Extremity cooling for heat stress mitigation in military and occupational settings

Journal of Thermal Biology

Volumn 38, Issue 6, 2013, Pages 305-310

  DeGroot, David W ^a,d   Gallimore, Richard P ^b   Thompson, Shawn M ^c   Kenefick, Robert W ^a  

^a U S ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE   (United States)

^b BATTELLE MEMORIAL INSTITUTE   (United States)

^c BROOKE ARMY MEDICAL CENTER   (United States)

^d USA Ctr Hlth Prom/Prev Medicine   (United States)

Author keywords

Active cooling; Core temperature; Exertional heat illness; Heat stress; Hyperthermia

Indexed keywords

ARM IMMERSION COOLING SYSTEM; ARMY; CONTROLLED STUDY; COOLING; CORE TEMPERATURE; DISEASE SEVERITY; DISEASE SURVEILLANCE; ENVIRONMENTAL TEMPERATURE; EXERTIONAL HEAT INJURY; HEART RATE VARIABILITY; HEAT INJURY; HEAT LOSS; HEAT STRESS; HUMAN; LOW TEMPERATURE PROCEDURES; MANUAL LABOR; OCCUPATIONAL HEALTH; PHYSICAL TOLERANCE; PROTECTIVE CLOTHING; REVIEW; SURFACE PROPERTY; WATER IMMERSION; WATER TEMPERATURE; WORK ENVIRONMENT;

EID: 84877104602     PISSN: 03064565     EISSN: 18790992     Source Type: Journal    
DOI: 10.1016/j.jtherbio.2013.03.010     Document Type: Review

References (33)

