Thermal Blanket Research Articles

Season-dependent characteristics of shock-related injuries in the Arctic zone of the Arkhangelsk region

Relevance. Studying the dynamics of injury rates, injury types and severity, as well as the treatment quality across various country regions, in particular the Arctic, is a prerequisite for managerial, healthcare, and strategic efficiency prior to and during hospital stay, taking into account the climate, geography, social and economic characteristics of every Russian Federation constituent.The objective is to analyse shock-related injuries in the Arctic zone of the Arkhangelsk region to understand season-related injury dynamics.Methods. Retrospective case series description parameters were used to study 140 patients with traumatic shock admitted to the Arkhangelsk Regional Clinical Hospital (ARCH) - a tier 1 trauma center. The analysed medical registration records included patient ambulance record and token (form 114/u), inpatient medical record (form 003/u), surgery logbook (form 008/u), patient radiographs, CT and nuclear MRI reports, as well as laboratory results. The study was conducted in accordance with ethical standards of the Declaration of Helsinki and European Community Directives (8/906 EC) and was approved by the local ethics committee of the Northern State Medical University of the Russian Ministry of Healthcare, Arkhangelsk (protocol no. 02/4-15 dated 04/08/2015). Statistical application package STATA ver.12 was used for statistical data processing.Results and discussion. The research demonstrated that the incidence of shock trauma is 4 times higher in men than in women. The vast majority of the injured are of working age. Seasonal distribution analysis per type of injuries and shock severity, including due to alcohol abuse, was carried out. The number of shock injuries is highest in winter, mainly due to road accidents which constitute 75.6 % of all injuries in winter. Throughout the year, over 50 % of shock injuries are combined injuries, that outperform isolated and multiple injuries in number. In particular, numerous combined injuries occur in winter with a responsible for almost 60 % among all other injuries. The majority the injured with shock-related trauma presented with stage 2 shock (49.3 %), whereas stage 1 and stage 3 shock was diagnosed in 27.9 % and in 21.4 % respectively. In winter, one in four patients with a shock-related injury presented with stage 3 shock. Alcohol-associated shock injuries are more numerous in summer (35.3 %), showing almost the same incidence as road traffic, domestic, and street injuries.Conclusion. The analysis of various types of injuries and season-related incidence of shock injuries in the Arctic territory of the Arkhangelsk region provides evidence to justify preventive measures to reduce the injury rates. Intensified efforts are required to minimise road traffic accidents in winter and combat alcohol abuse responsible for most injuries in summer. Since the vast majority of shock injuries occur in winter, in cold months ambulances must be equipped with local heating facilities, such as evacuation thermal bags with autonomous electric heating, thermal blankets, infusion warmers for blood transfusion and infusion sets.

How Increased CO2 Warms the Earth-Two Contexts for the Greenhouse Gas Effect

The widespread explanations of the greenhouse effect taught to millions of schoolchildren are misleading. The objective of this work is to clarify how increasing CO2 produces warming in current times. It is found that there are two contexts for the greenhouse gas effect. In one context, the fundamental greenhouse gas effect, one imagines a dry Earth starting with no water or CO2 and adding water and CO2. This leads to the familiar “thermal blanket” that strongly inhibits IR transmission from the Earth to the atmosphere. The Earth is much warmer with H2O and CO2. In the other context, the current greenhouse gas effect, CO2 is added to the current atmosphere. The thermal blanket on IR radiation hardly changes. But the surface loses energy primarily by evaporation and thermals. Increased CO2 in the upper atmosphere carries IR radiation to higher altitudes. The Earth radiates to space at higher altitudes where it is cooler, and the Earth is less able to shed energy. The Earth warms to restore the energy balance. The “thermal blanket” is mainly irrelevant to the current greenhouse gas effect. It is concluded that almost all discussions of the greenhouse effect are based on the fundamental greenhouse gas effect, which is a hypothetical construct, while the current greenhouse gas effect is what is happening now in the real world. Adding CO2 does not add much to a “thermal blanket” but instead, drives emission from the Earth to higher, cooler altitudes.

