User:Alexandrab96/sandbox

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Heat Stroke

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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).

Assignment # 3
Note: Proposed edits are to the “Treatment” section
 * Note: You will be emailing your assignment # 3 directly to your tutor, however, please paste a version here that excludes your personal information. This will allow us to support your efforts on Wikipedia prior to editing "live" in the article.

 Original paragraph: 

The body temperature must be lowered quickly. The person should be moved to a cool area (indoors, or at least in the shade) and clothing removed to promote heat loss (passive cooling). Active cooling methods should also be used, if possible: The person is bathed in cold water, or a hyperthermia vest can be applied. (However, wrapping the person in wet towels or clothes can actually act as insulation and increase the body temperature.) Cold compresses to the torso, head, neck, and groin will help cool the victim. A fan or dehumidifying air-conditioning unit may be used to aid in evaporation of the water (evaporative method).

 Paragraph with proposed changes: 

The body temperature must be lowered quickly via conduction, convection, or evaporation1. The person should be moved to a cool area, such as indoors or to a shaded area. Clothing should be removed to promote heat loss through passive cooling. Conductive cooling methods such as ice-water immersion should also be used, if possible. Evaporative and convective cooling by a combination of cool water spray or cold compresses with constant air flow over the body, such as with a fan or air-conditioning unit, is also an effective alternative1. The person should not be wrapped in wet towels or clothing as this can act as insulation and increase the body temperature.

 Rationale for proposed change: 

The formatting of the paragraph felt awkward when reading, particularly the use of semi-colons and brackets. No source was provided for any of the information included in this paragraph. There was no source provided here or anywhere else in the article to support the use of a hyperthermia vest as a treatment, and I found this source that stated that ice-water immersion should remain the standard of care in cases of hyperthermia as opposed to the use of a cooling vest:

Lopez, R. M., Cleary, M. A., Jones, L. C., & Zuri, R. E. (2008). Thermoregulatory Influence of a Cooling Vest on Hyperthermic Athletes. Journal of Athletic Training, 43(1), 55-61. doi:10.4085/1062-6050-43.1.55

I also felt it would be helpful and more accurate to describe treatment in terms of the three cooling methods that are mentioned in the literature: conduction, convection, and evaporation, as opposed to simply “passive” or “active”.

There may be controversy surrounding the decision to remove the recommendation of a hyperthermia vest as a form of treatment. However, no source was provided to support this as a method of hyperthermia treatment and I found an article that shows that a hyperthermia vest was not an effective method of cooling in cases of hyperthermia. There has been no discussion about the use of hyperthermia vest among other Wikipedia editors on the article’s Talk page.

 Critique of Source: 

The source I am using to support my proposed changes is a recent article published in a reputable, peer-reviewed journal. The authors used high-quality articles published in peer-reviewed journals, and the selected articles examined a variety of cooling methods for both exertional and nonexertional heat stroke. Some of the articles used in this review article could be considered old, and this could mean they are outdated. However, I did not consider this to be a significant issue as they were examined alongside more recent articles, and the review article itself is recent (published in 2016). I identified no additional issues or concerns with this article.

 References: 

Gaudio, F. G., & Grissom, C. K. (2016). Cooling Methods in Heat Stroke. The Journal of Emergency Medicine, 50(4), 607-616. doi:10.1016/j.jemermed.2015.09.014

Lopez, R. M., Cleary, M. A., Jones, L. C., & Zuri, R. E. (2008). Thermoregulatory Influence of a Cooling Vest on Hyperthermic Athletes. Journal of Athletic Training, 43(1), 55-61. doi:10.4085/1062-6050-43.1.55

What to post on the Wikipedia article talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template