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- W4386988464 abstract "Introduction Exertional heat stroke is a life-threatening emergency necessitating immediate treatment with rapid body cooling. A field-expedient alternative may be tarp-assisted cooling, requiring only water and a tarp. The objective of this study was to compare core temperature (Tc) cooling rates of tarp-assisted cooling using the limited resources available to a wildland firefighter and the current standard care provided in wilderness settings. Methods This cross-over, randomized control trial of 17 healthy individuals consisted of exercise in a 42±1°C, 32±4% relative humidity environment while wearing wildland firefighter attire, followed by cooling. Body cooling consisted of either pouring 11 L of 25±1°C water over the torso while lying supine on a tarp configured to hold water close to the individual (Tarp) or dousing the water on the participant followed by lying supine with a light breeze, current standard care in the wilderness (Current Care). Cooling occurred until Tc reached 38°C. Results Participants walked until a similar Tc was achieved in Tarp (39.59±0.04°C) and Current Care (39.55±0.22°C; P=0.36). Core temperature cooling rate was not different between Tarp (0.076±0.042°C·min−1) and Current Care (0.088±0.046°C·min−1; P=0.41). Conclusions In hyperthermic individuals, Tarp did not provide a faster cooling rate compared to the current exertional heat stroke care provided in the wilderness, and both provided a slower cooling rate than that provided by the traditional method of cold water immersion (>0.20°C·min−1) to treat exertional heat stroke patients." @default.
- W4386988464 created "2023-09-24" @default.
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- W4386988464 date "2023-09-01" @default.
- W4386988464 modified "2023-09-27" @default.
- W4386988464 title "Tarp-Assisted Cooling for Exertional Heat Stroke Treatment in Wildland Firefighting" @default.
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- W4386988464 doi "https://doi.org/10.1016/j.wem.2023.08.002" @default.
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