Preparation and Characterization of Atomic Oxygen-Resistant, Optically Transparent and Dimensionally Stable Copolyimide Films from Fluorinated Monomers and POSS-Substituted Diamine.

Optically transparent polyimide (PI) films with good atomic oxygen (AO) resistance have been paid extensive attention as thermal controls, optical substrates for solar cells or other components for low Earth orbit (LEO) space applications. However, for common PI films, it is usually quite difficult to achieve both high optical transparency and AO resistance and maintain the intrinsic thermal stability of the PI films at the same time. In the current work, we aimed to achieve the target by using the copolymerization methodology using the fluorinated dianhydride 9,9-bis(trifluoromethyl)xanthene-2,3,6,7-tetracarboxylic dianhydride (6FCDA), the fluorinated diamine 2,2-bis [4-(4-aminophenoxy)phenyl]hexafluoropropane (BDAF) and the polyhedral oligomeric silsesquioxane (POSS)-containing diamine N-[(heptaisobutyl-POSS)propyl]-3,5-diaminobenzamide (DABA-POSS) as the starting materials. The fluoro-containing monomers were used to endow the PI films with good optical and thermal properties, while the silicon-containing monomer was used to improve the AO resistance of the afforded PI films. Thus, the 6FCDA-based PI copolymers, including 6FCPI-1, 6FCPI-2 and 6FCPI-3, were prepared using a two-step chemical imidization procedure, respectively. For comparison, the analogous PIs, including 6FPI-1, 6FPI-2 and 6FPI-3, were correspondingly developed according to the same procedure except that 6FCDA was replaced by 4,4'-(hexafluoroisopropylidene)diphthalic anhydride (6FDA). Two referenced PI homopolymers were prepared from BDAF and 6FDA (PI-ref1) and 6FCDA (PI-ref2), respectively. The experimental results indicated that a good balance among thermal stability, optical transparency, and AO resistance was achieved by the 6FCDA-PI films. For example, the 6FCDA-PI films exhibited good thermal stability with glass transition temperatures (Tg) up to 297.3 °C, good optical transparency with an optical transmittance at a wavelength of 450 nm (T450) higher than 62% and good AO resistance with the erosion yield (Ey) as low as 1.7 × 10-25 cm3/atom at an AO irradiation fluence of 5.0 × 1020 atoms/cm2. The developed 6FCDA-PI films might find various applications in aerospace as solar sails, thermal control blankets, optical components and other functional materials.

Preparation and Properties of Elastic Mullite Fibrous Porous Materials with Excellent High-Temperature Resistance and Thermal Stability.

Mullite fiber felt is a promising material that may fulfill the demands of advanced flexible external thermal insulation blankets. However, research on the fabrication and performance of mullite fiber felt with high-temperature resistance and thermal stability is still lacking. In this work, mullite fibers were selected as raw materials for the fabrication of mullite fibrous porous materials with a three-dimensional net structure. Said materials' high-temperature resistance and thermal stability were investigated by assessing the effects of various heat treatment temperatures (1100 °C, 1300 °C, and 1500 °C) on the phase composition, microstructure, and performance of their products. When the heat treatment temperature was below 1300 °C, both the phase compositions and microstructures of products exhibited stability. The compressive rebound rate of the product before and after 1100 °C reached 92.9% and 84.5%, respectively. The backside temperature of the as-prepared products was 361.6 °C when tested at 1500 °C for 4000 s. The as-prepared mullite fibrous porous materials demonstrated excellent high-temperature resistance, thermal stability, thermal insulation performance, and compressive rebound capacity, thereby indicating the great potential of the as-prepared mullite fibrous porous materials in the form of mullite fiber felt within advanced flexible external thermal insulation blankets.

