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Sample records for city firefighters exposed

  1. Refractory sarcoid arthritis in World Trade Center-exposed New York City firefighters: a case series.

    PubMed

    Loupasakis, Konstantinos; Berman, Jessica; Jaber, Nadia; Zeig-Owens, Rachel; Webber, Mayris P; Glaser, Michelle S; Moir, William; Qayyum, Basit; Weiden, Michael D; Nolan, Anna; Aldrich, Thomas K; Kelly, Kerry J; Prezant, David J

    2015-01-01

    The objective of this study was to describe cases of sarcoid arthritis in firefighters from the Fire Department of the City of New York (FDNY) who worked at the World Trade Center (WTC) site. All WTC-exposed FDNY firefighters with sarcoidosis and related chronic inflammatory arthritis (n = 11) are followed jointly by the FDNY-WTC Health Program and the Rheumatology Division at the Hospital for Special Surgery. Diagnoses of sarcoidosis were based on clinical, radiographic, and pathological criteria. Patient characteristics, WTC exposure information, smoking status, date of diagnosis, and pulmonary findings were obtained from FDNY-WTC database. Joint manifestations (symptoms and duration, distribution of joints involved), radiographic findings, and treatment responses were obtained from chart review. Nine of 60 FDNY firefighters who developed sarcoidosis since 9/11/2001 presented with polyarticular arthritis. Two others diagnosed pre-9/11/2001 developed sarcoid arthritis after WTC exposure. All 11 were never cigarette smokers, and all performed rescue/recovery at the WTC site within 3 days of the attacks. All had biopsy-proven pulmonary sarcoidosis, and all required additional disease-modifying antirheumatic drugs for adequate control (stepwise progression from hydroxychloroquine to methotrexate to anti-tumor necrosis factor α agents) of their joint manifestations. Chronic inflammatory polyarthritis appears to be an important manifestation of sarcoidosis in FDNY firefighters with sarcoidosis and WTC exposure. Their arthritis is chronic and, unlike arthritis in non-WTC-exposed sarcoid patients, inadequately responsive to conventional oral disease-modifying antirheumatic drugs, often requiring anti-tumor necrosis factor α agents. Further studies are needed to determine the generalizability of these findings to other groups with varying levels of WTC exposure or with other occupational/environmental exposures.

  2. Refractory Sarcoid Arthritis in World Trade Center- Exposed New York City Firefighters: a Case Series

    PubMed Central

    Loupasakis, Konstantinos; Berman, Jessica; Jaber, Nadia; Zeig-Owens, Rachel; Webber, Mayris P.; Glaser, Michelle S.; Moir, William; Qayyum, Basit; Weiden, Michael D.; Nolan, Anna; Aldrich, Thomas K.; Kelly, Kerry J.; Prezant, David J.

    2016-01-01

    Objective To describe cases of sarcoid arthritis in firefighters from the Fire Department of the City of New York (FDNY) who worked at the World Trade Center (WTC) site. Methods All WTC-exposed FDNY firefighters with sarcoidosis and related chronic inflammatory arthritis (n=11) are followed jointly by the FDNY-WTC Health Program and the Rheumatology Division at the Hospital for Special Surgery (HSS). Diagnoses of sarcoidosis were based on clinical, radiographic and pathological criteria. Patient characteristics, WTC-exposure information, smoking status, date of diagnosis and pulmonary findings were obtained from FDNY-WTC database. Joint manifestations (symptoms and duration, distribution of joints involved), radiographic findings, treatment responses were obtained from chart review. Results Nine of 60 FDNY firefighters who developed sarcoidosis since 9/11/2001 presented with polyarticular arthritis. Two others diagnosed pre-9/11/2001 developed sarcoid arthritis post-WTC-exposure. All 11 were never cigarette smokers and all performed rescue/recovery at the WTC-site within 3 days of the attacks. All had biopsy-proven pulmonary sarcoidosis and all required additional disease modifying anti-rheumatic drugs (DMARDs) for adequate control (stepwise progression from hydroxychloroquine to methotrexate to anti-TNFα agents) of their joint manifestations. Conclusion Chronic inflammatory polyarthritis appears to be an important manifestation of sarcoidosis in FDNY firefighters with sarcoidosis and WTC-exposure. Their arthritis is chronic, and unlike arthritis in non-WTC-exposed sarcoid patients, inadequately responsive to conventional oral DMARDs, often requiring anti-TNFα agents. Further studies are needed to determine the generalizability of these findings to other groups with varying levels of WTC-exposure or with other occupational/environmental exposures. PMID:25539429

  3. Induced sputum assessment in New York City firefighters exposed to World Trade Center dust.

    PubMed

    Fireman, Elizabeth M; Lerman, Yehuda; Ganor, Eliezer; Greif, Joel; Fireman-Shoresh, Sharon; Lioy, Paul J; Banauch, Gisela I; Weiden, Michael; Kelly, Kerry J; Prezant, David J

    2004-11-01

    New York City Firefighters (FDNY-FFs) were exposed to particulate matter and combustion/pyrolysis products during and after the World Trade Center (WTC) collapse. Ten months after the collapse, induced sputum (IS) samples were obtained from 39 highly exposed FDNY-FFs (caught in the dust cloud during the collapse on 11 September 2001) and compared to controls to determine whether a unique pattern of inflammation and particulate matter deposition, compatible with WTC dust, was present. Control subjects were 12 Tel-Aviv, Israel, firefighters (TA-FFs) and 8 Israeli healthcare workers who were not exposed to WTC dust. All controls volunteered for this study, had never smoked, and did not have respiratory illness. IS was processed by conventional methods. Retrieved cells were differentially counted, and metalloproteinase-9 (MMP-9), particle size distribution (PSD), and mineral composition were measured. Differential cell counts of FDNY-FF IS differed from those of health care worker controls (p < 0.05) but not from those of TA-FFs. Percentages of neutrophils and eosinophils increased with greater intensity of WTC exposure (< 10 workdays or greater than or equal to 10 workdays; neutrophils p = 0.046; eosinophils p = 0.038). MMP-9 levels positively correlated to neutrophil counts (p = 0.002; r = 0.449). Particles were larger and more irregularly shaped in FDNY-FFs (1-50 microm; zinc, mercury, gold, tin, silver) than in TA-FFs (1-10 microm; silica, clays). PSD was similar to that of WTC dust samples. In conclusion, IS from highly exposed FDNY-FFs demonstrated inflammation, PSD, and particle composition that was different from nonexposed controls and consistent with WTC dust exposure.

  4. Acute eosinophilic pneumonia in a New York City firefighter exposed to World Trade Center dust.

    PubMed

    Rom, William N; Weiden, Michael; Garcia, Roberto; Yie, Ting An; Vathesatogkit, Pratan; Tse, Doris B; McGuinness, Georgeann; Roggli, Victor; Prezant, David

    2002-09-15

    We report a sentinel case of acute eosinophilic pneumonia in a firefighter exposed to high concentrations of World Trade Center dust during the rescue effort from September 11 to 24. The firefighter presented with a Pa(O2) of 53 mm Hg and responded to oxygen and corticosteroids. Computed tomography scan showed patchy ground glass density, thickened bronchial walls, and bilateral pleural effusions. Bronchoalveolar lavage recovered 70% eosinophils, with only 1% eosinophils in peripheral blood. Eosinophils were not degranulated and increased levels of interleukin-5 were measured in bronchoalveolar lavage and serum. Mineralogic analysis counted 305 commercial asbestos fibers/10(6) macrophages including those with high aspect ratios, and significant quantities of fly ash and degraded fibrous glass. Acute eosinophilic pneumonia is a rare consequence of acute high dust exposure. World Trade Center dust consists of large particle-size silicates, but fly ash and asbestos fibers may be found in bronchoalveolar lavage cells.

  5. Lung Function Trajectories in World Trade Center-Exposed New York City Firefighters Over 13 Years: The Roles of Smoking and Smoking Cessation.

