Training videos to prevent cold weather injuries

ABSTRACT Cold weather injuries (CWIs) are a challenge during military training, exercises and operations in Arctic conditions. Soldier performance in these challenging conditions depends on protective equipment, knowledge, personal experience, routines, and leadership. Despite the Norwegian Armed Forces’ goal of zero freezing cold injuries (FCIs), there has been a persistently high incidence of FCIs among the younger soldiers with an average of 120–150 new FCIs recorded each year. Therefore, an expert working group with representatives from medical, defence and research background was established in 2020. Their task was to develop a communication package to help prevent CWIs among military personnel. Training videos and an updated and improved official website were created with a focus on practical recommendations and advice to prevent CWIs and especially FCIs. Risks, prevention and symptoms of FCIs were emphasised. The main goal of the training videos was to supplement current teaching on guidance for CWI prevention in CWOs to prevent FCIs, but following the advice may prevent non-freezing cold injuries (NFCIs) and hypothermia. This informative paper describes the background, working methods and possible implications of the training videos, which may be a potential way forward to improve cold weather training and operations.

[1]  B. Kingma,et al.  Human vulnerability and variability in the cold: Establishing individual risks for cold weather injuries , 2022, Temperature.

[2]  Yue Teng,et al.  Expert consensus on the prevention, diagnosis and treatment of cold injury in China, 2020 , 2021, Military Medical Research.

[3]  B. Kingma,et al.  Human performance research for military operations in extreme cold environments. , 2020, Journal of science and medicine in sport.

[4]  Heather Carnahan,et al.  A review of cold exposure and manual performance: Implications for safety, training and performance , 2019, Safety Science.

[5]  E. Borud,et al.  Frostbite in the Norwegian Armed Forces. , 2018, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[6]  T. Wilsgaard,et al.  Variability in peripheral rewarming after cold stress among 255 healthy Norwegian army conscripts assessed by dynamic infrared thermography , 2018, International journal of circumpolar health.

[7]  Marissa G. Spitz,et al.  Cardiovascular and thermal strain during 3–4 days of a metabolically demanding cold-weather military operation , 2017, Extreme Physiology & Medicine.

[8]  J. Knapik,et al.  Medical Encounters During a Joint Canadian/U.S. Exercise in the High Arctic (Exercise Arctic Ram). , 2017, Military medicine.

[9]  M. Tipton,et al.  Lessons from history: morbidity of cold injury in the Royal Marines during the Falklands Conflict of 1982 , 2013, Extreme Physiology & Medicine.

[10]  R. Pethybridge,et al.  Lessons from history: morbidity of cold injury in the Royal Marines during the Falklands Conflict of 1982 , 2013, Extreme Physiology & Medicine.

[11]  Juhani Hassi,et al.  Frostbites in circumpolar areas , 2011, Global health action.

[12]  C. Imray,et al.  Nonfreezing Cold-Induced Injuries , 2011, Journal of the Royal Army Medical Corps.

[13]  S. Rissanen,et al.  Cold and heat strain during cold-weather field training with nuclear, biological, and chemical protective clothing. , 2007, Military medicine.

[14]  I. Mekjavic,et al.  Foot Temperatures and Toe Blood Flow during a 12 km Winter Hike and Guard Duty , 2005 .

[15]  J. Remes,et al.  The occurrence of frostbite and its risk factors in young men , 2004, International journal of circumpolar health.

[16]  George Havenith,et al.  Heat balance when wearing protective clothing , 1999 .

[17]  H. Lindholm,et al.  Frostbite of the face and ears: epidemiological study of risk factors in Finnish conscripts , 1995, BMJ.

[18]  G Havenith,et al.  Physiological criteria for functioning of hands in the cold: a review. , 1995, Applied ergonomics.

[19]  J D Hardy,et al.  Comfort and thermal sensations and associated physiological responses at various ambient temperatures. , 1967, Environmental research.

[20]  Y. Gundersen HFM-255 "Cold extreme environmental operations" optimizing warfighter performance in extreme cold - momenter fra workshop ved FFI 28.-30. oktober 2014 , 2015 .

[21]  B. Levine,et al.  Maximal oxygen uptake as a parametric measure of cardiorespiratory capacity. , 2007, Medicine and science in sports and exercise.

[22]  G Havenith,et al.  Heat balance when wearing protective clothing. , 1999, The Annals of occupational hygiene.