Addressing the Orbital Debris Threat Directionality for Enhanced Protection of Low-Earth-Orbit Robotic Spacecraft

This study conducts a detailed investigation into addressing the directionality of micrometeoroid and orbital debris (MMOD) threats, emphasizing the strategic placement of protective resources on a spacecraft. The research considers the conversion of the structural sandwich panel and the multilayer thermal blanket into multifunctional elements that provide MMOD protection without causing substantial weight gain or affecting operational parameters. The effectiveness of the reconfigured components, such as the foam core sandwich panel and multilayer insulation blanket toughened by Nextel fabrics, is evaluated using developed and validated numerical models and experimental methods. Their performance is demonstrated by meeting the protection needs of the Canadian robotic Radarsat Constellation Mission spacecraft.

Multi-Span Greenhouse Energy Saving by External Insulation: System Design and Implementation

To address the issues of excessive heat loss from the roofs of multi-span greenhouses and high energy consumption for heating during winter production, we propose an approach for the external insulation of the roof of multi-span glass greenhouses and have developed an external insulation system (EIS) to practice this approach. The system achieved full coverage of the greenhouse roof through mechanized unfurling and furling of external thermal blankets, thereby achieving energy-saving insulation. This paper describes the overall design and working method of the EIS, providing detailed design and structural parameters for critical components such as the traction rope transmission mechanism and the rail-type sealing structure. Through a system verification experiment, the specifications of the traction rope were determined and the rationality of the EIS’s thermal blanket unfurling and furling time was confirmed. An insulation performance experiment indicated that the average heat flux of the greenhouse roof covered with the external thermal blanket over 14 continuous nights was 54.2 W/m2, compared with 198.6 W/m2 for a single-layer glass roof. Covering the roof with the external thermal blanket reduced heat loss from the glass roof by 72.7%. The average heat flux of the roof of the Venlo-type multi-span greenhouse with double-layer internal insulation was 99.9 W/m2 during the same period, indicating that the heat loss from the roof using external insulation was only 50.3%. This study provides a novel thermal insulation approach and an energy-saving system for multi-span greenhouses.

Covering convection with a thermal blanket: numerical simulation and stochastic modelling

Adding moving boundaries to convective fluids is known to result in non-trivial and surprising dynamics, leading to spectacular geoformations ranging from kilometre-scale karst terrains to planetary-scale plate tectonics. On the one hand, the moving solid alters the surrounding flow field, but on the other hand, the flow modifies the motion and shape of the solid. This leads to a two-way coupling that is significant in the study of fluid–structure interactions and in the understanding of geomorphologies. In this work, we investigate the coupling between a floating plate and the convective fluid below it. Through numerical experiments, we show that the motion of this plate is driven by the flow beneath. However, the flow structure is also modified by the presence of the plate, leading to the ‘thermal blanket’ effect where the trapped heat beneath the plate results in buoyant and upwelling flows that in turn push the plate away. By analysing this two-way coupling between moving boundary and fluid, we are able to capture the dynamical behaviours of this plate through a low-dimensional stochastic model. Geophysically, the thermal blanket effect is believed to drive the continental drift, therefore understanding this mechanism has significance beyond fluid dynamics.

Preparation of Ceramic Fiber Threads with Enhanced Abrasion Resistance Performance.

Ceramic fiber thread is one of the key components in flexible external thermal insulation blankets, and it has been applied in various fields as a flexible ceramic fibrous material with excellent deformability and high-temperature resistance. However, ceramic fiber threads are often subjected to reciprocating friction motion at specific bending angles, making them highly susceptible to abrade and fracture. Enhancing the abrasion resistance performance of ceramic fiber threads under bending conditions is the future trend and remains a significant challenge. Hence, we design and construct a novel polyurethane-modified coating on the ceramic fiber threads to improve their abrasion resistance performance. The effects of the types and concentrations of modifiers on the microstructure, abrasion resistance property, and tensile property of ceramic fiber threads are systematically investigated. The ceramic fiber threads, after modification with hexamethylene diisocyanate waterborne polyurethane (HDI-WPU) with a concentration of 3%, exhibit excellent abrasion resistance properties. The number of friction cycles at fracture of the modified ceramic fiber thread is more than three times, and the tensile strength is more than one and a half times, that of the original ceramic fiber thread, demonstrating the great potential of the HDI-WPU modifier for enhancing the abrasion resistance performance of ceramic fiber threads.