    PubMed

    Aldrich, Thomas K; Vossbrinck, Madeline; Zeig-Owens, Rachel; Hall, Charles B; Schwartz, Theresa M; Moir, William; Webber, Mayris P; Cohen, Hillel W; Nolan, Anna; Weiden, Michael D; Christodoulou, Vasilios; Kelly, Kerry J; Prezant, David J

    2016-06-01

    World Trade Center (WTC)-exposed Fire Department of the City of New York firefighters lost, on average, 10% of lung function after September 11, 2011, and >10% developed new obstructive airways disease. There was little recovery (on average) over the first 6 years. Follow-up into the next decade allowed us to determine the longer-term exposure effects and the roles of cigarette smoking and cessation on lung function trajectories. We examined serial measurements of FEV1 from March 11, 2000, to September 10, 2014, among 10,641 WTC-exposed Fire Department of the City of New York firefighters with known smoking and body weight histories. The median number of FEV1 measurements during follow-up was 9; 15% of firefighters arrived at the WTC during the morning of September 11, 2001; and 65% never smoked. Firefighters arriving the morning of September 11, 2001 averaged lower lung function than did lesser exposed firefighters; this difference remained significant during most of follow-up (P < .05). Never smokers had significantly better lung function than current smokers; former smokers fell in between, depending upon their cessation date. Those arriving the morning of September 11, 2001 were more likely to have an FEV1 < lower limits of normal compared with those arriving between September 13, 2001, and September 24, 2001 (OR = 1.70, P < .01). Current smokers were more likely to have an FEV1 < lower limits of normal compared with never smokers (OR = 2.06, P < .01), former smokers who quit before September 11, 2001 (OR = 1.96, P < .01), or those who quit between September 11, 2001 and March 10, 2008 (OR = 1.49, P < .01). Thirteen years after September 11, 2001, most firefighters continued to show a lack of lung function recovery, with the trajectory of decline differing by WTC exposure and smoking status. Unlike the immutable effect of WTC exposure, we demonstrated the benefit on lung function of smoking cessation in this unique occupational

  6. Post-9/11 cancer incidence in World Trade Center-exposed New York City firefighters as compared to a pooled cohort of firefighters from San Francisco, Chicago and Philadelphia (9/11/2001-2009)

    PubMed Central

    Moir, William; Zeig-Owens, Rachel; Daniels, Robert D; Hall, Charles B; Webber, Mayris P; Jaber, Nadia; Yiin, James H; Schwartz, Theresa; Liu, Xiaoxue; Vossbrinck, Madeline; Kelly, Kerry; Prezant, David J

    2016-01-01

    Background We previously reported a modest excess of cancer cases in World Trade Center (WTC) exposed firefighters as compared with the general population. This study aimed to separate the potential carcinogenic effects of firefighting and WTC-exposure by using a cohort of non-WTC-exposed firefighters as the referent group. Methods Relative rates (RRs) for all cancers combined and individual cancer subtypes from 9/11/2001-12/31/2009 were modelled using Poisson regression comparing 11,457 WTC-exposed firefighters to 8,220 non-WTC-exposed firefighters from San Francisco, Chicago, and Philadelphia. Results Compared with non-WTC-exposed firefighters, there was no difference in the RR of all cancers combined for WTC-exposed firefighters (RR=0.96, 95% CI: 0.83–1.12). Thyroid cancer was significantly elevated (RR=3.82, 95% CI: 1.07–20.81) over the entire study; this was attenuated (RR=3.43, 95% CI: 0.94–18.94) and non-significant in a secondary analysis controlling for possible surveillance bias. Prostate cancer was elevated during the latter half (1/1/2005-12/31/2009; RR=1.38, 95% CI: 1.01–1.88). Conclusions Further follow-up is needed with this referent population to assess the relationship between WTC-exposure and cancers with longer latency periods. PMID:27582474

  7. Post-9/11 cancer incidence in World Trade Center-exposed New York City firefighters as compared to a pooled cohort of firefighters from San Francisco, Chicago and Philadelphia (9/11/2001-2009).

    PubMed

    Moir, William; Zeig-Owens, Rachel; Daniels, Robert D; Hall, Charles B; Webber, Mayris P; Jaber, Nadia; Yiin, James H; Schwartz, Theresa; Liu, Xiaoxue; Vossbrinck, Madeline; Kelly, Kerry; Prezant, David J

    2016-09-01

    We previously reported a modest excess of cancer in World Trade Center (WTC)-exposed firefighters versus the general population. This study aimed to separate the potential carcinogenic effects of firefighting and WTC exposure by comparing to a cohort of non-WTC-exposed firefighters. Relative rates (RRs) for all cancers combined and individual cancer subtypes from 9/11/2001 to 12/31/2009 were modeled using Poisson regression comparing 11,457 WTC-exposed firefighters to 8,220 urban non-WTC-exposed firefighters. Compared with non-WTC-exposed firefighters, there was no difference in the RR of all cancers combined for WTC-exposed firefighters (RR = 0.96, 95%CI: 0.83-1.12). Thyroid cancer was significantly elevated (RR = 3.82, 95%CI: 1.07-20.81) from 2001 to 2009; this was attenuated (RR = 3.43, 95%CI: 0.94-18.94) and non-significant when controlling for possible surveillance bias. Prostate cancer was elevated during the latter half (2005-2009; RR = 1.38, 95%CI: 1.01-1.88). Further follow-up is needed to assess the relationship between WTC exposure and cancers with longer latency periods. Am. J. Ind. Med. 59:722-730, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  8. Longitudinal Pulmonary Function in Newly Hired, Non-World Trade Center-Exposed Fire Department City of New York Firefighters

    PubMed Central

    Ye, Fen; Hall, Charles B.; Webber, Mayris P.; Cohen, Hillel W.; Dinkels, Michael; Cosenza, Kaitlyn; Weiden, Michael D.; Nolan, Anna; Christodoulou, Vasilios; Kelly, Kerry J.; Prezant, David J.

    2013-01-01

    Background: Few longitudinal studies characterize firefighters’ pulmonary function. We sought to determine whether firefighters have excessive FEV1 decline rates compared with control subjects. Methods: We examined serial measurements of FEV1 from about 6 months prehire to about 5 years posthire in newly hired male, never smoking, non-Hispanic black and white firefighters, hired between 2003 and 2006, without prior respiratory disease or World Trade Center exposure. Similarly defined Emergency Medical Service (EMS) workers served as control subjects. Results: Through June 30, 2011, 940 firefighters (82%) and 97 EMS workers (72%) who met study criteria had four or more acceptable posthire spirometries. Prehire FEV1% averaged higher for firefighters than EMS workers (99% vs 95%), reflecting more stringent job entry criteria. FEV1 (adjusted for baseline age and height) declined by an average of 45 mL/y both for firefighters and EMS workers, with Fire − EMS decline rate differences averaging 0.2 mL/y (CI, −9.2 to 9.6). Four percent of each group had FEV1 less than the lower limit of normal before hire, increasing to 7% for firefighters and 17.5% for EMS workers, but similar percentages of both groups had adjusted FEV1 decline rates ≥ 10%. Mixed effects modeling showed a significant influence of weight gain but not baseline weight: FEV1 declined by about 8 mL/kg gained for both groups. Adjusting for weight change, FEV1 decline averaged 38 mL/y for firefighters and 34 mL/y for EMS workers. Conclusions: During the first 5 years of duty, firefighters do not show greater longitudinal FEV1 decline than EMS control subjects, and fewer of them develop abnormal lung function. Weight gain is associated with a small loss of lung function, of questionable clinical relevance in this fit and active population. PMID:23188136

  9. Biomonitoring of chemical exposure among New York City firefighters responding to the World Trade Center fire and collapse.

    PubMed Central

    Edelman, Philip; Osterloh, John; Pirkle, James; Caudill, Sam P; Grainger, James; Jones, Robert; Blount, Ben; Calafat, Antonia; Turner, Wayman; Feldman, Debra; Baron, Sherry; Bernard, Bruce; Lushniak, Boris D; Kelly, Kerry; Prezant, David

    2003-01-01

    The collapse of the World Trade Center (WTC) on 11 September 2001 exposed New York City firefighters to smoke and dust of unprecedented magnitude and duration. The chemicals and the concentrations produced from any fire are difficult to predict, but estimates of internal dose exposures can be assessed by the biological monitoring of blood and urine. We analyzed blood and urine specimens obtained from 321 firefighters responding to the WTC fires and collapse for 110 potentially fire-related chemicals. Controls consisted of 47 firefighters not present at the WTC. Sampling occurred 3 weeks after 11 September, while fires were still burning. When reference or background ranges were available, most chemical concentrations were found to be generally low and not outside these ranges. Compared with controls, the exposed firefighters showed significant differences in adjusted geometric means for six of the chemicals and significantly greater detection rates for an additional three. Arrival time was a significant predictor variable for four chemicals. Special Operations Command firefighters (n = 95), compared with other responding WTC firefighters (n = 226), had differences in concentrations or detection rate for 14 of the chemicals. Values for the Special Operations Command firefighters were also significantly different from the control group values for these same chemicals and for two additional chemicals. Generally, the chemical concentrations in the other firefighter group were not different from those of controls. Biomonitoring was used to characterize firefighter exposure at the WTC disaster. Although some of the chemicals analyzed showed statistically significant differences, these differences were generally small. PMID:14644665

  10. Biomonitoring of chemical exposure among New York City firefighters responding to the World Trade Center fire and collapse.

    PubMed

    Edelman, Philip; Osterloh, John; Pirkle, James; Caudill, Sam P; Grainger, James; Jones, Robert; Blount, Ben; Calafat, Antonia; Turner, Wayman; Feldman, Debra; Baron, Sherry; Bernard, Bruce; Lushniak, Boris D; Kelly, Kerry; Prezant, David

    2003-12-01

    The collapse of the World Trade Center (WTC) on 11 September 2001 exposed New York City firefighters to smoke and dust of unprecedented magnitude and duration. The chemicals and the concentrations produced from any fire are difficult to predict, but estimates of internal dose exposures can be assessed by the biological monitoring of blood and urine. We analyzed blood and urine specimens obtained from 321 firefighters responding to the WTC fires and collapse for 110 potentially fire-related chemicals. Controls consisted of 47 firefighters not present at the WTC. Sampling occurred 3 weeks after 11 September, while fires were still burning. When reference or background ranges were available, most chemical concentrations were found to be generally low and not outside these ranges. Compared with controls, the exposed firefighters showed significant differences in adjusted geometric means for six of the chemicals and significantly greater detection rates for an additional three. Arrival time was a significant predictor variable for four chemicals. Special Operations Command firefighters (n = 95), compared with other responding WTC firefighters (n = 226), had differences in concentrations or detection rate for 14 of the chemicals. Values for the Special Operations Command firefighters were also significantly different from the control group values for these same chemicals and for two additional chemicals. Generally, the chemical concentrations in the other firefighter group were not different from those of controls. Biomonitoring was used to characterize firefighter exposure at the WTC disaster. Although some of the chemicals analyzed showed statistically significant differences, these differences were generally small.

