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Bath rewarming from immersion hypothermia.

R W Hoskin, M J Melinyshyn, T T Romet

    Journal of Applied Physiology (Bethesda, Md. : 1985)
    |October 1, 1986
    PubMed
    Summary
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    Trunk-only bath rewarming is not superior to whole-body bath rewarming for mild immersion hypothermia. Both methods showed no significant differences in core temperature afterdrop or rewarming rate.

    Area of Science:

    • Emergency Medicine
    • Physiology
    • Thermoregulation

    Background:

    • Trunk-only bath rewarming is often recommended over whole-body rewarming for immersion hypothermia.
    • This recommendation is based on the assumption that it minimizes core temperature afterdrop by preventing peripheral vasodilation.

    Purpose of the Study:

    • To directly compare the effectiveness of trunk-only versus whole-body bath rewarming for mild immersion hypothermia.
    • To evaluate differences in core temperature afterdrop and rewarming rates between the two techniques.

    Main Methods:

    • Eight mildly hypothermic male subjects underwent rewarming using both trunk-only and whole-body bath techniques in separate sessions.
    • Core temperature afterdrop and rewarming rates were measured for each method.

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    Main Results:

    • No significant differences were observed between trunk-only and whole-body bath rewarming regarding the size or duration of core temperature afterdrop.
    • The rate of rewarming was also not significantly different between the two rewarming techniques.

    Conclusions:

    • Trunk-only bath rewarming is not superior to whole-body bath rewarming for treating mild immersion hypothermia.
    • Current evidence does not support the preferential use of trunk-only rewarming based on minimizing afterdrop or improving rewarming speed.