Chng - Revision history

http://hboevidence.wikis.unsw.edu.au/index.php?action=history&feed=atom&title=Chng Chng - Revision history 2026-10-04T05:22:52Z Revision history for this page on the wiki MediaWiki 1.31.0 http://hboevidence.wikis.unsw.edu.au/index.php?title=Chng&diff=497&oldid=prev M.bennett at 05:52, 3 January 2020 2020-01-03T05:52:23Z

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M.bennett http://hboevidence.wikis.unsw.edu.au/index.php?title=Chng&diff=496&oldid=prev M.bennett at 04:37, 28 December 2019 2019-12-28T04:37:21Z

<p></p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">Revision as of 04:37, 28 December 2019</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l81" >Line 81:</td> <td colspan="2" class="diff-lineno">Line 81:</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><span style="line-height:normal"><span style="font-size:12.0pt"><span style="color:black">Mike Bennett, Prince of Wales Hospital m.bennett@unsw.edu.au; Saturday, 28 December 2019<br/> '''Kill or Update By:''' December 2024</span></span></span></div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><span style="line-height:normal"><span style="font-size:12.0pt"><span style="color:black">Mike Bennett, Prince of Wales Hospital m.bennett@unsw.edu.au; Saturday, 28 December 2019<br/> '''Kill or Update By:''' December 2024</span></span></span></div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><p style="text-align: center;">[[File:Sumhorsa.gif|center|Sumhorsa.gif]]</p> </ins></div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&nbsp;</div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">= [[Diving_Medicine|BACK]] =</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><p style="text-align: center;">&nbsp;</p> <p style="text-align: center;"></ins>&nbsp;<ins class="diffchange diffchange-inline"></p></ins></div></td></tr> </table>

M.bennett http://hboevidence.wikis.unsw.edu.au/index.php?title=Chng&diff=492&oldid=prev M.bennett: Created page with " '''<span style="font-size:18.0pt"><span style="line-height:107%">A full immersion suit did not cause important thermal stress to escaped submariners</span></span>''' '''<spa..." 2019-12-28T04:25:08Z