  11. Symptoms, respirator use, and pulmonary function changes among New York City firefighters responding to the World Trade Center disaster.

    PubMed

    Feldman, Debra M; Baron, Sherry L; Bernard, Bruce P; Lushniak, Boris D; Banauch, Gisela; Arcentales, Nicole; Kelly, Kerry J; Prezant, David J

    2004-04-01

    New York City firefighters responding to the World Trade Center (WTC) disaster on September 11, 2001, were exposed to numerous hazards. A medical screening program was conducted 3 weeks after the disaster on a sample of firefighters. To determine whether arrival time at the WTC and other exposure variables (including respirator use) were associated with symptoms and changes in pulmonary function (after exposure - before exposure). A cross-sectional comparison of firefighters representing the following groups: (1) firefighters who arrived before/during the WTC collapse, (2) firefighters who arrived 1 to 2 days after the collapse, (3) firefighters who arrived 3 to 7 days after the collapse, and (4) unexposed firefighters. Fire Department of New York City (FDNY) Bureau of Health Services on October 1 to 5, 2001. A stratified random sample of 362 of 398 recruited working firefighters (91%). Of these, 149 firefighters (41%) were present at the WTC collapse, 142 firefighters (39%) arrived after the collapse but within 48 h, 28 firefighters (8%) arrived 3 to 7 days after the collapse, and 43 firefighters (12%) were unexposed. New/worsening symptoms involving the eyes, skin, respiratory system, and nose and throat (NT), and changes in spirometry from before to after exposure. During the first 2 weeks at the WTC site, 19% of study firefighters reported not using a respirator; 50% reported using a respirator but only rarely. Prevalence ratios (PRs) for skin, eye, respiratory, and NT symptoms showed a dose-response pattern between exposure groups based on time of arrival at the WTC site, with PRs between 2.6 and 11.4 with 95% confidence intervals (CIs) excluding 1.0 for all but skin symptoms. For those spending > 7 days at the site, the PR for respiratory symptoms was 1.32 (95% CI, 1.13 to 1.55), compared with those who were exposed for < 7 days. Mean spirometry results before and after exposure were within normal limits. The change in spirometry findings (after exposure

  12. Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster: 2005-2010.

    PubMed

    Weakley, Jessica; Webber, Mayris P; Gustave, Jackson; Kelly, Kerry; Cohen, Hillel W; Hall, Charles B; Prezant, David J

    2011-12-01

    To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9 years post-9/11. We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95% confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~10% for cough to ~48% for sinus. We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population. Copyright © 2011 Elsevier Inc. All rights reserved.

  13. Firefighting

    NASA Technical Reports Server (NTRS)

    2001-01-01

    Technology used to provide thermal protection for Apollo astronauts and spacecraft components provides firefighters with better protective clothing and equipment. Spinoffs include a portable firefighting module, protective clothing for workers in hazardous environments, fire-retardant paints and forms, fireblocking coating for outdoor structures, and flame-resistant fabric. Perhaps the farthest reaching is the breathing apparatus worn by firefighters throughout the U.S. for protection against smoke inhalation injury. The breathing system weighs approximately 20 pounds, one-third less than past systems, and it enables the wearer to have improved mobility. It consists of a face mask, frame and harness, a warning device, and an air bottle. The basic air cylinder offers the same 30-minutes of operation time as its predecessor. The result is a drastic reduction in the number of inhalation injuries to firefighters. Though they have made many design modifications and refinements, manufacturers of breathing apparatus still incorporate the original NASA technology.

  14. Firefighting

    NASA Technical Reports Server (NTRS)

    2001-01-01

    Technology used to provide thermal protection for Apollo astronauts and spacecraft components provides firefighters with better protective clothing and equipment. Spinoffs include a portable firefighting module, protective clothing for workers in hazardous environments, fire-retardant paints and forms, fireblocking coating for outdoor structures, and flame-resistant fabric. Perhaps the farthest reaching is the breathing apparatus worn by firefighters throughout the U.S. for protection against smoke inhalation injury. The breathing system weighs approximately 20 pounds, one-third less than past systems, and it enables the wearer to have improved mobility. It consists of a face mask, frame and harness, a warning device, and an air bottle. The basic air cylinder offers the same 30-minutes operation time as its predecessor. The result is a drastic reduction in the number of inhalation injuries to firefighters. Though they have made many design modifications and refinements, manufacturers of breathing apparatus still incorporate the original NASA technology.

  15. Firefighting

    NASA Technical Reports Server (NTRS)

    2004-01-01

    Firefighters are like astronauts. They both face dangerous, even hostile environments such as a building full of fire and the vacuum of space. They are both get breathing air from tanks on their backs. Early in the 1970's, NASA began working to improve firefighter breathing systems, which had hardly changed since the 1940s. NASA's Johnson Space Center conducted a 4-year program that applied technology from the portable life support systems used by Apollo astronauts on the moon. The new breathing system is made up of an air bottle, a frame and harness, a face mask, and a warning device. The new system weighs less than 20 pounds, one-third less than the old gear. The new air bottle provides 30 minutes of breathing air, as much as the old system. Like a good hiker's backpack, the new system puts the weight on the firefighter's hips rather than the shoulders. The face mask provides better visibility and the warning device lets the firefighter know when air in the bottle is low. Though they have made many design modifications and refinements, manufacturers of breathing apparatus still incorporate the original NASA technology.

  16. Firefighter

    ERIC Educational Resources Information Center

    Moore, Pam

    2011-01-01

    The responsibilities of a firefighter extend far beyond simply responding to fire emergencies. At many departments, responding to medical calls or car accidents is the most frequent activity, and a routine shift might also entail dealing with hazardous materials, gas leaks, structural collapses, floods, ice storms, wild animals, or the myriad…

  17. Firefighter

    ERIC Educational Resources Information Center

    Moore, Pam

    2011-01-01

    The responsibilities of a firefighter extend far beyond simply responding to fire emergencies. At many departments, responding to medical calls or car accidents is the most frequent activity, and a routine shift might also entail dealing with hazardous materials, gas leaks, structural collapses, floods, ice storms, wild animals, or the myriad…

  18. Acute health effects among firefighters exposed to a polyvinyl chloride (PVC) fire

    SciTech Connect

    Markowitz, J.S.; Gutterman, E.M. ); Schwartz, S.; Link, B.; Gorman, S.M. )

    1989-05-01

    Firefighters are frequently being called on to fight fires that are chemical in nature. In the aftermath of a chemical fire in Plainfield, New Jersey on March 20-21, 1985, the authors conducted a retrospective cohort study which surveyed 80 firefighters exposed to burning polyvinyl chloride (PVC) as well as 15 nonexposed firefighter subjects. By means of an 81-item symptom checklist, exposed firefighters reported more frequent and severe symptoms at 5-6 weeks post incident. This was true for a total symptomatology score as well as 19 individual items. Some of the items with an elevated risk were consistent with exposure to hydrogen chloride, the main pyrolysis product of polyvinyl chloride. Other items with an elevated risk appeared to be related to smoke inhalation while others seemed psychosocial in nature. Analyses conducted within the exposed firefighter group showed that fighting the fire the first day, being a truckman, and residence within 1 mile (1.6 km) of the firehouse were significant risk factors for high total symptom scores. These risk factors may have been associated with level or duration of exposure to the toxic substances produced during the fire.

  19. Assessment of health effects in New York City firefighters after exposure to polychlorinated biphenyls (PCBs) and polychlorinated dibenzofurans (PCDFs): the Staten Island Transformer Fire Health Surveillance Project.

    PubMed

    Kelly, Kerry J; Connelly, Edmond; Reinhold, Gustave A; Byrne, Mike; Prezant, David J

    2002-01-01

    Following an electrical transformer fire in Staten Island, New York, a health surveillance program was established for 60 New York City firefighters and emergency medical technicians exposed to polychlorinated biphenyls (PCBs) and polychlorinated dibenzofurans (PCDFs). Exposure potential was documented after high levels of PCBs and PCDFs were found on transformer and firefighters' uniforms. Personnel received comprehensive medical examinations, and the results were compared with preexposure values. Serum was analyzed for PCBs, PCDFs, and polychlorinated dibenzo-p-dioxins (PCDDs). Follow-up was conducted 9 mo later. Thirty-two of 58 (55%) firefighters reported initial symptoms, and 3 firefighters required brief medical leave. Pulmonary functions, exercise performance, serum liver functions, and serum lipid profiles were normal or unchanged from preexposure baselines. Serum PCBs averaged 2.92 +/- 1.96 ppb (range = 1.9-11.0 ppb). Five (8%) had serum PCBs that were greater than or equal to 6 ppb. Eight (73%) had a significant decrease (p = .05) in serum PCB level at the time of follow-up. Serum toxic equivalency (TEQ [1998 World Health Organization]) for total PCDDs and PCDFs averaged 39.0 +/- 21.5 (n = 48). Eighteen (38%) had elevated TEQs (i.e., > 40). All firefighters had no short-term heath effects. Modern firefighting uniforms are not meant to replace HAZMAT suits, but these uniforms provide protection from this chemical exposure for most firefighters.

