
- John F. Jardine🇺🇸Falmouth Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
This study aimed to investigate the effectiveness (speed of cooling and survival rates) of cold water immersion (CWI) in the treatment of patients with exertional heat stroke (EHS). Secondly, this study aimed to compare cooling rates on the basis of gender, age, and initial rectal temperature (Tr).
Methods
Eighteen years of finish line medical tent patient records were obtained from the exertional heat illness treatment area at the Falmouth Road Race. Study participants included patients with EHS who were treated with CWI in the medical tent. The number of EHS cases was recorded for each year, and incidence was established on the basis of the number of finishers. Overall cooling rate and differences between initial Tr, age, and sex were evaluated.
Results
A total of 274 cases of EHS was observed over the 18 yr of collected data. A mean of 15.2 ± 13.0 EHS cases per year was recorded, with an overall incidence of 2.13 ± 1.62 EHS cases per 1000 finishers. The average initial Tr was 41.44°C ± 0.63°C, and the average cooling rate for patients with EHS was 0.22°C·min ± 0.11°C·min. CWI resulted in a 100% survival rate for all patients with EHS. No significant interactions between cooling rate and initial Tr (P = 0.778), sex (P = 0.89), or age (P = 0.70) were observed.
Conclusions
CWI was found to effectively treat all cases of EHS observed in this study. CWI provided similar treatment outcomes in all patients, with no significant differences noted on the basis of initial Tr, age, or sex. On the basis of the 100% survival rate from EHS in this large cohort, it is recommended that immediate (on site) CWI be implemented for the treatment of EHS.
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