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Ice Water Immersion – Practicalities for Monitoring Hyperthermic Patients in the Prehospital Context

Published online by Cambridge University Press:  07 October 2019

Lachlan Holbery-Morgan
Affiliation:
Event Medical Services Australia, Moonee Ponds, Victoria, Australia
James Carew
Affiliation:
Event Medical Services Australia, Moonee Ponds, Victoria, Australia
Elyssia Bourke
Affiliation:
Event Medical Services Australia, Moonee Ponds, Victoria, Australia
Ned Douglas*
Affiliation:
Event Medical Services Australia, Moonee Ponds, Victoria, Australia
*
Correspondence: Ned Douglas, MBBS, BMedSci Event Medical Services Australia PO Box 991 Moonee Ponds, Victoria, Australia, 3039 E-mail: ndouglas@emsa.com.au

Abstract

Immersion of patients in a body bag filled with ice and water is recommended as prehospital management of severe hyperthermia. Experienced paramedics have raised a number of concerns about the use of this technique; particularly, whether cardiac monitoring equipment would remain functional once immersed. This test showed that monitoring equipment does remain functional and provides advice about safety considerations. The test should reassure practitioners that such an approach is feasible.

Type
Brief Report
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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References

Laskowski, LK, Landry, A, Vassallo, SU, Hoffman, RS. Ice water submersion for rapid cooling in severe drug-induced hyperthermia. Clin Toxicol Phila Pa. 2015;53(3):181184.CrossRefGoogle ScholarPubMed
Armstrong, LE, Crago, AE, Adams, R, Roberts, WO, Maresh, CM. Whole-body cooling of hyperthermic runners: comparison of two field therapies. Am J Emerg Med. 1996;14(4):355358.CrossRefGoogle ScholarPubMed
Proulx, CI, Ducharme, MB, Kenny, GP. Effect of water temperature on cooling efficiency during hyperthermia in humans. J Appl Physiol Bethesda Md. 2003;94(4):13171323.Google ScholarPubMed
Bouchama, A, Dehbi, M, Chaves-Carballo, E. Cooling and hemodynamic management in heatstroke: practical recommendations. Crit Care Lond Engl. 2007;11(3):R54.CrossRefGoogle ScholarPubMed