  20. Trends in probable PTSD in firefighters exposed to the World Trade Center disaster, 2001-2010.

    PubMed

    Soo, Jackie; Webber, Mayris P; Gustave, Jackson; Lee, Roy; Hall, Charles B; Cohen, Hillel W; Kelly, Kerry J; Prezant, David J

    2011-09-01

    We present the longest follow-up, to date, of probable posttraumatic stress disorder (PTSD) after the 2001 terrorist attacks on the World Trade Center (WTC) in New York City firefighters who participated in the rescue/recovery effort. We examined data from 11,006 WTC-exposed firefighters who completed 40,672 questionnaires and reported estimates of probable PTSD by year from serial cross-sectional analyses. In longitudinal analyses, we used separate Cox models with data beginning from October 2, 2001, to identify variables associated with recovery from or delayed onset of probable PTSD. The prevalence of probable PTSD was 7.4% by September 11, 2010, and continued to be associated with early arrival at the WTC towers during every year of analysis. An increasing number of aerodigestive symptoms (hazard ratio [HR] 0.89 per symptom, 95% confidence interval [CI] 0.86-.93) and reporting a decrease in exercise, whether the result of health (HR 0.56 vs no change in exercise, 95% CI 0.41-.78) or other reasons (HR 0.76 vs no change in exercise, 95% CI 0.63-.92), were associated with a lower likelihood of recovery from probable PTSD. Arriving early at the WTC (HR 1.38 vs later WTC arrival, 95% CI 1.12-1.70), an increasing number of aerodigestive symptoms (HR 1.45 per symptom, 95% CI 1.40-1.51), and reporting an increase in alcohol intake since September 11, 2001 (HR 3.43 vs no increase in alcohol intake, 95% CI 2.67-4.43) were associated with delayed onset of probable PTSD. Probable PTSD continues to be associated with early WTC arrival even 9 years after the terrorist attacks. Concurrent conditions and behaviors, such as respiratory symptoms, exercise, and alcohol use also play important roles in contributing to PTSD symptoms.

  1. Predictors of posttraumatic stress disorder and other psychological symptoms in trauma-exposed firefighters.

    PubMed

    Meyer, Eric C; Zimering, Rose; Daly, Erin; Knight, Jeffrey; Kamholz, Barbara W; Gulliver, Suzy Bird

    2012-02-01

    Firefighters are exposed to a range of potentially traumatic stressors, yet studies examining the impact of this exposure are equivocal. Although some studies suggest increased risk for mental health problems, others suggest unusual resilience. Type of assessment methodology may contribute to the lack of consistent findings. We assessed 142 trauma-exposed, professional firefighters utilizing a standardized clinical interview and self-report measures and found low rates of posttraumatic stress disorder (PTSD) diagnoses (4.2%), and depressive, anxiety, and alcohol-abuse symptoms. Frequency of trauma exposure did not predict psychological symptoms. Perceived social support, occupational stress, coping, as well as the interaction between perceived social support and self-blame were significant predictors of symptoms. Firefighters reporting low-perceived social support and high self-blame demonstrated the highest levels of clinically significant symptoms. These findings may inform education, treatment, and resilience training for emergency personnel.

  2. Post-9/11 sarcoidosis in WTC-exposed firefighters and emergency medical service workers.

    PubMed

    Webber, Mayris P; Yip, Jennifer; Zeig-Owens, Rachel; Moir, William; Ungprasert, Patompong; Crowson, Cynthia S; Hall, Charles B; Jaber, Nadia; Weiden, Michael D; Matteson, Eric L; Prezant, David J

    2017-06-07

    The World Trade Center (WTC) disaster released a huge quantity and variety of toxicants into the environment. To-date, studies from each of the three major cohorts of WTC-exposed workers have suggested "greater than expected" numbers of post-9/11 cases in some workers. We undertook this study to estimate the incidence of post-9/11 sarcoidosis in ∼13,000 male firefighters and EMS workers enrolled in The Fire Department of the City of New York (FDNY) WTC Health Program; to compare FDNY incidence to rates from unexposed, demographically similar men in the Rochester Epidemiology Project (REP); and, to examine rates by level of WTC exposure. We calculated incidence of sarcoidosis diagnosed from 9/12/2001 to 9/11/2015, and generated expected sex- and age-specific rates based on REP rates. Standardized incidence ratios (SIR) based on REP rates, and 95% confidence intervals (95% CI) were estimated. Two sensitivity analyses limited cases to those with intra-thoracic symptoms or biopsy confirmation. We identified 68 post-9/11 cases in the FDNY cohort. Overall, FDNY rates were significantly higher than expected rates (SIR = 2.8; 95% CI = 2.2, 3.6). Including only symptomatic cases, the SIR decreased (SIR = 2.2; 95% CI = 1.5, 3.0), but remained significantly elevated. SIRs ranged from 2.7 (95% CI = 2.0, 3.5) in the lower WTC exposure group to 4.2 (95% CI = 1.9, 8.0) in the most highly exposed. We found excess incident post-9/11 sarcoidosis in WTC-exposed workers. Continued surveillance, particularly of those most highly exposed, is necessary to identify those with sarcoidosis and to follow them for possible adverse effects including functional impairments and organ damage. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Impact of a modern firefighting protective uniform on the incidence and severity of burn injuries in New York City firefighters.

    PubMed

    Prezant, D J; Kelly, K J; Malley, K S; Karwa, M L; McLaughlin, M T; Hirschorn, R; Brown, A

    1999-06-01

    The New York City Fire Department (FDNY) is the largest fire department in the United States, with over 11,000 firefighters. In 1994, FDNY changed to a modern firefighting protective uniform. The major difference between traditional and modern uniforms is that modern uniforms include both protective over-coat and over-pant, whereas traditional uniforms include only the over-coat. Furthermore, modern uniforms are manufactured using improved thermal protective textiles that meet or exceed current National Fire Protection Association standards for structural firefighting. The purpose of this study was to determine the impact of the modern uniform on the incidence and severity of FDNY burn injuries. We also evaluated the incidence and severity of other non-burn injuries to determine whether there was serious adverse impact. The number of lower-extremity burns decreased by 85% when 2 years' experience while wearing the modern uniform was compared with 2 years while wearing the traditional uniform. Upper-extremity burns and head burns decreased by 65% and 40%, respectively. Severity indicators (days lost to medical leave, hospital admissions, and skin grafts) for lower- and upper-extremity burn injuries were all substantially reduced. This occurred without significant change in the incidence or severity of trunk burns, heat exhaustion, inhalation injuries (actually decreased), or cardiac events. The reduction in the incidence and severity of burn injuries, the major occupational injury affecting this workforce, has been so dramatic and without untoward effects that the introduction of the modern uniform must be characterized as a sentinel event in the history of firefighter health and safety.

  4. Impact of a design modification in modern firefighting uniforms on burn prevention outcomes in New York City firefighters.

    PubMed

    Prezant, D J; Freeman, K; Kelly, K J; Malley, K S; Karwa, M L; McLaughlin, M T; Hirschhorn, R; Brown, A

    2000-08-01

    Our aim was to determine the impact of three different firefighting uniforms (traditional, modern, and modified modern) on the incidence and severity of thermal burn injuries, the major occupational injury affecting firefighters. Injury data were collected prospectively for the entire New York City Fire Department (FDNY) firefighting force wearing FDNY's traditional uniform (protective over-coat) from May 1, 1993 to August 31, 1993; FDNY's modern uniform (protective over-coat and over-pant) from May 1, 1995 to August 31, 1995; and FDNY's modified modern uniform (short sleeved shirt and short pants, rather than long-sleeved shirt and long pants, worn under firefighter's protective over-clothes) from May 1, 1998 to August 31, 1998. Outcome measures were burn incidence and severity. Adverse outcomes were heat exhaustion and cardiac events. During this 12-month study, 29,094 structural fires occurred. The incidence rate for upper extremity burns was 2341 per 100,000 fires and for lower extremity burns, 2076 per 100,000 fires. With the change from the traditional to modern uniform, the distribution of burns per fire decreased significantly (P = 0.001) for upper extremity burns (86%) and lower extremity burns (93%). With the change from traditional to modern uniform, days lost to medical leave for upper or lower extremity burns decreased by 89%. The majority of burns occurred at the lower arm and mid-leg, and the change to the modern uniform decreased such burns by 87% and 92%. Burn incidence and severity were not significantly affected by the change to the modified modern uniform. The distribution of heat exhaustion or cardiac events per fire was not significantly affected by the change from the traditional to modern uniform, and heat exhaustion was decreased (P < 0.001) by the change to the modified modern uniform. In conclusion, the modern uniform dramatically reduced burn incidence and severity without adverse impact. The modified modern uniform significantly reduced

  5. Early assessment of cancer outcomes in New York City firefighters after the 9/11 attacks: an observational cohort study.

