This study examined subjects that exercised on three occasions in a heated environment (WBGT = 39 degrees C) until they experienced heat strain. Since morbidity and mortality due to heat injury increase with the duration of elevated core temperature, it is important that techniques to lower core temperature be evaluated. Following three exercise sessions, subjects underwent each of three core cooling treatments in random order: (1) Torso immersion in cool water, (2) Hands and feet immersion in cool water, and (3) Sit-in-shade with a 1.5mph breeze provided. Subjects (n = 5) consistently reached peak rectal temperatures of 38.8 (+/- 0.1) degrees C following each exercise bout in the heated environment. Torso immersion produced a significantly (p < 0.05) greater rate of decline in rectal temperature (0.25 +/- 0.10 degrees C/min) than the hands and feet immersion technique (0.16 +/- 0.05 degrees C/min) and the sit in the shade technique (0.11 +/- 0.04 degrees C/min). After only 10 minutes of cooling, the differences among cooling techniques were evident. Similar trends were observed for mean heart rate readings, albeit not significant (p > 0.05). It was concluded that rectal temperatures can be reduced rapidly through the use of a cool water torso-immersion technique.

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