Novel Application of Chemical Cold Packs for Treatment of Exercise-Induced Hyperthermia: A Randomized Controlled Trial

Lissoway, John; Lipman, Grant S.; Grahn, Dennis A.; Cao, Vinh H.; Shaheen, Michael; Phan, Samson; Weiss, Eric A.; Heller, H. Craig

doi:10.1016/j.wem.2014.11.006

Cited by 11 publications

(8 citation statements)

References 28 publications

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“…For the critical outcome of rate of core body temperature reduction, we identified moderate-certainty evidence (downgraded for risk of indirectness) from 1 non-RCT 35 recruiting 10 adults with exertional hyperthermia. This small study reported a faster rate of core body temperature reduction associated with the use of commercial ice packs to the facial cheeks, palms, and soles compared with passive cooling (MD, 0.18 C/min; 95% CI, 0.12À 0.24).…”

Section: Commercial Ice Packsmentioning

confidence: 99%

“…We identified moderate-certainty evidence (downgraded for risk of indirectness) from 1 controlled trial 35 recruiting 10 adults with Intravenous Fluids. With the exception of the single study of ice-water immersion, for the critical outcome of mortality and the important outcomes of clinically important organ dysfunction, adverse events, and hospital length of stay, there were no comparator studies evaluating any of the previously mentioned cooling techniques.…”

Section: Commercial Ice Packsmentioning

confidence: 99%

“…Cold-water immersion of the torso compared with temperate-water immersion of the torso (20 CÀ 26 C/68 FÀ 78.8 F) 21,22,26 Cold-water immersion (14 C/57.2 F) of the torso compared with the use of colder-water immersion (8 C/46.4 F) 26 Cold-water immersion (14 C/57.2 F) of the torso compared with ice-water immersion (2 CÀ 5 C/35.6 FÀ 41 F) of the torso 14,26 Colder-water immersion (9 C/48.2 F) up to the iliac crest compared with passive cooling 50 Colder-water immersion (10 CÀ 12 C/50.0 FÀ 52.6 F) of the hands/feet compared with the use of colder-water immersion of the torso 29 Evaporative cooling compared with passive cooling 34,52 Evaporative cooling compared with use of ice packs applied to the neck, axilla, and groin 34,36 Evaporative cooling compared with the use of commercial ice packs applied to the whole body 34 Evaporative cooling combined with the use of commercial ice packs to the neck, axilla, and groin compared with passive cooling34 and evaporative cooling alone 34 Evaporative cooling compared with the administration of intravenous 0.9% normal saline at 20 C/68.0 F 36 Ice-sheet application (bed sheets soaked in ice water kept at 3 C/37.4 F and towels soaked in ice water kept at 14 C/57.2 F, respectively, to the body compared with passive cooling 24,38 Ice-sheet application (sheets soaked in ice and water at 5 CÀ 10 C; 33.8 FÀ 41.0 F) to the body compared with colder-water immersion (5 CÀ 10 C; 33.8 F À 41.0 F) 33 Commercial ice packs to the neck, groin, and axilla compared with passive cooling 34,35 Commercial ice packs to the whole body compared with passive cooling 34 Fanning alone compared with passive cooling 24,39 Hand-cooling devices compared with passive cooling 46,49,53 A commercial cooling jacket compared with passive cooling 44,46 Various cooling vests compared with passive cooling 24,39,44,…”

Section: Table 3 -Cooling Techniques With Comparisons Not Showing a Significant Mean Difference In Cooling Ratementioning