    PubMed

    Zeig-Owens, Rachel; Webber, Mayris P; Hall, Charles B; Schwartz, Theresa; Jaber, Nadia; Weakley, Jessica; Rohan, Thomas E; Cohen, Hillel W; Derman, Olga; Aldrich, Thomas K; Kelly, Kerry; Prezant, David J

    2011-09-03

    The attacks on the World Trade Center (WTC) on Sept 11, 2001 (9/11) created the potential for occupational exposure to known and suspected carcinogens. We examined cancer incidence and its potential association with exposure in the first 7 years after 9/11 in firefighters with health information before 9/11 and minimal loss to follow-up. We assessed 9853 men who were employed as firefighters on Jan 1, 1996. On and after 9/11, person-time for 8927 firefighters was classified as WTC-exposed; all person-time before 9/11, and person-time after 9/11 for 926 non-WTC-exposed firefighters, was classified as non-WTC exposed. Cancer cases were confirmed by matches with state tumour registries or through appropriate documentation. We estimated the ratio of incidence rates in WTC-exposed firefighters to non-exposed firefighters, adjusted for age, race and ethnic origin, and secular trends, with the US National Cancer Institute Surveillance Epidemiology and End Results (SEER) reference population. CIs were estimated with overdispersed Poisson models. Additional analyses included corrections for potential surveillance bias and modified cohort inclusion criteria. Compared with the general male population in the USA with a similar demographic mix, the standardised incidence ratios (SIRs) of the cancer incidence in WTC-exposed firefighters was 1·10 (95% CI 0·98-1·25). When compared with non-exposed firefighters, the SIR of cancer incidence in WTC-exposed firefighters was 1·19 (95% CI 0·96-1·47) corrected for possible surveillance bias and 1·32 (1·07-1·62) without correction for surveillance bias. Secondary analyses showed similar effect sizes. We reported a modest excess of cancer cases in the WTC-exposed cohort. We remain cautious in our interpretation of this finding because the time since 9/11 is short for cancer outcomes, and the reported excess of cancers is not limited to specific organ types. As in any observational study, we cannot rule out the possibility that

  6. Early assessment of cancer outcomes in New York City firefighters after the 9/11 attacks: an observational cohort study

    PubMed Central

    Zeig-Owens, Rachel; Webber, Mayris P; Hall, Charles B; Schwartz, Theresa; Jaber, Nadia; Weakley, Jessica; Rohan, Thomas E; Cohen, Hillel W; Derman, Olga; Aldrich, Thomas K; Kelly, Kerry; Prezant, David J

    2017-01-01

    Summary Background The attacks on the World Trade Center (WTC) on Sept 11, 2001 (9/11) created the potential for occupational exposure to known and suspected carcinogens. We examined cancer incidence and its potential association with exposure in the first 7 years after 9/11 in firefighters with health information before 9/11 and minimal loss to follow-up. Methods We assessed 9853 men who were employed as firefighters on Jan 1, 1996. On and after 9/11, person-time for 8927 firefighters was classified as WTC-exposed; all person-time before 9/11, and person-time after 9/11 for 926 non-WTC-exposed firefighters, was classified as non-WTC exposed. Cancer cases were confirmed by matches with state tumour registries or through appropriate documentation. We estimated the ratio of incidence rates in WTC-exposed firefighters to non-exposed firefighters, adjusted for age, race and ethnic origin, and secular trends, with the US National Cancer Institute Surveillance Epidemiology and End Results (SEER) reference population. CIs were estimated with overdispersed Poisson models. Additional analyses included corrections for potential surveillance bias and modified cohort inclusion criteria. Findings Compared with the general male population in the USA with a similar demographic mix, the standardised incidence ratios (SIRs) of the cancer incidence in WTC-exposed firefighters was 1·10 (95% CI 0·98–1·25). When compared with non-exposed firefighters, the SIR of cancer incidence in WTC-exposed firefighters was 1·19 (95% CI 0·96–1·47) corrected for possible surveillance bias and 1·32 (1·07–1·62) without correction for surveillance bias. Secondary analyses showed similar effect sizes. Interpretation We reported a modest excess of cancer cases in the WTC-exposed cohort. We remain cautious in our interpretation of this finding because the time since 9/11 is short for cancer outcomes, and the reported excess of cancers is not limited to specific organ types. As in any

  7. Trauma-exposed firefighters: relationships among posttraumatic growth, posttraumatic stress, resource availability, coping and critical incident stress debriefing experience.

    PubMed

    Sattler, David N; Boyd, Bill; Kirsch, Julie

    2014-12-01

    This project examines protective factors associated with resilience/posttraumatic growth and risk factors associated with posttraumatic stress among firefighters exposed to critical incidents. The participants were 286 (257 men and 29 women) volunteer and paid firefighters in Whatcom County, Washington. Participants completed an anonymous survey asking about demographics, critical incident exposure, posttraumatic stress symptoms, posttraumatic growth, resource availability, coping, occupational stress and critical incident stress debriefing experience. Most participants had significant critical incident exposure, and about half had attended critical incident stress debriefing sessions. Posttraumatic growth was associated with being female, critical incident exposure, critical incident stress debriefing attendance, posttraumatic stress symptoms (negative association), occupational support, occupation satisfaction, occupational effort, problem-focused coping, emotion-focused coping and personal characteristic resources. Posttraumatic stress symptoms were positively associated with years of firefighting, burnout, occupational effort and disengagement coping and negatively associated with critical incident stress debriefing attendance, posttraumatic growth, social support, internal locus of control, personal characteristic resources, energy resources and condition resources. The findings support conservation of resources stress theory and show that the maintenance and acquisition of resources can offset losses and facilitate resilience/posttraumatic growth. Implications of the findings for enhancing firefighter resources, facilitating resilience and minimizing occupational stressors are discussed. © 2014 John Wiley & Sons, Ltd.

  8. Cardiovascular biomarkers predict susceptibility to lung injury in World Trade Center dust-exposed firefighters.

    PubMed

    Weiden, Michael D; Naveed, Bushra; Kwon, Sophia; Cho, Soo Jung; Comfort, Ashley L; Prezant, David J; Rom, William N; Nolan, Anna

    2013-05-01

    Pulmonary vascular loss is an early feature of chronic obstructive pulmonary disease. Biomarkers of inflammation and of metabolic syndrome predict loss of lung function in World Trade Center (WTC) lung injury (LI). We investigated if other cardiovascular disease (CVD) biomarkers also predicted WTC-LI. This nested case-cohort study used 801 never-smoker, WTC-exposed firefighters with normal pre-9/11 lung function presenting for subspecialty pulmonary evaluation (SPE) before March 2008. A representative subcohort of 124 out of 801 subjects with serum drawn within 6 months of 9/11 defined CVD biomarker distribution. Post-9/11 forced expiratory volume in 1 s (FEV1) at defined cases were as follows: susceptible WTC-LI cases with FEV1 ≤77% predicted (66 out of 801) and resistant WTC-LI cases with FEV1 ≥107% predicted (68 out of 801). All models were adjusted for WTC exposure intensity, body mass index at SPE, age on 9/11 and pre-9/11 FEV1. Susceptible WTC-LI cases had higher levels of apolipoprotein-AII, C-reactive protein and macrophage inflammatory protein-4 with significant relative risks (RRs) of 3.85, 3.93 and 0.26, respectively, with an area under the curve (AUC) of 0.858. Resistant WTC-LI cases had significantly higher soluble vascular cell adhesion molecule and lower myeloperoxidase, with RRs of 2.24 and 2.89, respectively (AUC 0.830). Biomarkers of CVD in serum 6 months post-9/11 predicted either susceptibility or resistance to WTC-LI. These biomarkers may define pathways either producing or protecting subjects from pulmonary vascular disease and associated loss of lung function after an irritant exposure.

  9. Longitudinal study of probable post-traumatic stress disorder in firefighters exposed to the World Trade Center disaster.

    PubMed

    Berninger, Amy; Webber, Mayris P; Niles, Justin K; Gustave, Jackson; Lee, Roy; Cohen, Hillel W; Kelly, Kerry; Corrigan, Malachy; Prezant, David J

    2010-12-01

    Symptoms of post-traumatic stress disorder (PTSD) have been reported even years after the terrorist attacks of September 11, 2001 (9/11). We used screening tools to assess the prevalence of probable PTSD in 9/11-exposed firefighters at two time points, within 6 months of 9/11 (baseline) and 3-4 years post-disaster (follow-up). Five thousand six hundred fifty-six individuals completed assessments at both times. 15.5% reported probable PTSD post-9/11, 8.6% at baseline and 11.1% at follow-up, on average 2.9 (SD 0.5) years later. Analyses revealed that nearly half of all probable PTSD occurred as delayed onset (absent baseline, present follow-up). Compared with the resilient group (no probable PTSD at either time), probable PTSD at baseline, and delayed onset at follow-up were each associated with concomitant functional impairment (OR 19.5 and 18.9), respectively. Similar percentages of firefighters met criteria for baseline and delayed onset probable PTSD at follow-up, years later. Both were associated with substantial functional impairment. Early risk identification could provide opportunities for mental health interventions before symptoms compromise work and social relationships.