Out-of-autoclave molding of carbon fiber laminates by consolidation with shape memory polymer foams

Carbon fiber reinforced (CFR) laminates have been manufactured by an innovative out-of-autoclave (OOA) process thanks to the use of smart materials. In this study, for the first time, a shape memory polymer (SMP) foam has been used into a pressure dome to apply the consolidation pressure to the laminate. Heat for resin curing was supplied by a thermal blanket between the laminate and the SMP foam. In order to test the OOA molding process, 24-ply CFR laminates were manufactured and tested. For comparison and reference, CFR laminates were also molded by traditional vacuum bagging and autoclave curing. Samples for bending tests were extracted from OOA and autoclave molded plates. Results show that the SMP-OOA process is able to provide optimal laminate consolidation, despite of the low applied pressure (about 1 bar). A comparable density and ply thickness was measured on samples by the innovative and the conventional molding process, whereas a higher bending strength (+5%) was found on OOA samples. A higher dispersion was also observed for the properties of SMP-OOA molded laminates in comparison with autoclave, probably due to the prototyping nature of the molding technique in comparison with the well-known autoclave practice. Nevertheless, the final quality of the molded laminates is very high, and the SMP-OOA process is a very promising candidate as a technology to repair CFR structures.

Augmenting foam-core sandwich panel with toughened blanket for enhanced orbital debris protection

Experimental and numerical analyses have demonstrated that foam-core sandwich panels (FCSP) can serve as a practical substitute for conventional sandwich structures, offering both structural support and effective protection against micrometeoroid and orbital debris (MMOD) in space applications. This research aims to enhance further the MMOD protection level beyond the inherent capability of FCSP by augmenting the panel with the toughened thermal blanket. The study employs a numerical simulation approach validated with physical test data and investigates the effect of integrating Nextel fabrics into multilayer insulation blankets on the overall shielding performance of the system.

Revisiting Design Rules for Floating Metal

Electrostatic discharges (ESDs) from electrically isolated conductors (commonly called “floating metal”) were discovered to be sources of anomalies on early spacecraft. Ground tests demonstrated that discharges from floating metal were more severe and hazardous than discharges from equal areas of the dielectric film. This led to requirements to ground all thermal blanket layers. Charging and discharging of wires and coaxes were later discovered to be more severe if the conductors were ungrounded, which led to requirements to ground all unused and unterminated wires. Ground tests also showed that discharges from isolated conductors on printed circuit boards (PCBs) were also a potential risk despite the much lower flux levels inside these units. Subsequent tests showed that the peak voltage and energy of ESD transients induced in nearby PCB circuits scaled with the area of floating conductors. Based on those results, NASA HDBK 4002 and 4002A recommended limiting the area to 3 cm <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"> <tex-math notation="LaTeX">$^{2}$</tex-math> </inline-formula> (and to 0.3 cm <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"> <tex-math notation="LaTeX">$^{2}$</tex-math> </inline-formula> if the floating metal is on a PCB). (The recently released HDBK-4002B has removed these area guidelines.) Recent tests have shown that the peak voltage and delivered energy vary dramatically with the mode of discharge of the floating metal. Blow-off discharge amplitudes were similar to those observed in previous tests. But when the discharge punched through the insulator between the floating metal and underlying conductor, peak voltages and delivered energies were orders of magnitude higher. Given that modern designs employ multilayer circuit boards, the opportunity for punchthrough discharges is higher than that existed on the thick single-layer FR4 boards the HDBK 4002 guideline is based upon.