confidence: 99%

See 2 more Smart Citations

2020 International Consensus on First Aid Science With Treatment Recommendations

Singletary¹,

Zideman²,

Bendall³

et al. 2020

Resuscitation

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This is the summary publication of the International Liaison Committee on Resuscitation's 2020 International Consensus on First Aid Science WithTreatment Recommendations. It addresses the most recent published evidence reviewed by the First Aid Task Force science experts. This summary addresses the topics of first aid methods of glucose administration for hypoglycemia; techniques for cooling of exertional hyperthermia and heatstroke; recognition of acute stroke; the use of supplementary oxygen in acute stroke; early or first aid use of aspirin for chest pain; control of life-threatening bleeding through the use of tourniquets, hemostatic dressings, direct pressure, or pressure devices; the use of a compression wrap for closed extremity joint injuries; and temporary storage of an avulsed tooth. Additional summaries of scoping reviews are presented for the use of a recovery position, recognition of a concussion, and 6 other first aid topics. The First Aid Task Force has assessed, discussed, and debated the certainty of evidence on the basis of Grading of Recommendations, Assessment, Development, and Evaluation criteria and present their consensus treatment recommendations with evidence-to-decision highlights and identified priority knowledge gaps for future research.The 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science With Treatment Recommendations (CoSTR) is the fourth in a series of annual summary publications from the International Liaison Committee on Resuscitation (ILCOR). This 2020 CoSTR for first aid includes new topics addressed by systematic reviews performed within the past 12 months. It also includes updates of the first aid treatment recommendations published from 2010 through 2019 that are based on additional evidence evaluations and updates.As a result, this 2020 CoSTR for first aid represents the most comprehensive update since 2010.

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Section: Commercial Ice Packsmentioning

confidence: 99%

Section: Commercial Ice Packsmentioning

confidence: 99%

Section: Table 3 -Cooling Techniques With Comparisons Not Showing a Significant Mean Difference In Cooling Ratementioning

confidence: 99%

See 1 more Smart Citation

2020 International Consensus on First Aid Science With Treatment Recommendations

Singletary¹,

Zideman²,

Bendall³

et al. 2020

Resuscitation

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show abstract

“…99,100 Ice packs have been found to have greater cooling capacity than chemical cold packs, 101 and if used, are most efficacious when wet and covering the entire body (to optimize conductive cooling). 99 A small translational study applied chemical cold packs to the glabrous skin of the palms, soles, and cheeks and found twice the cooling rate over traditional major vascular locations, 102 using the high-capacity blood flow of the subcutaneous arteriovenous anastomoses.…”

Section: Chemical Cold Packs/ice Packsmentioning

confidence: 99%

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update

Lipman

Gaudio

Eifling

et al. 2019

Wilderness & Environmental Medicine

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The Wilderness Medical Society convened an expert panel in 2011 to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both fieldand hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks or burdens for each modality. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Treatment and Prevention of Heat-Related Illness published in 2013.

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“…In human studies, the use of chemical cold packs with a temperature of 13 • C was not associated with vasoconstriction in non-haired skin areas, therefore cool packs rather than ice packs would be recommended. 31 Other non-invasive methods would be placing a fan near the patient to dissipate heat via convection; evidence on how effective this is in dogs is limited. In this case, the inbuilt fan system in MRI was on maximum flow, an additional freestanding fan would have been impractical for safety reasons.…”

Section: Active Coolingmentioning

confidence: 99%

Hyperthermia in a Chow Chow under general anaesthesia for magnetic resonance imaging

Jones

Robson

2022

Vet Record Case Reports

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A 5‐year 7‐month‐old, entire, male Chow Chow presented with paraparesis and ataxia due to a previously diagnosed T11–T12 spinal diverticulum. Due to the progression of clinical signs, magnetic resonance imaging was indicated to reassess the lesion. Preoperative rectal temperature was unable to be assessed due to temperament; however, it was likely the patient would be hyperthermic as it had been hyperthermic (40.6°C) under general anaesthesia 4 months earlier. Consequently, measures were taken to attempt to reduce body temperature before general anaesthesia. While under general anaesthesia for imaging, the patient was confirmed to be markedly hyperthermic. This report details the management of a patient with hyperthermia under general anaesthesia. The patient was gradually cooled before recovery from anaesthesia. Once recovered from anaesthesia and normothermic, the patient was discharged home the same day. Follow‐up confirmed no adverse effects.

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Novel Application of Chemical Cold Packs for Treatment of Exercise-Induced Hyperthermia: A Randomized Controlled Trial

Abstract: 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.

Cited by 11 publications

References 28 publications

2020 International Consensus on First Aid Science With Treatment Recommendations

2020 International Consensus on First Aid Science With Treatment Recommendations

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update

Hyperthermia in a Chow Chow under general anaesthesia for magnetic resonance imaging

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