Cite this post as:
Scott Weingart, MD FCCM. EMCrit Conference BLAST Winner – Ice Water Baths for Rapid Cooling of Hyperthermia. EMCrit Blog. Published on March 24, 2015. Accessed on May 24th 2022. Available at [https://emcrit.org/emcrit/ice-bath-hyperthermia/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: March 24, 2015
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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This Post was by the EMCrit Crew, published 7 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.
I presume the judges were screened for prejudice against hipsters before this talk blasted its way to victory? 😉
C
doesn’t everyone hate hipsters? they are like roaches.
I’m thinking a body bag would work well for this.
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).
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 »
GOT IT! Many thanks Callum.
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.