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Exceeding the limits of paediatric heat stress tolerance: the risk of losing a generation to climate inaction.
BMJ Paediatr Open
January 2025
Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA
Greenhouse gas (GHG) emissions are creating unprecedented climate-driven extreme weather, with levels of heat and humidity surpassing human physiological tolerance for heat stress. These conditions create a risk of mass casualties, with some populations particularly vulnerable due to physiological, behavioural and socioeconomic conditions (eg, lack of adequate shelter, limited healthcare infrastructure, sparse air conditioning access and electrical grid vulnerabilities). Children, especially young children, are uniquely vulnerable to extreme heat-related morbidity and mortality due to factors including low body mass, high metabolism, suboptimal thermoregulatory mechanisms and behavioural vulnerabilities.
View Article and Find Full Text PDFSquash in Los Angeles: Heat Strain and Performance Considerations at the 2028 Olympic Games.
Int J Sports Physiol Perform
January 2025
Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong.
Background: The Los Angeles 2028 Olympics will mark the debut of squash, a high-intensity sport characterized by repeated efforts, posing potential thermoregulatory challenges. The demanding nature of squash results in substantial metabolic heat production, with consequential heat strain exacerbated by the indoor environment of squash courts, where low to moderate evaporative potential limits effective cooling. Players often experience increased body-heat storage and thermal strain, with muscle cramps (an early warning sign of more severe heat-related illnesses) commonly observed during tournaments.
View Article and Find Full Text PDFDexmedetomidine-associated hypothermia in critical trauma: A case report and literature analysis.
Medicine (Baltimore)
January 2025
Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Rationale: Hypothermia, defined as a core body temperature below 35°C, is a common and serious complication in severe trauma patients, often worsened by hemorrhage and medical interventions. Dexmedetomidine, an α2-adrenergic agonist used for sedation in intensive care units, has known thermoregulatory effects; however, its association with hypothermia in trauma patients remains insufficiently explored.
Patient Concerns: A 40-year-old male with severe polytrauma from a motor vehicle accident presented in distress, with hypotension, tachycardia, and a baseline temperature of 35.
Body Temperature Regulation in Domestic Dogs After Agility Trials: The Effects of Season, Training, Body Characteristics, Age, and Genetics.
J Exp Zool A Ecol Integr Physiol
January 2025
Department of Biology, Colgate University, Hamilton, New York, USA.
An animal's body mass is said to be indirectly related to its rate of heat loss; that is, smaller animals with higher surface area to volume tend to lose heat faster than larger animals. Thus, thermoregulation should be related to body size, however, generalizable patterns are still unclear. Domestic dogs are a diverse species of endothermic mammals, including a 44-fold difference in body size.
View Article and Find Full Text PDFClimate change has caused heat stress (HS) to become an increasingly severe problem for high-producing dairy herds. Although cooling systems allow milk production to remain nearly constant throughout the year, fertility decreases during summer. Physiological counter-current heat transfer mechanisms maintaining brain/hypothalamic and reproductive functions in cattle are vulnerable to HS.
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