Excessive heat strain: treatment and prevention

 The Hexoskin® physiological monitoring shirt does not impair whole-body heat loss during exercise in hot-dry conditions. D'Souza AW, Notley SR, Brown EK, Poirier MP, Kenny GP. Appl Physiol Nutr Metab. 2018 Oct 18. doi: 10.1139/apnm-2018-0370. [Epub ahead of print]: 

https://www.ncbi.nlm.nih.gov/pubmed/30336069


Physical characteristics cannot be used to predict cooling time using cold-water immersion as a treatment for exertional hyperthermia. Poirier MP, Notley SR, Flouris AD, Kenny GP. Appl Physiol Nutr Metab. 2018 Aug;43(8):857-860. doi: 10.1139/apnm-2017-0619. Epub 2018 Mar 12.: 

https://www.ncbi.nlm.nih.gov/pubmed/29529383


Wearing graduated compression stockings augments cutaneous vasodilation but not sweating during exercise in the heat. Fujii N, Nikawa T, Tsuji B, Kenny GP, Kondo N, Nishiyasu T. Physiol Rep. 2017 May;5(9). pii: e13252. doi: 10.14814/phy2.13252.: https://www.ncbi.nlm.nih.gov/pubmed/28483859


Wearing graduated compression stockings augments cutaneous vasodilation in heat-stressed resting humans. Fujii N, Nikawa T, Tsuji B, Kondo N, Kenny GP, Nishiyasu T. Eur J Appl Physiol. 2017 May;117(5):921-929. doi: 10.1007/s00421-017-3581-5. Epub 2017 Mar 20.: 

https://www.ncbi.nlm.nih.gov/pubmed/28321638


Effectiveness of cold water immersion for treating exertional heat stress when immediate response is not possible. Flouris AD, Friesen BJ, Carlson MJ, Casa DJ, Kenny GP. Scand J Med Sci Sports. 2015 Jun;25 Suppl 1:229-39. doi: 10.1111/sms.12317.: https://www.ncbi.nlm.nih.gov/pubmed/25943674


Treatment of exertional heat stress developed during low or moderate physical work. Flouris AD, Wright-Beatty HE, Friesen BJ, Casa DJ, Kenny GP. Eur J Appl Physiol. 2014 Dec;114(12):2551-60. doi: 10.1007/s00421-014-2971-1. Epub 2014 Aug 15.: https://www.ncbi.nlm.nih.gov/pubmed/25118838


Water immersion in the treatment of exertional hyperthermia: physical determinants. Friesen BJ, Carter MR, Poirier MP, Kenny GP. Med Sci Sports Exerc. 2014 Sep;46(9):1727-35. doi: 10.1249/MSS.0000000000000292.: https://www.ncbi.nlm.nih.gov/pubmed/24784433


Experimental evidence is available for safe cooling limits from exertional heat stroke. Gagnon D, Kenny GP. Eur J Appl Physiol. 2012 Jul;112(7):2783-4. doi: 10.1007/s00421-011-2252-1. Epub 2011 Nov 26. No abstract available. : https://www.ncbi.nlm.nih.gov/pubmed/22119957


 The influence of activewear worn under standard work coveralls on whole-body heat loss. Stapleton JM, Hardcastle SG, Kenny GP. J Occup Environ Hyg. 2011 Nov;8(11):652-61. doi: 10.1080/15459624.2011.616814.:

 https://www.ncbi.nlm.nih.gov/pubmed/21966970


Ice cooling vest on tolerance for exercise under uncompensable heat stress. Kenny GP, Schissler AR, Stapleton J, Piamonte M, Binder K, Lynn A, Lan CQ, Hardcastle SG. J Occup Environ Hyg. 2011 Aug;8(8):484-91. doi: 10.1080/15459624.2011.596043.: https://www.ncbi.nlm.nih.gov/pubmed/21756138


Cold-water immersion and the treatment of hyperthermia: using 38.6°C as a safe rectal temperature cooling limit. Gagnon D, Lemire BB, Casa DJ, Kenny GP. J Athl Train. 2010 Sep-Oct;45(5):439-44. doi: 10.4085/1062-6050-45.5.439.: https://www.ncbi.nlm.nih.gov/pubmed/20831387


Differences between sexes in rectal cooling rates after exercise-induced hyperthermia. Lemire BB, Gagnon D, Jay O, Kenny GP. Med Sci Sports Exerc. 2009 Aug;41(8):1633-9. doi: 10.1249/MSS.0b013e31819e010c.: 

https://www.ncbi.nlm.nih.gov/pubmed/19568196


Influence of adiposity on cooling efficiency in hyperthermic individuals. Lemire B, Gagnon D, Jay O, Dorman L, DuCharme MB, Kenny GP. Eur J Appl Physiol. 2008 Sep;104(1):67-74. doi: 10.1007/s00421-008-0780-0. Epub 2008 Jun 10.: https://www.ncbi.nlm.nih.gov/pubmed/18542989


Safe cooling limits from exercise-induced hyperthermia. Proulx CI, Ducharme MB, Kenny GP. Eur J Appl Physiol. 2006 Mar;96(4):434-45. Epub 2005 Dec 3.: https://www.ncbi.nlm.nih.gov/pubmed/16341523


Warming by immersion or exercise affects initial cooling rate during subsequent cold water immersion. Scott CG, Ducharme MB, Haman F, Kenny GP. Aviat Space Environ Med. 2004 Nov;75(11):956-63.: 

https://www.ncbi.nlm.nih.gov/pubmed/15558995


Effect of water temperature on cooling efficiency during hyperthermia in humans. Proulx CI, Ducharme MB, Kenny GP. J Appl Physiol (1985). 2003 Apr;94(4):1317-23. Epub 2002 Nov 27.: 

https://www.ncbi.nlm.nih.gov/pubmed/12626467


Efficacy of forced-air and inhalation rewarming by using a human model for severe hypothermia. Goheen MS, Ducharme MB, Kenny GP, Johnston CE, Frim J, Bristow GK, Giesbrecht GG. J Appl Physiol (1985). 1997 Nov;83(5):1635-40.: https://www.ncbi.nlm.nih.gov/pubmed/9375332


Inhibition of shivering increases core temperature afterdrop and attenuates rewarming in hypothermic humans. Giesbrecht GG, Goheen MS, Johnston CE, Kenny GP, Bristow GK, Hayward JS. J Appl Physiol (1985). 1997 Nov;83(5):1630-4.: https://www.ncbi.nlm.nih.gov/pubmed/9375331


Forced-air rewarming in -20 degrees C simulated field conditions. Ducharme MB, Giesbrecht GG, Frim J, Kenny GP, Johnston CE, Goheen MS, Nicolaou G, Bristow GK. Ann N Y Acad Sci. 1997 Mar 15;813:676-81. No abstract available. : https://www.ncbi.nlm.nih.gov/pubmed/9100954