Treatment of mild immersion hypothermia by direct body-to-body contact

1994 ◽  
Vol 76 (6) ◽  
pp. 2373-2379 ◽  
Author(s):  
G. G. Giesbrecht ◽  
D. I. Sessler ◽  
I. B. Mekjavic ◽  
M. Schroeder ◽  
G. K. Bristow

Body-to-body contact is often recommended for rewarming mildly hypothermic victims in the field. This procedure involves a euthermic individual donating heat to the recipient by direct contact in an insulated bag. However, this technique has not been critically evaluated and may not be beneficial because there is limited direct contact between recipient and donor, peripheral vasoconstriction may impair heat transfer to the core, skin warming may blunt the recipient's shivering response, and cold stress to the donor may be excessive. The present study was designed to evaluate whether donation of heat by a donor would be sufficient to enhance rewarming of a hypothermic subject (recipient). Six pairs of recipients (5 men, 1 woman) and donors (2 men, 4 women) participated in the study. Esophageal and skin temperatures, cutaneous heat flux, and oxygen consumption were measured. Recipients were immersed in 8 degrees C water until esophageal temperature decreased to a mean of 34.6 +/- 0.7 degrees C (SD). They then were rewarmed by one of three methods: rewarming by the endogenous heat generated by shivering only (SH), body-to-body rewarming (BB), or rewarming with a constant-heat source manikin (MAN). Mean afterdrop for the three conditions was 0.54 +/- 0.2, 0.54 +/- 0.2, and 0.57 +/- 0.2 degrees C for SH, BB, and MAN, respectively (NS), and the rate of rewarming was 2.40 +/- 0.8, 2.46 +/- 1.1 and 2.55 +/- 0.9 degrees C/h for SH, BB, and MAN, respectively (NS).(ABSTRACT TRUNCATED AT 250 WORDS)

2021 ◽  
Author(s):  
Hye Jin Kim ◽  
Ji Hun Park ◽  
Syifa Salsabila ◽  
Changsang Yun

Abstract Protective clothing for health workers requires heat transfer in hot and humid environments. To study the thermal conduction of phase-change materials and protect them from leakage, we selected skin-friendly shea-butter due to its suitable melting temperature, and the electrospinning processibility of biocompatible cellulose acetate. The shea-butter as a phase-change material was encapsulated in electrospun cellulose acetate fibres within a core/sheath structure, which was stabilised by two concentric Taylor cones during coaxial electrospinning. Transmission and scanning electron microscopy revealed a blood-in-tube vessel-like morphology. Next, differential scanning calorimetry and thermogravimetric analyses confirmed the heat capacity of shea-butter (latent heat of fusion: 42.73 J/g; thermal conductivity: 1.407 W/m∙K). The flow rate of the core was proportional to the heat capacity of the shea-butter/cellulose acetate fibres. This was consistent with the finding that the electrospun fibres of the highest-ratio shea-butter (16.19%) had the highest thermal conductivity (0.421 J/g∙K). The shea-butter:cellulose acetate ratio was approximately 15:80. The efficacy of heat transfer for the core/sheath fibres in human clothing was assessed by measuring skin temperatures at 13 sites in six males aged 25 to 35 under two conditions: wearing a mask and hood with attached cellulose acetate fibres in the presence and absence of shea-butter. The mean difference in skin temperatures (0.5 ℃) between the two conditions was significant. Coaxial electrospinning of shea-butter/cellulose acetate fibres is therefore promising for protective clothing with efficient heat-transfer in the use of a large area.


2013 ◽  
Vol 284-287 ◽  
pp. 3345-3351
Author(s):  
Chi Chang Wang ◽  
Wu Jung Liao ◽  
Lu Ping Chao

This study used rectangular fins with constant heat transfer coefficient as material to discuss convective and radiative heat transfer, so as to prove that the hybrid spline difference method proposed in this study is an easy to operate method with high accuracy. According to the computational process described in this paper, the hybrid spline difference method is as simple as finite difference method and is easy to use. The complex computational process of traditional spline method can be simplified by using this method, but the numerical accuracy can be increased to second order. Therefore, the high accuracy numerical method of hybrid spline difference method replacing traditional spline method for future heat transfer analyses is expectable.


Author(s):  
Zezhi Zeng ◽  
Gopinath Warrier ◽  
Y. Sungtaek Ju

Direct-contact heat transfer between a falling liquid film and a gas stream yield high heat transfer rates and as such it is routinely used in several industrial applications. This concept has been incorporated by us into the proposed design of a novel heat exchanger for indirect cooling of steam in power plants. The DILSHE (Direct-contact Liquid-on-String Heat Exchangers) module consists of an array of small diameter (∼ 1 mm) vertical strings with hot liquid coolant flowing down them due to gravity. A low- or near-zero vapor pressure liquid coolant is essential to minimize/eliminate coolant loss. Consequently, liquids such as Ionic Liquids and Silicone oils are ideal candidates for the coolant. The liquid film thickness is of the order of 1 mm. Gas (ambient air) flowing upwards cools the hot liquid coolant. Onset of fluid instabilities (Rayleigh-Plateau and/or Kapitza instabilities) result in the formation of a liquid beads, which enhance heat transfer due to additional mixing. The key to successfully designing and operating DILSHE is understanding the fundamentals of the liquid film fluid dynamics and heat transfer and developing an operational performance map. As a first step towards achieving these goals, we have undertaken a parametric experimental and numerical study to investigate the fluid dynamics of thin liquid films flowing down small diameter strings. Silicone oil and air are the working fluids in the experiments. The experiments were performed with a single nylon sting (fishing line) of diameter = 0.61 mm and height = 1.6 m. The inlet temperature of both liquid and air were constant (∼ 20 °C). In the present set of experiments the variables that were parametrically varied were: (i) liquid mass flow rate (0.05 to 0.23 g/s) and (ii) average air velocity (0 to 2.7 m/s). Visualization of the liquid flow was performed using a high-speed camera. Parameters such as base liquid film thickness, liquid bead shape and size, velocity (and hence frequency) of beads were measured from the high-speed video recordings. The effect of gas velocity on the dynamics of the liquid beads was compared to data available in the open literature. Within the range of gas velocities used in the experiments, the occurrence of liquid hold up and/or liquid blow over, if any, were also identified. Numerical simulations of the two-phase flow are currently being performed. The experimental results will be invaluable in validation/refinement of the numerical simulations and development of the operational map.


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