title: Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 3: In patients with heatstroke is whole-body ice-water immersion the best cooling method?
abstract: A short cut review was carried out to establish whether whole body ice immersion was an effective way of cooling in patients presenting with heat stroke. One systematic review and three studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line was that immersion in ice-water was the most effective modality of lowering core body temperature in exertional heatstroke and shivering and vasoconstriction concerns were unfounded.
authors.affiliation: Manchester Royal Infirmary, Manchester, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Newport
authors.forename: Alan
authors.initials: A
authors.lastname: Grayson
mesh_terms: D000328:Adult; D055416:Evidence-Based Emergency Medicine; D018883:Heat Stroke / Q000628:therapy*; D006801:Humans; D007053:Ice; D007101:Immersion; D008875:Middle Aged
chemical_list: D007053:Ice