  10. Health responses of New York City firefighter spouses and their families post-September 11, 2001 terrorist attacks.

    PubMed

    Menendez, Anne Marie; Molloy, Janice; Magaldi, Maryann Corrigan

    2006-10-01

    Much attention has been focused on New York City firefighters and their responses to the traumatic events of the September 11, 2001, terrorist attacks on the World Trade Center, given their extensive involvement in rescue efforts, and the overwhelming loss of life among the fire department employees. It quickly became evident that the impact of this horrendous event had resonated deeply not only on the families and children of the firefighters who gave their lives, but also on those who had survived. The goal of this study was to conduct semi-structured focus groups of women whose firefighter husbands were directly involved in rescue efforts at Ground Zero. We hoped to identify patterns in survivors' responses to the events as well as any coping mechanisms that the participants used to manage their exposure to the tragedy. An analysis of transcripts from interviews reveals the nature and extent of the impact of the trauma on these women, their husbands, and their children. There were two recurring themes that were apparent from the interview data. Women used patterns of connectedness to other spouses to cope with the emotional impact of the event. In addition, participants reported a constant need to be vigilant in helping their families cope. Issues related to the family's physical, mental, and spiritual health in the context of nursing practice are discussed.

  11. FDNY and 9/11: Clinical services and health outcomes in World Trade Center-exposed firefighters and EMS workers from 2001 to 2016.

    PubMed

    Yip, Jennifer; Webber, Mayris P; Zeig-Owens, Rachel; Vossbrinck, Madeline; Singh, Ankura; Kelly, Kerry; Prezant, David J

    2016-09-01

    After the World Trade Center (WTC) attacks on September 11, 2001, the Fire Department of the City of New York (FDNY) instituted a WTC medical monitoring and treatment program and established a data center to document health outcomes in the WTC-exposed workforce of ∼16,000 firefighters and EMS workers. FDNY schedules routine monitoring exams every 12-18 months and physical and mental health treatment appointments, as required. FDNY research studies have consistently found that early arrival to work and/or prolonged work at the WTC-site increased the risks for adverse physical and mental health outcomes. To date, a substantial proportion has been diagnosed with obstructive airways disease, chronic rhinosinusitis, and gastroesophageal reflux disease; a quarter has two or more of these conditions. While much has been learned, the entire spectrum and trajectory of WTC-related disorders and their mechanisms of onset and persistence remain to be fully described. Am. J. Ind. Med. 59:695-708, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Pulmonary Function Predicting Confirmed Recovery From Lower-Respiratory Symptoms in World Trade Center-Exposed Firefighters, 2001 to 2010

    PubMed Central

    Soo, Jackie; Hall, Charles B.; Cohen, Hillel W.; Schwartz, Theresa M.; Kelly, Kerry J.; Prezant, David J.

    2012-01-01

    Background: We examined the relationship between pulmonary function (FEV1) and confirmed recovery from three lower-respiratory symptoms (LRSs) (cough, dyspnea, and wheeze) up to 9 years after symptom onset. Methods: The study included white and black male World Trade Center (WTC)-exposed firefighters who reported at least one LRS on a medical monitoring examination during the first year after September 11, 2001. Confirmed recovery was defined as reporting no LRSs on two consecutive and all subsequent examinations. FEV1 was assessed at the first post-September 11, 2001, examination and at each examination where symptom information was ascertained. We used stratified Cox regression models to analyze FEV1, WTC exposure, and other variables in relation to confirmed symptom recovery. Results: A total of 4,368 firefighters met inclusion criteria and were symptomatic at year 1, of whom 1,592 (36.4%) experienced confirmed recovery. In univariable models, first post-September 11, 2001, concurrent, and difference between first post-September 11, 2001, and concurrent FEV1 values were all significantly associated with confirmed recovery. In adjusted analyses, both first post-September 11, 2001, FEV1 (hazard ratio [HR], 1.07 per 355-mL difference; 95% CI, 1.04-1.10) and FEV1 % predicted (HR, 1.08 per 10% predicted difference; 95% CI, 1.04-1.12) predicted confirmed recovery. WTC exposure had an inverse association with confirmed recovery in the model with FEV1, with the earliest arrival group less likely to recover than the latest arrival group (HR, 0.73; 95% CI, 0.58-0.92). Conclusions: Higher FEV1 and improvement in FEV1 after September 11, 2001, predicted confirmed LRS recovery, supporting a physiologic basis for recovery and highlighting consideration of spirometry as part of any postexposure respiratory health assessment. PMID:22576633

  13. The upper respiratory pyramid: early factors and later treatment utilization in World Trade Center exposed firefighters.

    PubMed

    Niles, Justin K; Webber, Mayris P; Liu, Xiaoxue; Zeig-Owens, Rachel; Hall, Charles B; Cohen, Hillel W; Glaser, Michelle S; Weakley, Jessica; Schwartz, Theresa M; Weiden, Michael D; Nolan, Anna; Aldrich, Thomas K; Glass, Lara; Kelly, Kerry J; Prezant, David J

    2014-08-01

    We investigated early post 9/11 factors that could predict rhinosinusitis healthcare utilization costs up to 11 years later in 8,079 World Trade Center-exposed rescue/recovery workers. We used bivariate and multivariate analytic techniques to investigate utilization outcomes; we also used a pyramid framework to describe rhinosinusitis healthcare groups at early (by 9/11/2005) and late (by 9/11/2012) time points. Multivariate models showed that pre-9/11/2005 chronic rhinosinusitis diagnoses and nasal symptoms predicted final year healthcare utilization outcomes more than a decade after WTC exposure. The relative proportion of workers on each pyramid level changed significantly during the study period. Diagnoses of chronic rhinosinusitis within 4 years of a major inhalation event only partially explain future healthcare utilization. Exposure intensity, early symptoms and other factors must also be considered when anticipating future healthcare needs. © 2014 Wiley Periodicals, Inc.

  14. The Upper Respiratory Pyramid: Early Factors and Later Treatment Utilization in World Trade Center Exposed Firefighters

    PubMed Central

    Niles, Justin K.; Webber, Mayris P.; Liu, Xiaoxue; Zeig-Owens, Rachel; Hall, Charles B.; Cohen, Hillel W.; Glaser, Michelle S.; Weakley, Jessica; Schwartz, Theresa M.; Weiden, Michael D.; Nolan, Anna; Aldrich, Thomas K.; Glass, Lara; Kelly, Kerry J.; Prezant, David J.

    2015-01-01

    Background We investigated early post 9/11 factors that could predict rhinosinusitis healthcare utilization costs up to 11 years later in 8,079 World Trade Center-exposed rescue/recovery workers. Methods We used bivariate and multivariate analytic techniques to investigate utilization outcomes; we also used a pyramid framework to describe rhinosinusitis healthcare groups at early (by 9/11/2005) and late (by 9/11/2012) time points. Results Multivariate models showed that pre-9/11/2005 chronic rhinosinusitis diagnoses and nasal symptoms predicted final year healthcare utilization outcomes more than a decade after WTC exposure. The relative proportion of workers on each pyramid level changed significantly during the study period. Conclusions Diagnoses of chronic rhinosinusitis within 4 years of a major inhalation event only partially explain future healthcare utilization. Exposure intensity, early symptoms and other factors must also be considered when anticipating future healthcare needs. PMID:24898816

  15. Effect of fire smoke on some biochemical parameters in firefighters of Saudi Arabia

    PubMed Central

    Al-Malki, Abdulrahman L; Rezq, Ameen M; Al-Saedy, Mohamed H

    2008-01-01

    Background Firefighters who are facing fires, are frequently exposed to hazardous materials including carbon monoxide, hydrogen cyanide, hydrogen chloride, benzene, sulphur dioxide, etc. This study aimed to evaluate some relevant serum biochemical and blood hematological changes in activity involved firefighters in comparison to normal subjects. Subjects and Methods Two groups of male firefighters volunteered to participate in the study. The first included 28 firefighters from Jeddah, while the second included 21 firefighters from Yanbu, with overall age ranged 20–48 years. An additional group of 23 male non-firefighters volunteered from both cities as normal control subjects, of age range 20–43 years. Blood samples were collected from all volunteer subjects and investigated for some relevant serum biochemical and blood hematological changes. Results The results obtained showed that, there were statistically significant differences in liver function, kidney function, serum lipid profile, cortisol, creatine kinase, lactate dehydrogenase, iron and its biologically active derivatives, and blood picture in firefighters as compared with the normal control group. These results indicate that, fire smoke mainly affects serum biochemical and blood hematological parameters. Such results might point out to the need for more health protective and prophylactic measures to avoid such hazardous health effects that might endanger firefighters under their highly drastic working conditions. Conclusion Besides using of personal protective equipments for firefighters to protect them against exposure to toxic materials of fire smoke, it is recommended that, firefighters must be under continuous medical follow up through a standard timetabled medical laboratory investigations to allow for early detection of any serum biochemical or blood hematological changes that might happen during their active service life and to allow for early treatment whenever necessary. PMID:19077241

  16. Quality of life in relation to upper and lower respiratory conditions among retired 9/11-exposed firefighters with pulmonary disability.