Static Cling: A Mechanical Side-Effect of Dielectric Charging

Space charging of dielectrics results in the build-up of electric fields between the trapped charge (typically electrons) and image charges in nearby conductors. Engineering assessments are typically concerned with the magnitude of the electric field relative to a discharge threshold. The same electric field, however, also results in strong electrostatic attraction. For rigid dielectrics (such as solar cell coverglasses, second surface mirrors, or printed circuit boards), the electrostatic forces have no consequences. But for lightweight flexible dielectrics, the electrostatic forces can lead to static cling. A simple 1-D analysis of the electrostatic force between trapped and image charges is presented, and the phenomenon is demonstrated by ground test video. The electrostatic force is sufficient to overcome the Earth’s gravitational force. The video shows significant movement in a single-layer thermal blanket of a periodic nature. As the material reaches a sufficient charge level, the electrostatic forces begin to dominate and the material starts moving until it makes contact with the ground plane, discharges, and the cycle begins again. Without the vacuum-deposited aluminum (VDA) layer on the Kapton film, the static cling would be permanent.

Reducing the Incidence of Postoperative Hypothermia in Patients Undergoing Robotic-Assisted Mitral Valve Surgery

Post-operation hypothermia tends to induce complications. Sixty percent of robotic-assisted mitral valve surgery patients experienced hypothermia while admitted to our intensive care unit (ICU), resulting in prolonged ICU stays and 57% (eight) of those patients with hypothermia also experiencing cardiac arrhythmia. The causes of hypothermia in our ICU included low temperature in the operating room, delayed initiation of blanket coverage after surgery, and lack of postoperative thermal blankets, insufficient cardiopulmonary bypass rewarming time, cold ICU beds, lack of in-service training for hypothermia, and lack of procedure auditing. This intervention was designed to reduce the incidence of hypothermia in ICU patients undergoing robotic-assisted mitral valve surgery upon ICU admission from 60% to 36% and the one-hour hypothermia rate from 43.3% to 26%. We implemented several measures including increasing the room temperature, pre-heating the ICU bed, achieving team consensus regarding prolonging the rewarming time after cardiopulmonary bypass, establishing a blanket warming area for postoperative patient use, and holding in-service training to enhance the awareness of the nurses were implemented. The incidence of hypothermia in ICU patients receiving robotic-assisted mitral valve surgery upon ICU admission decreased from 60% to 19.4%, while the one-hour hypothermia rate decreased from 43.3% to 19.4%. Using systemic interprofessional collaboration, combined thermal care can be achieved to significantly reduce the incidence of postoperative hypothermia in patients undergoing robotic-assisted mitral valve surgeries resulting in higher patient care quality and shorter ICU stays. We recommend applying this combined method to improve the quality of perioperative care for long-duration and major surgical procedures that involve large postoperative wounds and for patients who may require wider exposure during their operation.

The application of machine learning in micrometeoroid and orbital debris impact protection and risk assessment for spacecraft

Current spacecraft micrometeoroid and orbital debris impact risk assessments utilize semi-empirical equations to describe the protection afforded by a spacecraft component (e.g., pressure hull, critical component, etc.). These equations demand fundamentally limiting assumptions, for example of projectile shape and material, to reduce the complexity of the mechanics and material response under such extreme conditions. Machine learning (ML) approaches, however, are well suited to such high dimensionality problems and have previously been shown to provide comparable classification accuracy to state-of-the-art empirical techniques in this domain. We demonstrate that ML models can readily incorporate additional complexity beyond that currently achievable with semi-empirical models, such as the effect of thermal insulation blankets, non-aluminium projectiles, and non-spherical projectiles on failure thresholds without any notable loss of performance, compared with baseline conditions. For future micrometeoroid and orbital debris (MMOD) risk assessment codes such ML models offer the potential to incorporate the true characteristics of the MMOD environment more accurately than existing approaches.

