Effects of Burn Injuries on Thermoregulatory and Cardiovascular Responses in Soldiers: Implications for the Standards of Medical Fitness

Abstract

The aim of this study was to investigate whether the absolute effective body surface area (BSA) or the %BSA burned bestpredicts the core temperature response to exercise in the heat. Sixteen healthy non-burned individuals [8 large (LG) and 8small (SM)] were recruited. On separate occasions, subjects cycled at ~100 W for 1 h in a 39C, 20% relative humidityenvironment with a simulated burn injury of 0% or 40% total BSA. A simulated 40% burn injury reduced the effective BSA to1.350.05 m2 and 1.010.07 m2 in LG and SM groups, respectively. Greater elevations in core temperature were observed inSM, irrespective of condition. For both groups, the elevation in core temperature was exacerbated by the 40% simulated burn(P<0.01), yet the magnitude of the increase in core temperature from 0% to 40% simulated burn was not different betweengroups (P=0.37). Despite the same 40%BSA burned, smaller individuals showed an ~0.75 C greater elevation in coretemperature during exercise. In exercise-based rehabilitation or physically demanding occupational settings, activitiesperformed at the same absolute intensity will place burn survivors of smaller body size, but with the same %BSA burned, atgreater risk for hyperthermia.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2018
Accession Number
AD1070317

Entities

People

  • Craig G Crandall

Organizations

  • University of Texas at Austin

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Blood Flow
  • Body Temperature
  • Burns
  • Climate
  • Department Of Defense
  • Elevation
  • Environment
  • Health Services
  • Humidity
  • Hyperthermia
  • Intensity
  • Medical Personnel
  • Military Operations
  • Physiology
  • Professional Development
  • Rehabilitation
  • Standards

Readers

  • Exercise and Sports Science.
  • Geochemistry
  • Trauma Surgery or Emergency Medicine.