    PubMed

    Berninger, Amy; Webber, Mayris P; Weakley, Jessica; Gustave, Jackson; Zeig-Owens, Rachel; Lee, Roy; Al-Othman, Fairouz; Cohen, Hillel W; Kelly, Kerry; Prezant, David J

    2010-12-01

    To examine health-related quality of life (HRQoL) and World Trade Center (WTC) cough syndrome conditions in male firefighters who retired due to a 9/11-related pulmonary disability. From 3/1/2008 to 1/31/2009, we contacted 275 disability-retired firefighters and compared their HRQoL and current aerodigestive conditions to those from WTC-exposed non-disabled retired and active firefighters. Relationships between HRQoL and explanatory variable(s) were examined using multivariable linear regression models. Mean physical component summary (PCS) scores were lowest in disabled retirees compared with non-disabled retirees and actives: 36.4 (9.6), 49.4 (8.7), and 53.1 (5.1), respectively (P < 0.0001). Mean mental component summary (MCS) scores were closer: 44.5 (11.9), 48.1 (8.5), and 48.7 (7.4), respectively (P < 0.0001). In multivariable models, after adjustment for many factors, PCS scores were not associated with early WTC arrival, but were inversely associated with disability retirement and all WTC cough syndrome conditions. MCS scores were inversely associated with early WTC arrival and most WTC cough syndrome conditions, but were not associated with disability retirement. WTC cough syndrome conditions predict lower HRQoL scores even 8 years after exposure, independent of retirement status. These data suggest that monitoring physical conditions of individuals with occupational exposures might help identify those at risk for impaired HRQoL.

  17. Firefighters' Radios

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Public Technology Inc. asked for NASA assistance to devise the original firefighter's radio. Good short-range radio communications are essential during a fire to coordinate hose lines, rescue victims, and otherwise increase efficiency. Useful firefighting tool is lower cost, more rugged short range two-way radio. Inductorless electronic circuit replaced inductances and coils in radio circuits with combination of transistors and other low-cost components. Substitution promises reduced circuit size and cost. Enhanced electrical performance made radio more durable and improved maintainability by incorporating modular construction.

  18. Firefighting Trainer

    NASA Technical Reports Server (NTRS)

    1984-01-01

    Firefighting trainees conduct fire control exercises using a prototype simulator known as the Emergency Management Computer Aided Training System (EMCAT). Developed by Marshall Space Flight Center (MFS) in response to a request from the Huntsville (AL) Fire Department, EMCAT enables a trainee to assume the role of fireground commander and make quick decisions on best use of his fire fighting personnel and equipment.

  19. Stennis firefighters

    NASA Image and Video Library

    2012-05-11

    Stennis Space Center firefighter Rodney Boone rappels a tower structure during an onsite training exercise May 11, 2012. The training focused on high-angle rope rescues, which could be needed on the new 300-foot-tall A-3 Test Stand at Stennis.

  20. INL@Work Firefighter

    SciTech Connect

    Baron, Wendy

    2011-01-01

    Did you know INL has its own firefighting team? Its members help protect our remote 890-square-mile site from range fires and other incidents. Meet firefighter Wendy Baron, who was recently named Idaho's firefighter of the year.

  1. INL@Work Firefighter

    ScienceCinema

    Baron, Wendy

    2016-07-12

    Did you know INL has its own firefighting team? Its members help protect our remote 890-square-mile site from range fires and other incidents. Meet firefighter Wendy Baron, who was recently named Idaho's firefighter of the year.

  2. Firefighting Module

    NASA Technical Reports Server (NTRS)

    1984-01-01

    Firefly II pump module is NASA's Marshall Space Flight Center's commercial offshoot of a NASA/US Coast Guard program involving development of a lightweight, helicopter-transportable firefighting module for a quick response in combating shipboard or harbor fires. Operable on land or water, the Amphib One is equipped with 3 water cannons. When all 3 are operating, unit pumps more than 3,000 gallons a minute. Newly developed model used by U.S. Coast Guard can pump 5,000 gallons per minute. It was designed for applications such as firefighting onboard ship fires, emergency dockside water pumping, dewatering ships in danger of sinking, flood control, and emergency water supply at remote locations.

  3. Effects of fire fighting uniform (modern, modified modern, and traditional) design changes on exercise duration in New York City Firefighters.

    PubMed

    Malley, K S; Goldstein, A M; Aldrich, T K; Kelly, K J; Weiden, M; Coplan, N; Karwa, M L; Prezant, D J

    1999-12-01

    Fire departments have replaced traditional uniforms with modern, more thermal protective gear. Although the new uniforms afford superior burn protection, they may reduce work time. Our purpose was to determine if exercise time was (1) reduced by wearing the modern versus traditional uniform, and (2) increased by a design change to a modified modern uniform (T-shirt and short pants rather than a shirt and long pants under the outer uniform). Male firefighters (n = 23; age 27 to 59) performed a maximum exercise test in gym clothes (maximal oxygen consumption = 46 +/- 9 ml/kg/min) and then returned on separate days to exercise using a moderately high intensity, constant work rate treadmill protocol while wearing fire fighting breathing apparatus and each of three uniforms. Firefighters exceeded anaerobic threshold by 1 minute and eventually reached or exceeded maximum heart rate and maximal oxygen consumption. Exercise time in modern (15 +/- 3 min) was significantly less than in traditional (18 +/- 5 min) uniform. Exercise time in modified modern (17 +/- 5 min) was significantly greater than in modern and not significantly different than in traditional uniforms. The rate of change in oxygen consumption and water loss were significantly affected by uniform type, with faster rates in modern compared with modified modern or traditional uniforms. These findings show the impact that design changes have on energy demands and exercise duration.

  4. Firefighting Module

    NASA Technical Reports Server (NTRS)

    1978-01-01

    NASA and the U.S. Coast Guard are working jointly to develop a helicopter transportable firefighting module that can shave precious minutes in combating shipboard or harbor fires. The program was undertaken in 1975, after a series of disastrous fires on oil tankers indicated a need for a lightweight, self-contained system that could be moved quickly to the scene of a fire. A prototype module was delivered to the Coast Guard last year and service testing is under way. The compact module weighs little more than a ton but it contains everything needed to fight a fire. The key component is a high output pump, which delivers up to 2,000 gallons of sea water a minute; the pump can be brought up to maximum output in only one minute after turning on the power source, a small Allison gas turbine engine. The module also contains hose, a foam nozzle and a spray nozzle, three sets of protective clothing for firefighters, and fuel for three hours operation. Designed to be assembled without special tools, the module can be set up for operation in less than 20 minutes.

  5. YKL-40 is a Protective Biomarker for Fatty Liver in World Trade Center Particulate Matter-Exposed Firefighters.

    PubMed

    Cho, Soo Jung; Echevarria, Ghislaine C; Lee, Young Im; Kwon, Sophia; Park, Kwan Yong; Tsukiji, Jun; Rom, William N; Prezant, David J; Nolan, Anna; Weiden, Michael D

    Serum biomarkers of metabolic syndrome predict abnormal lung function in World Trade Center particulate matter (WTC-PM)-exposed Fire Department of New York (FDNY) rescue workers. In animal models, exposure to ambient PM induces non-alcoholic fatty liver disease (NAFLD), a well-known comorbidity of metabolic syndrome. YKL-40 is an inflammatory biomarker for both liver and lung disease. We tested if YKL-40 is a biomarker for NAFLD in this dust-exposed cohort. Using a nested case-control design, we studied 131 FDNY personnel who had Computer Tomography performed within 5 years post 9/11. NAFLD was defined by a liver/spleen attenuation ratio of ≤1. Serum biomarkers, lipid panel and liver function were measured in serum that had been drawn within 6 months of September 11, 2001. YKL-40 and chitotriosidase were assayed by ELISA. We tested biomarker and NAFLD association using logistic regression adjusted for age, BMI, and post-911 lung function. NAFLD was present in 29/131 (22%) of the cohort. In a multivariable model increasing YKL-40 was protective while increasing triglyceride and alkaline phosphatase were risk factors for NAFLD. Increased YKL-40 is a protective biomarker in non-alcoholic fatty liver disease. Further studies may reveal a link between PM-induced lung and liver diseases.