Oxidation Caused by Water Outgassed from the Thermal Blanket on the SDO Spacecraft

Oxidation Caused by Water Outgassed from the Thermal Blanket on the SDO Spacecraft

Scrotal insulation impairs spermatogenesis but not Sertoli cell endocrine function

Testicular thermal insult is detrimental to spermatogenesis and a common cause of testicular degeneration. Changes in semen quality after scrotal insulation are well understood but its effects on Sertoli cell function is still not fully characterized. Isoform-specific assays have provided opportunities for analysis of inhibin-A and B. Recent studies in stallions have shown inhibin-B decreases after treatment with a GnRH receptor antagonist but returns with spermatogenesis after treatment stops, suggesting it may be a useful biomarker for testicular damage and recovery (Ball.et.al. Theriogenology; 2019; 213:108-115). The hypothesis of the present study was that serum inhibin-B correlates positively with sperm parameters after scrotal insulation decreasing as sperm motility and production decline. Stallions were assigned to a untreated control (n=4) and treated group (n=5) that was submitted to scrotal insulation for 1 hour in the morning and 1 hour in the afternoon, for two consecutive days, using a thermal blanket surrounding the scrotum. The intratesticular temperature was measured immediately after the blanket was removed and increased ∼10°C during the insulation period. Semen was collected twice weekly, but semen and serum samples were evaluated weekly for 98 days after treatment. Testicular response was assessed by determination of the concentrations of testosterone and estrone sulphate (interstitial compartment) and inhibin-B (tubular compartment), respectively. Spermkinetics were analyzed by CASA (IVOS Version 12 Hamilton Thorne Research, MA, USA), sperm concentration by Neubauer hemocytometer (Optik Labor®, Lancing, England), serum concentrations of inhibin- B and estrone sulfate were determined by ELISA and testosterone by RIA. Data were analyzed by ANOVA for repeated measures. Sperm motility and total sperm number decreased from day 4 to 67 (P<0.05) and sperm abnormalities increased from day 17 and did not recover until the end of our evaluation (day 98). Testosterone concentrations declined acutely. A significantly reduction in circulating testosterone concentrations occurred at 4, 9 and 37 days after onset of scrotal insulation, which is probably the result of Leydig cell impairment. However, no changes in inhibin-B or estrone sulfate were seen in response to treatment (n.s.). In summary, thermal insult appears to affect germ cells, and Leydig cell but not Sertoli cell function and, consequently, does not disturb inhibin-B synthesis. It has to be concluded that inhibin-B is no reliable biomarker for testicular damage and recovery from thermal insults. Acknowledgements: Authors are grateful to São Paulo Research Foundation (FAPESP, grant #2019/01119-8 and #2022/03405-0), the John P. Hughes Endowment and the Clinical Endocrinology Laboratory, University of California-Davis.

EXPERIMENTAL STUDY ON THE FACTORS AFFECTING THE INSULATION PERFORMANCE OF FLAME-RETARDANT MULTILAYER INSULATION MATERIALS

Flame-retardant multilayer insulation materials act as effective thermal insulation blankets of cryogenic containers that store flammable and explosive cryogenic liquids. This study used standard static liquid nitrogen boil-off calorimetry to test the insulation performance of eight groups of flame-retardant multilayer insulation materials with different wrapping parameters. The effects of four factors, namely the layer density, seaming process, number of reflector layer, and variable-density multilayer insulation arrangement, on the insulation performance were analysed. Three layer densities were considered: 4.47, 3.08, and 2.50 layers/mm. Two types of seaming processes were discussed: the overlapped and fold-over seaming processes. Three numbers of reflector layers were considered: 60, 70, and 80. Two variable-density multilayer insulation arrangements with similar thicknesses were discussed: 10-10-40 and 20-20-20 layers of reflectors allocated for low-, medium- and high-density segments. The conclusions are as follows: Decreasing the layer density enhances the performance of multilayer insulation; Using the fold-over seaming process results in less heat flux and lower apparent thermal conductivity; An increase in the number of reflector layers weakens radiative heat transfer, resulting in better thermal insulation; Furthermore, for a given wrapping thickness, reducing the number of reflectors appropriately in low- and medium-density segments improves the insulation performance; Optimizing and controlling the layer density of each density segment are also essential for variable-density multilayer insulation effects. This study provides supporting theories and reference data for practical engineering applications.

