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You are here: Home / EMCrit-RACC / EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia

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

March 24, 2015 by Scott Weingart 9 Comments

SNAG-0008

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.
  • The Poison Review's Review

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Scott Weingart

An ED Intensivist from NY.

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Cite this post as:

Scott Weingart. EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia. EMCrit Blog. Published on March 24, 2015. Accessed on February 23rd 2019. Available at [https://emcrit.org/emcrit/ice-bath-hyperthermia/ ].

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CallumJose Diaz PA-C (@Diaztools)JohnemcritBrandon Recent comment authors
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precordialthump
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precordialthump

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

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3 years ago
Scott Weingart
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Scott Weingart

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

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3 years ago
Brandon
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Brandon

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

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3 years ago
John
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John

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).

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3 years ago
Callum
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Callum

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 guys will get cooled (although, the most effective therapy in the papers I looked at was still paracetamol rather than anything fancier)

The two main sources I used were these two:
http://www.nice.org.uk/guidance/cg160/evidence/cg160-feverish-illness-in-children-full-guideline3
http://cid.oxfordjournals.org/content/31/Supplement_5/S224.full

Callum (Doctor – UK)

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3 years ago
John
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John

GOT IT! Many thanks Callum.

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3 years ago
Jose Diaz PA-C (@Diaztools)
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Jose Diaz PA-C (@Diaztools)

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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3 years ago
trackback
LITFL Review 175 - LITFL

[…] years EMCrit Critical Care Conference Blast Winner: Ice Water Baths for Rapid Cooling in Hyperthermia from Adaira Landry. […]

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3 years ago
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LITFL Review 175 • LITFL Medical Blog • FOAMed Review

[…] years EMCrit Critical Care Conference Blast Winner: Ice Water Baths for Rapid Cooling in Hyperthermia from Adaira Landry. […]

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1 month ago

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