Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study

<i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Yuri Hosokawa [verfasserIn] Luke N. Belval [verfasserIn] William M. Adams [verfasserIn] Lesley W. Vandermark [verfasserIn] Douglas J. Casa [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	exertional heat stroke emergency treatment ice vest body cooling prehospital care

Übergeordnetes Werk:	In: Medicina - MDPI AG, 2016, 56(2020), 539, p 539
Übergeordnetes Werk:	volume:56 ; year:2020 ; number:539, p 539

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/medicina56100539

Katalog-ID:	DOAJ060981687

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245	1	0	\|a Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
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520			\|a <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.
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700	0		\|a Lesley W. Vandermark \|e verfasserin \|4 aut
700	0		\|a Douglas J. Casa \|e verfasserin \|4 aut
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publishDate	2020
allfields	10.3390/medicina56100539 doi (DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc DE-627 ger DE-627 rakwb eng R5-920 Yuri Hosokawa verfasserin aut Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General) Luke N. Belval verfasserin aut William M. Adams verfasserin aut Lesley W. Vandermark verfasserin aut Douglas J. Casa verfasserin aut In Medicina MDPI AG, 2016 56(2020), 539, p 539 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:56 year:2020 number:539, p 539 https://doi.org/10.3390/medicina56100539 kostenfrei https://doaj.org/article/1ff5763afeb04a05887172b54d8941cc kostenfrei https://www.mdpi.com/1010-660X/56/10/539 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 56 2020 539, p 539
spelling	10.3390/medicina56100539 doi (DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc DE-627 ger DE-627 rakwb eng R5-920 Yuri Hosokawa verfasserin aut Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General) Luke N. Belval verfasserin aut William M. Adams verfasserin aut Lesley W. Vandermark verfasserin aut Douglas J. Casa verfasserin aut In Medicina MDPI AG, 2016 56(2020), 539, p 539 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:56 year:2020 number:539, p 539 https://doi.org/10.3390/medicina56100539 kostenfrei https://doaj.org/article/1ff5763afeb04a05887172b54d8941cc kostenfrei https://www.mdpi.com/1010-660X/56/10/539 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 56 2020 539, p 539
allfields_unstemmed	10.3390/medicina56100539 doi (DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc DE-627 ger DE-627 rakwb eng R5-920 Yuri Hosokawa verfasserin aut Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General) Luke N. Belval verfasserin aut William M. Adams verfasserin aut Lesley W. Vandermark verfasserin aut Douglas J. Casa verfasserin aut In Medicina MDPI AG, 2016 56(2020), 539, p 539 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:56 year:2020 number:539, p 539 https://doi.org/10.3390/medicina56100539 kostenfrei https://doaj.org/article/1ff5763afeb04a05887172b54d8941cc kostenfrei https://www.mdpi.com/1010-660X/56/10/539 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 56 2020 539, p 539
allfieldsGer	10.3390/medicina56100539 doi (DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc DE-627 ger DE-627 rakwb eng R5-920 Yuri Hosokawa verfasserin aut Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General) Luke N. Belval verfasserin aut William M. Adams verfasserin aut Lesley W. Vandermark verfasserin aut Douglas J. Casa verfasserin aut In Medicina MDPI AG, 2016 56(2020), 539, p 539 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:56 year:2020 number:539, p 539 https://doi.org/10.3390/medicina56100539 kostenfrei https://doaj.org/article/1ff5763afeb04a05887172b54d8941cc kostenfrei https://www.mdpi.com/1010-660X/56/10/539 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 56 2020 539, p 539
allfieldsSound	10.3390/medicina56100539 doi (DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc DE-627 ger DE-627 rakwb eng R5-920 Yuri Hosokawa verfasserin aut Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected. exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General) Luke N. Belval verfasserin aut William M. Adams verfasserin aut Lesley W. Vandermark verfasserin aut Douglas J. Casa verfasserin aut In Medicina MDPI AG, 2016 56(2020), 539, p 539 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:56 year:2020 number:539, p 539 https://doi.org/10.3390/medicina56100539 kostenfrei https://doaj.org/article/1ff5763afeb04a05887172b54d8941cc kostenfrei https://www.mdpi.com/1010-660X/56/10/539 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 56 2020 539, p 539
language	English
source	In Medicina 56(2020), 539, p 539 volume:56 year:2020 number:539, p 539
sourceStr	In Medicina 56(2020), 539, p 539 volume:56 year:2020 number:539, p 539
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	exertional heat stroke emergency treatment ice vest body cooling prehospital care Medicine (General)
isfreeaccess_bool	true
container_title	Medicina
authorswithroles_txt_mv	Yuri Hosokawa @@aut@@ Luke N. Belval @@aut@@ William M. Adams @@aut@@ Lesley W. Vandermark @@aut@@ Douglas J. Casa @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	354543296
id	DOAJ060981687
