{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:23:58Z","timestamp":1790699038732,"version":"4.1.0"},"reference-count":51,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> We tested the hypothesis that individual susceptibility to freezing cold injury might be reflected in an attenuated cold-induced vasodilatation (CIVD) response by comparing the CIVD responses of an elite alpinist with a history of freezing cold injury in the feet (case alpinist) with those of an age- and ability- matched noninjured alpinists control group (controls). According to this hypothesis, the vasomotor responses to a CIVD test of the case alpinist would represent a pathophysiological response when compared with the normal physiological response of a noninjured cohort. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> The case alpinist and the controls in the cohort group conducted a cold water immersion test comprising sequential immersion of a hand and foot for 5 min in 35\u00b0C water, followed by a 30-min immersion in 8\u00b0C water and a 10-min recovery period in room air. During this test we monitored the finger and toe skin temperatures. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The case alpinist had a significantly attenuated CIVD response and a lower skin temperature in all injured and noninjured digits during immersion (\u223c2\u00b0C lower than in the control group) and an attenuated recovery of finger skin temperatures (\u223c6\u00b0C lower than in the control group). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> The attenuated CIVD response of the case alpinist may reflect a previously unrecognized enhanced susceptibility to frostbite. In addition to the poor vasomotor response observed in the injured toes, he also exhibited a poor vasomotor response in his noninjured fingers. The results of the present study indicate that a test of vasomotor activity during thermal stress may identify individuals predisposed to cold injury. <\/jats:p><\/jats:sec>","DOI":"10.1016\/j.wem.2019.01.002","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T22:16:01Z","timestamp":1554848161000},"page":"141-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Ski-Everest (8848 m) Expedition: Digit Skin Temperature Responses to Cold Immersion May Reflect Susceptibility to Cold Injury"],"prefix":"10.1177","volume":"30","author":[{"given":"Jurij","family":"Gorjanc","sequence":"first","affiliation":[{"name":"Department of Surgery, Hospital of the Brothers of St. John of God, St.Veit\/Glan, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawnda A.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, 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