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electrolyte content of the intracellular and extracellular fluids.   to  provide  versatility  in  different  environmental  conditions.
             Experimental studies indicate this freezing temperature var-  The layers in the ECWCS are shown in Figure 5. Layer 1 is the
             ies somewhat among individuals but is generally near –4°C   lightweight base layer (Undershirt and Drawers) worn next
             to –5°C (23°F). 92,95,96  Wet skin cools faster than dry skin and   to the skin and constructed of polyester designed to remove
             reaches a lower temperature, 96,97  so wetness should be avoided   excess moisture from the skin. Layer 2 is the Midweight Shirt
             as much as possible. A small change in skin temperature (from   and Drawers worn with the base layer or alone (to serve as
             –5°C to –8°C [23°F–18°F]) is estimated to increase frostbite   a base layer) and is composed of polyester fleece. Layer 3 is
             risk from 5% to 95%.  Risk of frostbite appears to be minor   the Fleece Cold Weather Jacket worn underneath shell layers
                               92
             if the air temperature is >–10°C (>14°F) but increases substan-  (described below) or as an outer layer on moderately cool
             tially at –25°C (–13°F). 92,95,98                   days. Layer 4 is the Wind Cold Weather Jacket, which is a
                                                                 minimal outer layer made of lightweight, wind-resistant, and
             At a given temperature, an individual subjectively feels colder   water- repellent materials designed to assist in the removal of
             when exposed to wind. This is because the wind more quickly   moisture from the skin. Layer 5 is the Soft Shell Cold Weather
             removes heat from exposed skin, resulting in more rapid skin   Jacket and Trousers, an outer layer designed for use in mod-
             cooling. The Wind Chill Chart (Figure 4) describes the effect   erate to cold weather and composed of stretchable and water
             of wind on the loss of body heat. It also estimates the risk of   resistant materials. Layer 6 is the Extreme Cold/Wet Weather
             frostbite as a function of temperature and wind. The tempera-  Jacket and Trousers, which provide a waterproof barrier, com-
             tures shown in the Wind Chill Chart are those resulting from   posed of Gore-Tex for use in prolonged hard rain and cold/
             heat loss from the skin in a wide range of decreasing tempera-  wet conditions. Level 7 is the Extreme Cold Weather Parka/
             tures and increasing wind speeds. The chart was developed   Trousers designed for use in static operations in extreme cold
             from a model of the head, examining heat transfer under vari-  conditions and is highly water and wind resistant, with high
             ous temperature and wind conditions. Parts of the model were   loft insulation. 10
             refined from data on individuals walking on a treadmill in var-
             ious environmental conditions. 99,100  The model assumes a per-  For foot protection in cold weather, the current military boots
             son is walking in an open field with a bare face. Wind speeds   are the Intermediate Cold/Wet Boot (Figure 6A) and the Ex-
             obtained from weather reports do not account for additional   treme Cold Vapor Barrier Boot (Figure 6B). The Intermediate
             wind from activities such as running or skiing. The wind chill   Cold/Wet Boot is waterproof and consists of leather with a
             apparent temperature (i.e., a number on the chart) is always   removable Gore-Tex liner. It is designed for military person-
             lower than the air temperature if there is wind. The decrease   nel operating in cold and wet environments with temperatures
             in apparent temperature becomes less over high wind speeds,   between 20°C and –10°C (between 68°F and 14°F). 105,106  The
             whereas air temperature effects are relatively linear. The Wind   Extreme Cold Vapor Boot was originally developed during
             Chill Chart generally corresponds with experimental data 91,92    the Korean War and has since been modified several times.
             and is an improvement on previous wind chill models,  but   The outer and inner layers are composed of wool insulation
                                                         101
             could be further improved. 102                      sandwiched between two layers of seamless rubber. The boot
             Clothing
             Because clothing protects skin exposed to subfreezing tem-  FIGURE 5  The seven layers of the Extended Cold Weather Clothing
             peratures by sequestering body heat, 103,104  clothing is consid-  System, Generation III.
             ered the primary deterrent to cold injury. For the military,
             the Generation III Extended Cold Weather Clothing System
             (ECWCS) is a flexible clothing ensemble designed to provide
             insulation to reduce heat loss and provide ventilation for mois-
             ture to escape.  The Generation III ECWCS has 12 pieces and
                         10
             7 layers designed for temperatures ranging from 4°C to –51°C
             (40°F to –60°F). It is compatible with other military systems
             (e.g., body armor, load-bearing equipment). Each part of the
             system can be used alone or with other parts of the ensemble
                                                                 Source: https://ciehub.info/clothing/CW/ECWCS/GEN3.html
              FIGURE 4  Wind Chill Apparent Temperature chart.
                                                                 FIGURE 6  Boot and Hand Protection Systems for Cold Weather.
                                                                 Intermediate Cold/Wet Boot (A), Extreme Cold Vapor Barrier Boot
                                                                 (B), Generation 3 Modular Glove System (C).
                                                                 (A)            (B)                           (C)







                                                                 Sources: (A) https://ciehub.info/clothing/footwear/BootsICW.html. (B)
                                                                 https://upload.wikimedia.org/wikipedia/commons/8/8d/White_Bata
                                                                 _Bunny_Boots.jpg (photo credit Randall McNair). (C) https://soldier
                                                                 systems.net/2016/01/29/post-shot-show-wrapup-outdoor-research
              Source: https://www.weather.gov/safety/cold-wind-chill-chart  -glove-system/. The one glove system is shown twice.

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