Abstract
During immersion in cold water, there is a very clear chronology with regard to cooling of the tissues of the body. Firstly, during head-out immersion, the skin is cooled, followed by cooling of the superficial nerves and musculature and finally of the deep tissues. The stages of immersion in cold water associated with particular risk were first outlined by Golden and Hervey [1] and are directly related to the cooling of these tissues.
†Frank Golden died at January 5th, 2014 and contributed to the initial manuscript of this chapter.
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Golden FC, Hervey GR (1981) The “afterdrop” and death after rescue from immersion in cold water. In: Adam JA (ed) Hypothermia ashore and afloat. Aberdeen University Press, Aberdeen
Tipton MJ (1989) The initial responses to cold-water immersion in man. Clin Sci 77:581–588. Editorial Review
Daly M, De B (1984) Breath-hold diving: mechanisms of cardiovascular adjustments in the mammal. In: Recent advances in physiology, No. 10. Arnold, London, pp. 201–245
Datta A, Tipton MJ (2006) Respiratory responses to cold water immersion: neural pathways, interactions and clinical consequences. J Appl Physiol 100:2057–2064. Review
Tipton MJ, Kelleher P, Golden FSC (1994) Supraventricular arrhythmias following breath-hold submersions in cold water. Undersea Hyperb Med 21:305–313
Tipton MJ, Gibbs P, Brooks C et al (2010) ECG during helicopter underwater escape training. Aviat Space Environ Med 81:399–404
Shattock M, Tipton MJ (2011) “Autonomic conflict”: a hidden killer on cold water immersion? In: Proceedings of the ICEE conference, Greece, 10–14 July 2011
Shattock M, Tipton MJ (2012) “Autonomic conflict”: a different way to die on immersion in cold water? J Physiol 5; 590:3219–3230
Vincent MJ, Tipton MJ (1988) The effects of cold immersion and hand protection on grip strength. Aviat Space Environ Med 59:738–741
Burton AC, Edholm OG (1955) Man in a cold environment. Arnold, London
Golden FSC (1973) Recognition and treatment of immersion hypothermia. Proc R Soc Med 66:1058–1061
Golden FSC, Tipton MJ (2002) Essentials of sea survival. Human Kinetics, Champaign
Tipton MJ, Golden FSC (2011) Decision-making guide for the search, rescue and resuscitation of submerged (head under) victims. Resuscitation 82:819–824
Golden FSC, Tipton MJ, Scott RC (1997) Immersion, near-drowning and drowning. Br J Anaesth 79:214–225. Review paper
Fainer DC, Martin CG, Ivy AC (1951) Resuscitation of dogs from fresh water drowning. J Appl Physiol 3:417–426
Conn AW, Miyasaka K, Katayama M et al (1995) A canine study of cold water drowning in fresh versus salt water. Crit Care Med 12:2029–2037
Xu X, Tikuisis P, Giesbrecht G (1999) A mathematical model for human brain cooling during cold-water near-drowning. J Appl Physiol 86:265–272
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Tipton, M., Golden, F. (2014). The Physiology of Cooling in Cold Water. In: Bierens, J. (eds) Drowning. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04253-9_129
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DOI: https://doi.org/10.1007/978-3-642-04253-9_129
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