ArticleFrontiers in physiology2019
An Evaluation of Personal Cooling Systems for Reducing Thermal Strain Whilst Working in Chemical/Biological Protective Clothing.
Article in Frontiers in physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of cooling strategies for emergency personnel: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Novel cooling vest with personal protective equipment alleviates heat strain without increasing metabolic demands in the heat.Scandinavian journal of work, environment & health · 2026Trial
- Impact of Personal Cooling on Performance, Comfort and Heat Strain of Healthcare Workers in PPE, a Study From West Africa.Frontiers in public health · 2021Trial
- Impact of cooling garments on performance during and after vigorous, heart-rate-clamped exercise in young males under hot and humid conditions.Physiological reports · 2026Article
- Ineffectiveness of Water Mist Spray to the Upper Body of Healthy Adults in Suppressing Core Temperature Under Windless Environment.Safety and health at work · 2025Article
- Effects of emergency rescue clothing on wearers' physiological and perceptual responses in hot-humid environments.Frontiers in public health · 2025Article
- Development of a new testing protocol to evaluate cooling systems.EXCLI journal · 2023Article
- Thermal discomfort caused by personal protective equipment in healthcare workers during the delta COVID-19 pandemic in Guangzhou, China: A case study.Case studies in thermal engineering · 2022Article
- Cooling vests alleviate perceptual heat strain perceived by COVID-19 nurses.Temperature (Austin, Tex.) · 2022Article
- Article
- A fan-attached jacket worn in an environment exceeding body temperature suppresses an increase in core temperature.Scientific reports · 2021Article
- Advanced Functional Materials for Intelligent Thermoregulation in Personal Protective Equipment.Polymers · 2021Review
- Heat Safety in the Workplace: Modified Delphi Consensus to Establish Strategies and Resources to Protect the US Workers.GeoHealth · 2021Article
- COVID-19 and heat waves: New challenges for healthcare systems.Environmental research · 2021Review
- Occupational Heat Stress: Multi-Country Observations and Interventions.International journal of environmental research and public health · 2021Article
- A Web Survey to Evaluate the Thermal Stress Associated with Personal Protective Equipment among Healthcare Workers during the COVID-19 Pandemic in Italy.International journal of environmental research and public health · 2021Article
- Occupational Heat Stress and Practical Cooling Solutions for Healthcare and Industry Workers During the COVID-19 Pandemic.Annals of work exposures and health · 2020Article
- Heat Stress and Thermal Perception amongst Healthcare Workers during the COVID-19 Pandemic in India and Singapore.International journal of environmental research and public health · 2020Article
- Optimizing the Use of Phase Change Material Vests Worn During Explosives Ordnance Disposal Operations in Hot Conditions.Frontiers in physiology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe use of personal cooling systems to mitigate heat strain on first-responders achieves two potential performance benefits relative to the absence of such cooling: (1) the completion of a workload with less effort; and/or (2) the completion of a greater workload for the same effort. Currently, claims made by manufacturers regarding the capability of their products for use in conjunction with chemical/biological protective clothing remain largely unsubstantiated. The purpose of this investigation was to evaluate the means by which heat strain can be alleviated during uncompensable heat stress in chemical/biological clothing, using the ASTM F2300-10 methodology.
methodsEight healthy males completed five trials of continuous walking (4.5 km h
resultsWe observed significant improvements in trial times for IV (18 ± 10 min), PCM (20 ± 10 min) and SLIV (22 ± 10 min), but no differences for WS (4 ± 7 min). Heart rate, rectal, mean skin, and body temperatures were significantly lower in all cooling conditions relative to control at various matched time points in the first 60 min of exercise. Thermal sensation, comfort and perceived exertion all had significant main effects for condition, and time, there were no differences in their respective interactions.
conclusionThe IV, PCM, and SLIV produced lower heart rate, mean skin, rectal and mean body temperatures in addition to improved work times compared to control. The WS did not improve work times possibly as a result of the cooling capacity of the suit abating, and magnifying thermal insulation. Considering the added time and resources required to implement combination cooling in the form of ice slurry and ice vest (SLIV), there was no significant additive effect for perception, cardiovascular strain, rectal temperature and total trial time relative to the phase change vest or ice vest alone. This may be a product of a "ceiling" effect for work limit set to 120 min as part of ASTM F2300-10.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.