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Cooling methods used in the treatment of exertional heat illness
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  • Published on:
    Treatment of hyperthermia

    Dear Sir

    Much of the controversy about the cooling methods used in hyperthermia arises because of a failure to consider the underlying physiology. There are two distinct mechanisms for the development of hyperthermia, SLOW and FAST, and each requires a different method of cooling.

    The SLOW hyperthermia involves exposure to heat with only mild physical activity. In this situation the hyperthermia develo...

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    Conflict of Interest:
    None declared.
  • Published on:
    Cooling heat stroke patients

    Dear Editor,

    Smith in his recent article in the Br J Sports Med highlights the importance of aggressively cooling heat stroke victims to improve prognosis.[1] The paper extensively reviews the major cooling methods, and the author advocates the immersion in an ice-cold bath as the method of choice. Whereas this conclusion might be true for young patients who may tolerate aggressive treatment with ice water (1–5°C...

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    Conflict of Interest:
    None declared.