Ok this subject I know about first hand. I drove a truck 25 years OTR and these cooler hit the trucking market a long time ago. I still have one but do not use it because of the power consumption. Now the newer models may use less of the power consumption than the older model I have.
The power consumption of one of these cooler in a 24 hour time frame can and do pull a 24 volt battery system down to the point it will not start a truck. Remember truck starters take a lot more power than a car. Many are 24 volts starters but the newer trucks have a 12 volt starter.
I do not think the unit in these cooler which is inside the cooler can be underwater. Also direct sun light and heat would make these coolers work more and be less help.
If you have a direct question I maybe able to help. Ask away.