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Cold water immersion implementation for hyperthermia induced cardiac arrest
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Journal Article
Cold water immersion implementation for hyperthermia induced cardiac arrest
2025
Overview
Cold water immersion (CWI) is the most effect, evidence-backed intervention for managing severe hyperthermia. The Wilderness Medical Society recommends prioritizing airway, breathing, and circulation before cooling, followed by treating heat stroke with CWI and intravenous hydration [ 5]. While CWI should not replace critical interventions such as high-quality chest compressions or airway management, we call upon the emergency and prehospital community to recognize the high mortality associated with hyperthermic cardiac arrest and the proven efficacy of CWI.
