Skip Navigation LinksHome > July 2007 - Volume 35 - Issue 3 > Cold Water Immersion: The Gold Standard for Exertional Heats...
Exercise & Sport Sciences Reviews:
doi: 10.1097/jes.0b013e3180a02bec

Cold Water Immersion: The Gold Standard for Exertional Heatstroke Treatment

Casa, Douglas J.; McDermott, Brendon P.; Lee, Elaine C.; Yeargin, Susan W.; Armstrong, Lawrence E.; Maresh, Carl M.

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The key to maximize the chances of surviving exertional heatstroke is rapidly decreasing the elevated core body temperature. Many methods exist to cool the body, but current evidence strongly supports the use of cold water. Preferably, the athlete should be immersed in cold water. If lack of equipment or staff prevents immersion, a continual dousing with cold water provides an effective cooling modality. We refute the many criticisms of this treatment and provide scientific evidence supporting cold water immersion for exertional heatstroke.

©2007 The American College of Sports Medicine


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