Evaluating UHMWPE-stuffed aluminium foam sandwich panels for protecting spacecraft against micrometeoroid and orbital debris impact

Robotic spacecraft shielding for protection against micrometeoroid impact is typically provided by existing structural panels, thermal insulation blankets, or reinforced component containers. Here the performance of an open cell aluminium foam core sandwich panel with intermediate ultra-high molecular weight polyethylene (UHMWPE) stuffing under hypervelocity impact of spherical aluminium projectiles was evaluated. Providing comparable structural and thermal performance as honeycomb sandwich panels, foam core sandwich panels have demonstrated improved impact shielding behaviour in existing studies. The inclusion of UHMWPE stuffing is found, through experimental testing and a comprehensive numerical study, to increase the shielding capability of foam core sandwich panels (40–80% increase in critical projectile diameter) for a modest weight penalty (25%). Compared to conventional aluminium honeycomb sandwich panels with equivalent weight, the improvement in shielding performance is >100%.

English

The aim of this study was to determine if the combination of active (exercise) and passive warm-up (thermal blanket) generates an increase in the number of deep squat repetitions compared to only active warm-up. Ten physically active and apparently healthy subjects (26.2 ± 5.9 years of age) were recruited for the study. Four sessions, with three-days intervals were performed. In the first session the maximum weight in deep squat was estimated (Brzycki’s formula), the second, third and fourth sessionsperformed the greatest number of deep squat repetitions with 85% maximum repetition (to exhaustion or even losing the technique). Before each condition, subjects were randomly assigned to one of three different conditions: active warm-up (CAct) traditional warm-up plus five minutes sitting, active warm-up plus placebo (CAct+P) traditional warm-up plus five minutes sitting with thermal blanket placed on the legs and combined warm-up (CCom) traditional warm-up plus five minutes with a thermal blanket placed on the legs. No differences (p &gt;0.05) were found between CAct (8.6 ± 1.8 reps) and CAct+P (8.7 ± 1.6 reps) conditions in the number of squats performed. However, the CCom condition (11.1 ± 2.0 reps; p = 0.001; d = -2.107) was more effective compared to CAct (8.6 ± 1.8 reps) and CAct+P (8.7 ± 1.6 reps). A combination of active and passive heating (thermal blanket), increases the number of repetitions of deep squats in physically active young people.

RAIN: Simplifying Decontamination Response for Hospital First Receivers

Introduction:Considerations for patient and staff safety are critical during an encounter with an individual who is potentially contaminated by hazardous materials in the hospital setting. Decontamination training for all team members may be ideal, however, there are significant barriers precluding implementation including time-spent, associated costs, and staffing limitations. Studies demonstrate that immediate recognition of potential contaminants and removal of clothing mitigates risks with a best-estimated 85% hazard reduction. Initial risk-reducing best practices like focused training and resources, allow for more adequate decontamination response and improve team training gaps with potential first receivers throughout the hospital setting.Method:A two-step process was implemented to address a training disparity including a deployment of high-impact resources and the installment of these resources at high-risk locations. First, a slide deck with focused education to both clinical and non-clinical staff was developed from the established decontamination team training program. The focus of this training was to introduce the concept of RAIN (Recognition, Avoidance, Isolation, and Notification). This education highlights how to safely remove potentially contaminated clothing and contain the materials. RAIN kits were created with the items necessary to safely accomplish this while prioritizing patient privacy and safety to patient and staff. The kits included instructions, privacy kits, thermal blankets, and trauma shears. Next, the RAIN kits were deployed at pre-identified locations where potentially contaminated patients may present.Results:Qualitative improvement in staff satisfaction was noted after the implementation of the abridged, high-impact RAIN kits. The pre-deployed kits at critical high-likelihood locations throughout the hospital created a more accessible model with improved ease of use and effectiveness, reducing current gaps in training. Limitations should be considered when implementing a high-acuity, low-frequency program to clinical and non-clinical staff with support from leadership.Conclusion:Focused education and pre-deployed kits empower staff to respond in hospital settings for potentially contaminated patients.