<p>Created page with " '''<span style="font-size:18.0pt"><span style="line-height:107%">A full immersion suit did not cause important thermal stress to escaped submariners</span></span>''' '''<spa..."</p> <p><b>New page</b></p><div><br /> '''<span style="font-size:18.0pt"><span style="line-height:107%">A full immersion suit did not cause important thermal stress to escaped submariners</span></span>'''<br /> <br /> '''<span style="font-size:14.0pt"><span style="line-height:107%">Clinical bottom line:</span></span>'''<br /> <br /> {| class="Table" style="width: 721px;" width="500"<br /> |-<br /> | style="width: 711px;" | <br /> <span style="line-height:normal"><span style="font-size:12.0pt">1. There was no practical important difference in the thermal protection between the full immersion and half immersion suits, although the full suit had statistically higher maximum and minimum mean temperatures over 24 hours.<br/> 2.Cold intolerance was a problem and one of 12 individuals was removed from the half-suit group at 18 hours.</span></span><br /> <br /> |}<br /> <br /> <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="color:black">Citation:</span></span>'''<br/> <span style="font-size:12.0pt"><span style="color:black">Chng J, Wan MC, Lim CL, Kang WL. A comparison of thermal stress in the submarine escape using immersion half- and full suit in tropical weather operations. Undersea and Hyperbaric Medicine 2010;37(6):447-454.<br/> '''Lead author's name and fax: '''Jeremia Chng, chngjeremiah@hotmail.com</span></span></span><br /> <br /> <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="color:black">Three-part Clinical Question:</span></span>'''<span style="font-size:12.0pt"><span style="color:black">For submariners who have escaped from a submarine, does the use of a full-configuration immersion suit, compared to a half-configuration suit, result in significant heat stress?<br/> '''Search Terms:''' Submarine escape, survival suit, hyperthermia</span></span></span><br /> <br /> <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="color:black">The Study:</span></span>'''<br/> <span style="font-size:12.0pt"><span style="color:black">Non-blinded randomised controlled trial with intention-to-treat.<br/> '''The Study Patients:''' Volunteer male submariners<br/> '''Control group''' (N = 7; 7 analysed): BFA suit - 7 full and 12 half suits.. Ingested temperature sensor capsule. Wetted before being placed in the escape raft for 24 hours.<br/> '''Experimental group''' (N = 12; 11 analysed): Beaufort suit - 7 full and 12 half suits. Methods as above.</span></span></span><br /> <br /> <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="color:black">The Evidence:</span></span>'''</span><br /> <br /> {| class="Table" style="border:solid windowtext 1.0pt"<br /> |-<br /> | rowspan="2" style="width:188.55pt; border:solid windowtext 1.0pt" width="251" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Measure</span>'''</span></p> <br /> | colspan="2" style="width:43.3pt; border:solid windowtext 1.0pt" width="58" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Full suit</span>'''</span></p> <br /> | colspan="2" style="width:60.35pt; border:solid windowtext 1.0pt" width="80" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Half suit</span>'''</span></p> <br /> | rowspan="2" style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Difference</span>'''</span></p> <br /> | rowspan="2" style="width:61.55pt; border:solid windowtext 1.0pt" width="82" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">95% CI</span>'''</span></p> <br /> |-<br /> | style="width:26.6pt; border:solid windowtext 1.0pt" width="35" | <br /> <span style="line-height:normal">'''<span style="font-size:10.0pt">Mean</span>'''</span><br /> <br /> | style="border:solid windowtext 1.0pt" | <br /> <span style="line-height:normal">'''<span style="font-size:10.0pt">SD</span>'''</span><br /> <br /> | style="border:solid windowtext 1.0pt" | <br /> <span style="line-height:normal">'''<span style="font-size:10.0pt">Mean</span>'''</span><br /> <br /> | style="width:32.25pt; border:solid windowtext 1.0pt" width="43" | <br /> <span style="line-height:normal">'''<span style="font-size:10.0pt">SD</span>'''</span><br /> <br /> |-<br /> | style="width:188.55pt; border:solid windowtext 1.0pt" width="251" | <br /> <span style="line-height:normal"><span style="font-size:10.0pt">Thermal comfort score (-7 very cold to +7 very hot)</span></span><br /> <br /> | style="width:26.6pt; border:solid windowtext 1.0pt" width="35" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">3.2</span></span></p> <br /> | style="border:solid windowtext 1.0pt" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">1.1</span></span></p> <br /> | style="border:solid windowtext 1.0pt" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">2.7</span></span></p> <br /> | style="width:32.25pt; border:solid windowtext 1.0pt" width="43" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">1.1</span></span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">0.5</span></span></p> <br /> | style="width:61.55pt; border:solid windowtext 1.0pt" width="82" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">-0.71 to 1.71</span></span></p> <br /> |}<br /> <br /> &nbsp;<br /> <br /> {| class="Table" style="border: 1pt solid windowtext; width: 588px;"<br /> |-<br /> | style="width:181.8pt; border:solid windowtext 1.0pt" width="242" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Non-Event Outcomes</span>'''</span></p> <br /> | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Time to outcome</span>'''</span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Full suit</span>'''</span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">Half suit</span>'''</span></p> <br /> | style="width: 67px; border: 1pt solid windowtext;" width="55" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt">P-value</span>'''</span></p> <br /> |-<br /> | style="width:181.8pt; border:solid windowtext 1.0pt" width="242" | <br /> <span style="line-height:normal"><span style="font-size:10.0pt">Mean maximum temperature (full versus half suit) Centigrade</span></span><br /> <br /> | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">24 hours</span></span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">37.8</span></span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">37.6</span></span></p> <br /> | style="width: 67px; border: 1pt solid windowtext;" width="55" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">0.01</span></span></p> <br /> |-<br /> | style="width:181.8pt; border:solid windowtext 1.0pt" width="242" | <br /> <span style="line-height:normal"><span style="font-size:10.0pt">Mean minimum temperature (full versus half suit) Centigrade</span></span><br /> <br /> | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">24 hours</span></span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">36.1</span></span></p> <br /> | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">36.0</span></span></p> <br /> | style="width: 67px; border: 1pt solid windowtext;" width="55" | <p align="center" style="margin-bottom:.0001pt; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt">0.03</span></span></p> <br /> |}<br /> <br /> <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="color:black">Comments:</span></span>'''<br/> <span style="font-size:12.0pt"><span style="color:black">1. One volunteer pulled out of the half suit trial due to cold<br/> 2. There were no statistically significant differences between the two different suit manufacturers.<br/> 3. There were no differences between the groups with respect to water intake, urine output or weight change.<br/> 4. Full immersion suit was safe and did not induce problematic hyperthermia but this trial did not expose the volunteers to direct sunlight or a waiting period of longer than 24 hours.</span></span></span><br /> <br /> <span style="line-height:normal"><span style="font-size:12.0pt"><span style="color:black">Mike Bennett, Prince of Wales Hospital m.bennett@unsw.edu.au; Saturday, 28 December 2019<br/> '''Kill or Update By:''' December 2024</span></span></span><br /> <br /> &nbsp;</div>

M.bennett