High-quality supportive care is thought to have contributed to the larger number of survivors of the recent outbreak of infectious disease in West Africa. However, two limitations compromised the quality of bedside care: staff were too few in number; and the duration of time spent providing care at the bedside was too little, due to dehydration and over-heating of clinicians wearing personal protective equipment. These limitations suggest that survival rates, under more favorable hospital conditions, might be even higher. Depending on the type of personal protective equipment that was used, rounds were limited to either 1 hour or 3 hours because of the intense heat and humidity inside some types of personal protective equipment. Furthermore, turnover rates of PPE increased as rounds were shortened due to high heat and humidity.
All Cool Technology provides the novel means to actively mitigate and actively manage the accumulated daily metabolic costs of excessive heat exposure, such as water-loss and electrolyte depletion and the associated time and energy requirements for recuperation in heat-stressed responders under prolonged austere environmental conditions. All Cool is exceptional for resource-limited environments as it requires no power, spontaneously depletes without residue, has no special handling or storage requirements, has no expiry dates, and requires no disposal or waste management. The garments upon which it is deployed are reusable with conventional care and reduce PPE resource turnover rates and mitigates associated costs.