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ060981687</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309005219.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228s2020 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3390/medicina56100539</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ060981687</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">R5-920</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Yuri Hosokawa</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a"><i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">exertional heat stroke</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">emergency treatment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ice vest</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">body cooling</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">prehospital care</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Luke N. Belval</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">William M. 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callnumber-first	R - Medicine
author	Yuri Hosokawa
spellingShingle	Yuri Hosokawa misc R5-920 misc exertional heat stroke misc emergency treatment misc ice vest misc body cooling misc prehospital care misc Medicine (General) Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
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topic_title	R5-920 Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study exertional heat stroke emergency treatment ice vest body cooling prehospital care
topic	misc R5-920 misc exertional heat stroke misc emergency treatment misc ice vest misc body cooling misc prehospital care misc Medicine (General)
topic_unstemmed	misc R5-920 misc exertional heat stroke misc emergency treatment misc ice vest misc body cooling misc prehospital care misc Medicine (General)
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title	Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
ctrlnum	(DE-627)DOAJ060981687 (DE-599)DOAJ1ff5763afeb04a05887172b54d8941cc
title_full	Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
author_sort	Yuri Hosokawa
journal	Medicina
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author_browse	Yuri Hosokawa Luke N. Belval William M. Adams Lesley W. Vandermark Douglas J. Casa
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title_sort	chemically activated cooling vest’s effect on cooling rate following exercise-induced hyperthermia: a randomized counter-balanced crossover study
callnumber	R5-920
title_auth	Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
abstract	<i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.
abstractGer	<i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.
abstract_unstemmed	<i<Background and objectives:</i< Exertional heat stroke (EHS) is a potentially lethal, hyperthermic condition that warrants immediate cooling to optimize the patient outcome. The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.
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title_short	Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study
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The study aimed to examine if a portable cooling vest meets the established cooling criteria (0.15 °C·min<sup<−1</sup< or greater) for EHS treatment. It was hypothesized that a cooling vest will not meet the established cooling criteria for EHS treatment. <i<Materials and Methods:</i< Fourteen recreationally active participants (mean ± SD; male, <i<n</i< = 8; age, 25 ± 4 years; body mass, 86.7 ± 10.5 kg; body fat, 16.5 ± 5.2%; body surface area, 2.06 ± 0.15 m<sup<2</sup<. female, <i<n</i< = 6; 22 ± 2 years; 61.3 ± 6.7 kg; 22.8 ± 4.4%; 1.66 ± 0.11 m<sup<2</sup<) exercised on a motorized treadmill in a hot climatic chamber (ambient temperature 39.8 ± 1.9 °C, relative humidity 37.4 ± 6.9%) until they reached rectal temperature (T<sub<RE</sub<) <39 °C (mean T<sub<RE</sub<, 39.59 <inline-formula<<math display="inline"<<semantics<<mo<±</mo<</semantics<</math<</inline-formula< 0.38 °C). Following exercise, participants were cooled using either a cooling vest (VEST) or passive rest (PASS) in the climatic chamber until T<sub<RE</sub< reached 38.25 °C. Trials were assigned using randomized, counter-balanced crossover design. <i<Results:</i< There was a main effect of cooling modality type on cooling rates (F[1, 24] = 10.46, <i<p</i< < 0.01, η<sup<2</sup<<sub<p</sub< = 0.30), with a greater cooling rate observed in VEST (0.06 ± 0.02 °C·min<sup<−1</sup<) than PASS (0.04 ± 0.01 °C·min<sup<−1</sup<) (MD = 0.02, 95% CI = [0.01, 0.03]). There were also main effects of sex (F[1, 24] = 5.97, <i<p</i< = 0.02, η<sup<2</sup<<sub<p</sub< = 0.20) and cooling modality type (F[1, 24] = 4.38, <i<p</i< = 0.047, η<sup<2</sup<<sub<p</sub< = 0.15) on cooling duration, with a faster cooling time in female (26.9 min) than male participants (42.2 min) (MD = 15.3 min, 95% CI = [2.4, 28.2]) and faster cooling duration in VEST than PASS (MD = 13.1 min, 95% CI = [0.2, 26.0]). An increased body mass was associated with a decreased cooling rate in PASS (r = −0.580, <i<p</i< = 0.03); however, this association was not significant in vest (r = −0.252, <i<p</i< = 0.39). <i<Conclusions:</i< Although VEST exhibited a greater cooling capacity than PASS, VEST was far below an acceptable cooling rate for EHS treatment. VEST should not replace immediate whole-body cold-water immersion when EHS is suspected.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">exertional heat stroke</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">emergency treatment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ice vest</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">body cooling</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">prehospital care</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Luke N. Belval</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">William M. 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Chemically Activated Cooling Vest’s Effect on Cooling Rate Following Exercise-Induced Hyperthermia: A Randomized Counter-Balanced Crossover Study

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