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在野地消防中,用于强制性热中风治疗的Tarp辅助冷却

Riana R Pryor¹, Kara Haboian¹, Triniti Fitts¹

¹Center for Research and Education in Special Environments, Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY.

Wilderness & environmental medicine

|September 25, 2023

概括

与标准的野外护理相比,Tarp辅助冷却并没有显著改善核心体温的降低. 这两种方法都比传统的冷水浸泡对快速冷却的效果要低.

科学领域:

环境医学环境医学
运动医学运动医学
紧急医疗紧急医疗

背景情况:

强迫性热中风 (EHS) 是一种关键的医疗紧急情况,需要立即冷却.
野地消防员面临高风险的EHS由于在炎热的环境中艰苦的活动.
适合现场的冷却方法对于荒野环境至关重要.

研究的目的:

为了比较 tarp 辅助冷却的核心体温降温率与当前标准的 EHS 野生护理.
为了评估低资源冷却技术对野地消防员的有效性.

主要方法:

一个随机交叉试验,涉及17名健康个体在炎热的环境中 (42°C,32%RH) 运动,穿着消防员服装.
冷却干预措施包括托盘辅助冷却 (在托盘上倒水) 和当前的标准护理 (用水和轻微的微风淋浴).
冷却继续,直到核心体温达到38°C.

主要成果:

在 tarp 辅助冷却 (0.076°C·min-1) 和当前标准护理 (0.088°C·min-1) 之间没有观察到核心温度冷却率的显著差异.
这两种方法在开始冷却之前都实现了相似的初始核心温度.
冷却速度比传统的冷水浸泡速度慢得多.

结论:

托帕辅助冷却并不优于当前的标准野生护理,用于治疗强力热中风.
这两种现场方法的冷却速度都比已有的冷水浸泡方案慢.
进一步研究优化荒野EHS冷却策略是有必要的.

关键词:

寒冷的冷冷的冷冷的冷冷的冷冷的热带疾病热带疾病过热症过热症是什么?沉浸式的沉浸方式这是一种模式.热调节温度调节

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