Conventional channel flow fields of open cathode Polymer Electrolyte Membrane Fuel Cells (PEMFCs) introduce some challenges linked to humidity, temperature, pressure and oxygen concentration gradients along the conventional flow fields that reduce the cell performance. According to previous experimental reports, with conventional air flow fields, hotspot formation due to water accumulation in Gas Diffusion Layer (GDL) is common. Unlike continuous long flow passages in conventional channels, metal foams provide randomly interrupted flow passages. Re-circulation of fluid, due to randomly distributed tortuous ligaments, enhances temperature and humidity uniformity in the fluid. Moreover, the higher electrical conductivity of metal foams compared to non-metal current collectors and their very low mass density compared to solid metal materials are expected to increase the electrical performance of the cell while significantly reducing its weight. This article reviews the existing cooling systems and identifies the important parameters on the basis of reported literature in the air cooling systems of PEMFCs. This is followed by investigating metal foams as a possible option to be used within the structure of such PEMFCs as an option that can potentially address cooling and flow distribution challenges associated with using conventional flow channels, especially in air-cooled PEMFCs. (C) 2015 Elsevier B.V. All rights reserved.