1. Allsopp A.J., Poole K.A. The effect of hand immersion on body temperature when wearing impermeable clothing. J. Roy. Nav. Med. Serv. 1991, 77:41-47.
2. Amorim F.T., Yamada P.M., Robergs R.A., Schneider S.M. Palm cooling does not reduce heat strain during exercise in a hot, dry environment. Appl. Physiol. Nutr. Metab. 2010, 35:480-489.
3. Armstrong L.E., Casa D.J., Millard-Stafford M., Moran D.S., Pyne S.W., Roberts W.O. American College of Sports Medicine position stand. Exertional heat illness during training and competition. Med. Sci. Sports Exercise 2007, 39:556-572.
4. Army Medical Surveillance Activity, 2012. Update: heat injuries, active component, U.S. Armed Forces, 2011. Medical Surveillance Monthly Report 19, 14-16.
5. Barr D., Gregson W., Sutton L., Reilly T. A practical cooling strategy for reducing the physiological strain associated with firefighting activity in the heat. Ergonomics 2009, 52:413-420.
6. Barr D., Reilly T., Gregson W. The impact of different cooling modalities on the physiological responses in firefighters during strenuous work performed in high environmental temperatures. Eur. J. Appl. Physiol. 2011, 111:959-967.
7. Binkley H.M., Beckett J., Casa D.J., Kleiner D.M., Plummer P.E. National Athletic Trainers' Association position statement: exertional heat illnesses. J. Athl. Train. 2002, 37:329-343.
8. Carter R., Cheuvront S.N., Williams J.O., Kolka M.A., Stephenson L.A., Sawka M.N., Amoroso P.J. Epidemiology of hospitalizations and deaths from heat illness in soldiers. Med. Sci. Sports Exercise 2005, 37:1338-1344.
9. Centers for Disease Control and Prevention, 2008. Heat-related deaths among crop workers- United States, 1992-2006. Morbidity and Mortality Weekly Report 57, 649-653.
10. Cheuvront S.N., Kolka M.A., Cadarette B.S., Montain S.J., Sawka M.N. Efficacy of intermittent, regional microclimate cooling. J. Appl. Physiol. 2003, 94:1841-1848.
11. DeGroot D.W., Kenney W.L. Impaired defense of core temperature in aged humans during mild cold stress. AJP - Regul. Integrative Comp. Physiol. 2006, 292:R103-R108.
12. Department of the Army, 2003. Heat stress control and heat casualty management, TB MED 507. Headquarters, Department of the Army and Air Force.
13. Gagge A.P., Stolwijk J.A., Hardy J.D. Comfort and thermal sensations and associated physiological responses at various ambient temperatures. Environ. Res. 1967, 1:1-20.
14. Giesbrecht G.G., Jamieson C., Cahill F. Cooling hyperthermic firefighters by immersing forearms and hands in 10 degrees C and 20 degrees C water. Aviat. Space Environ. Med. 2007, 78:561-567.
15. Grahn D.A., Cao V.H., Heller H.C. Heat extraction through the palm of one hand improves aerobic exercise endurance in a hot environment. J. Appl. Physiol. 2005, 99:972-978.
16. Grahn D.A., Dillon J.L., Heller H.C. Heat loss through the glabrous skin surfaces of heavily insulated, heat-stressed individuals. J. Biomech. Eng. 2009, 131:071005.
17. House J. Extremity cooling as a method for reducing heat strain. J. Def. Sci. 1998, 3:108-114.
18. House J.R., Holmes C., Allsopp A.J. Prevention of heat strain by immersing the hands and forearms in water. J. R. Nav. Med. Serv. 1997, 83:26-30.
19. House J.R., Lunt H., Magness A., Lyons J. Testing the effectiveness of techniques for reducing heat strain in Royal Navy nuclear, biological and chemical cleansing stations' teams. J. R. Nav. Med. Serv. 2003, 89:27-34.
20. Howe A.S., Boden B.P. Heat-related illness in athletes. Am. J. Sports Med. 2007, 35:1384-1395.
21. Johnson J.M., Park M.K. Reflex control of skin blood flow by skin temperature: role of core temperature. J. Appl. Physiol. 1979, 47:1188-1193.
22. Khomenok G.A., Hadid A., Preiss-Bloom O., Yanovich R., Erlich T., Ron-Tal O., Peled A., Epstein Y., Moran D.S. Hand immersion in cold water alleviating physiological strain and increasing tolerance to uncompensable heat stress. Eur. J. Appl. Physiol. 2008, 104:303-309.
23. Kuennen M.R., Gillum T.L., Amorim F.T., Kwon Y.S., Schneider S.M. Palm cooling to reduce heat strain in subjects during simulated armoured vehicle transport. Eur. J. Appl. Physiol. 2010, 108:1217-1223.
24. Livingstone S.D., Nolan R.W., Cattroll S.W. Heat loss caused by immersing the hands in water. Aviat. Space Environ. Med. 1989, 60:1166-1171.
25. Livingstone S.D., Nolan R.W., Keefe A.A. Heat loss caused by cooling the feet. Aviat. Space Environ. Med. 1995, 66:232-237.
26. Nadel E.R., Bullard R.W., Stolwijk J.A. Importance of skin temperature in the regulation of sweating. J. Appl. Physiol. 1971, 31:80-87.
27. O'Hara R., Eveland E., Fortuna S., Reilly P., Pohlman R. Current and future cooling technologies used in preventing heat illness and improving work capacity for battlefield soldiers: review of the literature. Mil. Med. 2008, 173:653-657.
28. Sawka M.N., Cheuvront S.N., Kenefick R.W. High skin temperature and hypohydration impair aerobic performance. Exp. Physiol. 2012, 97:327-332.
29. Selkirk G.A., McLellan T.M., Wong J. Active versus passive cooling during work in warm environments while wearing firefighting protective clothing. J. Occup. Environ. Hyg. 2004, 1:521-531.
30. Stephens D.P., Aoki K., Kosiba W.A., Johnson J.M. Nonnoradrenergic mechanism of reflex cutaneous vasoconstriction in men. AJP - Heart Cir. Physiol. 2001, 280:H1496-H1504.
31. Taylor N.A., Caldwell J.N., Van Den Heuvel A.M., Patterson M.J. To cool, but not too cool: that is the question-immersion cooling for hyperthermia. Med. Sci. Sports Exercise 2008, 40:1962-1969. 10.1249/MSS.0b013e31817eee9d.
32. Wyss C.R., Brengelmann G.L., Johnson J.M., Rowell L.B., Niederberger M. Control of skin blood flow, sweating, and heart rate: role of skin vs. core temperature. J. Appl. Physiol. 1974, 36:726-733.
33. Zhang Y., Bishop P.A., Casaru C., Davis J.K. A new hand-cooling device to enhance firefighter heat strain recovery. J. Occup. Environ. Hyg. 2009, 6:283-288.