Problems and complications with cold-water rescue

Wilderness and Environmental Medicine

Volumn 17, Issue 1, 2006, Pages 26-30

  Giesbrecht, Gordon G ^a   Hayward, John S ^b  

^a UNIVERSITY OF MANITOBA   (Canada)

^b UNIVERSITY OF VICTORIA   (Canada)

Author keywords

Afterdrop; Cardiac arrest; Circum rescue collapse; Field treatment; Hypothermia; Mechanical stimulation; Ventricular fibrillation

Indexed keywords

ARTICLE; ASYSTOLE; BODY MASS; CANADA; CARDIOPULMONARY BYPASS; CAUSE OF DEATH; CLINICAL ARTICLE; COLD EXPOSURE; DISASTER; DROWNING; FEMALE; HEART ARREST; HEART VENTRICLE FIBRILLATION; HEATING; HUMAN; HYPOTHERMIA; LAKE; MALE; MECHANICAL STIMULATION; MUSCLE FUNCTION; PATIENT TRANSPORT; RECTUM TEMPERATURE; RESCUE PERSONNEL; RESUSCITATION; RISK FACTOR; ROWING; SINUS BRADYCARDIA; SURVIVAL; UNCONSCIOUSNESS; WATER IMMERSION;

EID: 33644868504     PISSN: 10806032     EISSN: None     Source Type: Journal    
DOI: 10.1580/PR01-05.1     Document Type: Article

References (25)

1. Keatinge WR. Death after shipwreck. Br Med J. 1965;25:1537-1541.
2. Golden FSC, Hervey GR, Tipton MJ. Circum-rescue collapse: collapse, sometimes fatal, associated with rescue of immersion victims. J R Nav Med Serv. 1991;77:139-149.
3. Danzl DF, Pozos RS, Hamlet MP. Accidental hypothermia. In: Auerbach PS, ed. Wilderness Medicine: Management of Wilderness and Environmental Emergencies. St Louis, MO: Mosby; 1995:51-103.
4. Giesbrecht GG. Cold stress, near drowning and accidental hypothermia: a review. Aviat Space Environ Med. 2000;71:733-752.
5. Keatinge WR. The effect of work and clothing on the maintenance of body temperature in water. Q J Exp Physiol. 1961;46:69-82.
6. Ducharme MB, Brooks CJ. The effect of wave motion on dry suit insulation and the response to cold water immersion. Aviat Space Environ Med. 1998;69:957-964.
7. Tikuisis P. Predicting survival time for cold exposure. Int J Biometeorol. 1995;39:94-102.
8. Giesbrecht GG, Bristow GK. Decrement in manual arm performance during whole body cooling. Aviat Space Environ Med. 1992;63:1077-1081.
9. Giesbrecht GG, Wu MP, White MD, Johnston CE, Bristow GK. Isolated effects of peripheral arm and central body cooling on arm performance. Aviat Space Environ Med. 1995;66:968-975.
10. McConnell DH, Brazier JR, Cooper N, Buckberg GD. Studies of the effects of hypothermia on regional myocardial blood flow and metabolism during cardiopulmonary by-pass. J Thorac Carciovasc Surg. 1977;73:95-101.
11. Hayward JS, Eckerson JD. Physiological responses and survival time. Prediction for humans in ice-water. Aviat Space Environ Med. 1984;55:206-211.
12. Hayward JS, Eckerson JD, Collis ML. Effect of behavioral variables on cooling rate of man in cold water. J Appl Physiol. 1975;38:1073-1077.
13. Hayward JS, Eckerson JD, Collis ML. Thermal balance and survival time prediction of man in cold water. Can J Physiol Pharmacol. 1975;53:21-32.
14. Ducharme MB, Brooks CJ. The effect of wave motion on dry suit insulation and the responses to cold water immersion. Aviat Space Environ Med. 1998;69:957-964.
15. Steinman AM, Hayward JS, Nemiroff MJ, Kubilis PS. Immersion hypothermia: comparative protection of anti-exposure garments in calm versus rough seas. Aviat Space Environ Med. 1987;58:550-558.
16. Romet TT, Brooks CJ, Fairburn SM, Potter P. Immersed clo insulation in marine work suits using human and thermal manikin data. Aviat Space Environ Med. 1991;62:739-746.
17. Alexander L. The Treatment of Shock From Prolonged Exposure to Cold, Especially in Water. Report Number 250. Washington, DC: Office of Publication Board, Dept of Commerce (Combined Intelligence Objectives Subcommittee); 1946:1-228.
18. Giesbrecht GG, Goheen MSL, Johnston CE, Kenny GP, Bristow GK, Hayward JS. Inhibition of shivering increases core temperature afterdrop and attenuates rewarming in hypothermic humans. J Appl Physiol. 1997;83:1630-1634.
19. Giesbrecht GG, Johnston CE, Bristow GK. The convective afterdrop component during hypothermic exercise decreases with delayed exercise onset. Aviat Space Environ Med. 1998;69:17-22.
20. Kanaar AC, Hecht MW. Marathon swim training in a 74-yr-old man: personal experiences. Med Sci Sports Exerc. 1992;24:490-494.
21. Goheen MSL, Ducharme MB, Kenny GP, et al. Efficacy of forced-air and inhalation rewarming using a human model for severe hypothermia. J Appl Physiol. 1997;83:1635-1640.
22. Giesbrecht GG, Pachu P, Xu X. Design and evaluation of a portable rigid forced-air warming cover for prehospital transport of cold patients. Aviat Space Environ Med. 1998;69:1200-1203.
23. Collis ML, Steinman AM, Chaney RD. Accidental hypothermia: an experimental study of practical rewarming methods. Aviat Space Environ Med. 1977;48:625-632.
24. Giesbrecht GG, Bristow GK, Uin A, Ready AE, Jones RA. Effectiveness of three field treatments for induced mild (33.0°C) hypothermia. J Appl Physiol. 1987;63:2375-2379.
25. Gilbert M, Busund R, Skagseth A, Nilsen PA, Solbo J. Resuscitation from accidental hypothermia of 13-7 C with circulatory arrest. Lancet. 2000;355:375-376.