EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia

March 24, 2015 by Scott Weingart 9 Comments

Adaira Landry's excellent presentation that won the 2015 EMCrit Conference Blast Competition

Ice water submersion for rapid cooling in severe drug-induced hyperthermia.

Laskowski LK et al. Clin Toxicol 2015 Mar;53:181-184.
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Scott Weingart

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Scott Weingart. EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia. EMCrit Blog. Published on March 24, 2015. Accessed on July 12th 2020. Available at [https://emcrit.org/emcrit/ice-bath-hyperthermia/ ].

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precordialthump

5 years ago

I presume the judges were screened for prejudice against hipsters before this talk blasted its way to victory? 😉
C

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Scott Weingart

5 years ago

Reply to precordialthump

doesn’t everyone hate hipsters? they are like roaches.

Brandon

5 years ago

I’m thinking a body bag would work well for this.

John

5 years ago

I was under the impression that it can be dangerous to cool a hyperthermic patient externally in such a rapid manner due to the instant vasoconstriction diverting blood from the skin and hence actually preventing heat loss. Obviously not the case? Cheers. (Nurse).

Callum

5 years ago

Reply to John

Hi John I thought the same as you so I did a bit of googling. Seems like there’s a real worry that external cooling can cause vasoconstriction, blood rushing to the core, and slowing/paradoxical raising of the core temperature and BP. But the main mechanism that causes a raise in temperature when cooling, is shivering, and Adaira said her team cancelled out shivering by giving muscle relaxants. Also what we were both thinking of probably comes from being warned us about sponge cooling patients; a really ineffective method in comparison to dumping patients in ice. So these anaesthetised ice bath… Read more »

John

5 years ago

Reply to Callum

GOT IT! Many thanks Callum.

Jose Diaz PA-C (@Diaztools)

5 years ago

Great presentation. Love the low-tech solution to this complicated problem. Working in a remote and limited resource practice, it’s nice to know that there are still simple easy to use treatments that are well documented and supported by the established EM community.

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