  6. YKL-40 is a Protective Biomarker for Fatty Liver in World Trade Center Particulate Matter-Exposed Firefighters

    PubMed Central

    Cho, Soo Jung; Echevarria, Ghislaine C; Lee, Young Im; Kwon, Sophia; Park, Kwan Yong; Tsukiji, Jun; Rom, William N; Prezant, David J; Nolan, Anna; Weiden, Michael D

    2015-01-01

    Background Serum biomarkers of metabolic syndrome predict abnormal lung function in World Trade Center particulate matter (WTC-PM)-exposed Fire Department of New York (FDNY) rescue workers. In animal models, exposure to ambient PM induces non-alcoholic fatty liver disease (NAFLD), a well-known comorbidity of metabolic syndrome. YKL-40 is an inflammatory biomarker for both liver and lung disease. We tested if YKL-40 is a biomarker for NAFLD in this dust-exposed cohort. Methods Using a nested case-control design, we studied 131 FDNY personnel who had Computer Tomography performed within 5 years post 9/11. NAFLD was defined by a liver/spleen attenuation ratio of ≤1. Serum biomarkers, lipid panel and liver function were measured in serum that had been drawn within 6 months of September 11, 2001. YKL-40 and chitotriosidase were assayed by ELISA. We tested biomarker and NAFLD association using logistic regression adjusted for age, BMI, and post-911 lung function. Results NAFLD was present in 29/131 (22%) of the cohort. In a multivariable model increasing YKL-40 was protective while increasing triglyceride and alkaline phosphatase were risk factors for NAFLD. Conclusions Increased YKL-40 is a protective biomarker in non-alcoholic fatty liver disease. Further studies may reveal a link between PM-induced lung and liver diseases. PMID:25717419

  7. Firefighting Module

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Aviation Power Supply's mobile firefighting module called Firefly II is mounted on a trailer pulled by a pickup truck. Trailer unit has two three- inch water cannons, and the pickup carries a six inch cannon. Completely self contained, module pumps 3,000 gallons of water a minute from hydrants or open bodies of water. Stream can go as far as 400 feet or can be employed in a high-loft mode to reach the tops of tall refinery towers. Compact Firefly II weighs only 2,500 pounds when fully fueled. Key component is a specially designed two stage pump. Power for the pump is generated by a gas turbine engine. Module also includes an electronic/pump controller, multiple hose connections, up to 1,500 feet of hose and fuel for four hours operation. Firefly trailer can be backed onto specially-built large fireboat.

  8. Firefighting Module

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Aviation Power Supply's mobile firefighting module called Firefly II is mounted on a trailer pulled by a pickup truck. Trailer unit has two three- inch water cannons, and the pickup carries a six inch cannon. Completely self contained, module pumps 3,000 gallons of water a minute from hydrants or open bodies of water. Stream can go as far as 400 feet or can be employed in a high-loft mode to reach the tops of tall refinery towers. Compact Firefly II weighs only 2,500 pounds when fully fueled. Key component is a specially designed two stage pump. Power for the pump is generated by a gas turbine engine. Module also includes an electronic/pump controller, multiple hose connections, up to 1,500 feet of hose and fuel for four hours operation. Firefly trailer can be backed onto specially-built large fireboat.

  9. Firefighting Module

    NASA Astrophysics Data System (ADS)

    1981-01-01

    Aviation Power Supply's mobile firefighting module called Firefly II is mounted on a trailer pulled by a pickup truck. Trailer unit has two three- inch water cannons, and the pickup carries a six inch cannon. Completely self contained, module pumps 3,000 gallons of water a minute from hydrants or open bodies of water. Stream can go as far as 400 feet or can be employed in a high-loft mode to reach the tops of tall refinery towers. Compact Firefly II weighs only 2,500 pounds when fully fueled. Key component is a specially designed two stage pump. Power for the pump is generated by a gas turbine engine. Module also includes an electronic/pump controller, multiple hose connections, up to 1,500 feet of hose and fuel for four hours operation. Firefly trailer can be backed onto specially-built large fireboat.

  10. Firefighting Module

    NASA Astrophysics Data System (ADS)

    1980-01-01

    Aviation Power Supply's mobile firefighting module called Firefly II is mounted on a trailer pulled by a pickup truck. Trailer unit has two three- inch water cannons, and the pickup carries a six inch cannon. Completely self contained, module pumps 3,000 gallons of water a minute from hydrants or open bodies of water. Stream can go as far as 400 feet or can be employed in a high-loft mode to reach the tops of tall refinery towers. Compact Firefly II weighs only 2,500 pounds when fully fueled. Key component is a specially designed two stage pump. Power for the pump is generated by a gas turbine engine. Module also includes an electronic/pump controller, multiple hose connections, up to 1,500 feet of hose and fuel for four hours operation. Firefly trailer can be backed onto specially-built large fireboat.

  11. Perfluoroalkyl acids including perfluorooctane sulfonate and perfluorohexane sulfonate in firefighters.

    PubMed

    Jin, ChuanFang; Sun, YingHua; Islam, Ahmed; Qian, Yong; Ducatman, Alan

    2011-03-01

    Firefighters were likely exposed to perfluorooctane sulfonate since it was a component of extinguishing foams and perfluorohexane sulfonate (PFHxS), a surfactant coating carpet and other building materials, during firefighting. The objective of the study is to evaluate serum concentrations of perfluoroalkyl acids (PFAAs) in firefighters. A total of 8826 male adults, including 37 firefighters, were analyzed. Multivariate analysis was conducted by using a general linear model. The least square mean of serum PFAAs was obtained after adjustment for demographic and socioeconomic variables. Serum concentration of PFHxS was statistically higher in firefighters both before and after adjustment. Perfluorooctane sulfonate and perfluorononanoic acid were also found higher in firefighters, though not statistically significant. The study suggests that fighting fire can be a risk of exposure to PFAAs, specifically PFHxS.

  12. Biomonitoring in California Firefighters

    PubMed Central

    Israel, Leslie; McNeel, Sandra; Voss, Robert; Wang, Miaomiao; Gajek, Ryszard; Park, June-Soo; Harwani, Suhash; Barley, Frank; She, Jianwen; Das, Rupali

    2015-01-01

    Objective: To assess California firefighters' blood concentrations of selected chemicals and compare with a representative US population. Methods: We report laboratory methods and analytic results for cadmium, lead, mercury, and manganese in whole blood and 12 serum perfluorinated chemicals in a sample of 101 Southern California firefighters. Results: Firefighters' blood metal concentrations were all similar to or lower than the National Health and Nutrition Examination Survey (NHANES) values, except for six participants whose mercury concentrations (range: 9.79 to 13.42 μg/L) were close to or higher than the NHANES reporting threshold of 10 μg/L. Perfluorodecanoic acid concentrations were elevated compared with NHANES and other firefighter studies. Conclusions: Perfluorodecanoic acid concentrations were three times higher in this firefighter group than in NHANES adult males. Firefighters may have unidentified sources of occupational exposure to perfluorinated chemicals. PMID:25563545

  13. Analysis of working conditions focusing on biological risk: firefighters in Campo Grande, MS, Brazil.

    PubMed

    Contrera-Moreno, Luciana; de Andrade, Sonia Maria Oliveira; Motta-Castro, Ana Rita Coimbra; Pinto, Alexandra Maria Almeida Carvalho; Salas, Frederico Reis Pouso; Stief, Alcione Cavalheiros Faro

    2012-01-01

    Firefighters are exposed to a wide range of risks, among them, biological risk. The objective was to analyze working conditions of firefighters in the city of Campo Grande, MS, Brazil, focusing on risk conditions of exposure to biological material. Three hundred and seven (307) firefighters were interviewed for data collection and observed for ergonomic job analysis (AET). 63.5% of the firefighters suffered some kind of job related accident with blood or body fluids. Statistically significant association was found between having suffered accidents at work and incomplete use of personal protective equipment (PPE). About AET regarding the biological risks, 57.1% of all patients had blood or secretions, which corresponds in average to 16.0% of the total work time, based on a working day of 24 h. Besides biological risks, other stressing factors were identified: emergency and complexity of decision, high responsibility regarding patients and environment, and conflicts. Health promotion and accident prevention actions must be emphasized as measures to minimize these risks.

  14. MMP-2 and TIMP-1 predict healing of WTC-lung injury in New York City firefighters.

    PubMed

    Nolan, Anna; Kwon, Sophia; Cho, Soo Jung; Naveed, Bushra; Comfort, Ashley L; Prezant, David J; Rom, William N; Weiden, Michael D

    2014-01-21

    After 9/11/2001, most FDNY workers had persistent lung function decline but some exposed workers recovered. We hypothesized that the protease/anti-protease balance in serum soon after exposure predicts subsequent recovery. We performed a nested case-control study measuring biomarkers in serum drawn before 3/2002 and subsequent forced expiratory volume at one second (FEV1) on repeat spirometry before 3/2008. Serum was assayed for matrix metalloproteinases (MMP-1,2,3,7,8,9,12 and 13) and tissue inhibitors of metalloproteinases (TIMP-1,2,3,4). The representative sub-cohort defined analyte distribution and a concentration above 75th percentile defined elevated biomarker expression. An FEV1 one standard deviation above the mean defined resistance to airway injury. Logistic regression was adjusted for pre-9/11 FEV1, BMI, age and exposure intensity modeled the association between elevated biomarker expression and above average FEV1. FEV1 in cases and controls declined 10% of after 9/11/2001. Cases subsequently returned to 99% of their pre-exposure FEV1 while decline persisted in controls. Elevated TIMP-1 and MMP-2 increased the odds of resistance by 5.4 and 4.2 fold while elevated MMP-1 decreased it by 0.27 fold. Resistant cases displayed healing, returning to 99% of pre-exposure values. High TIMP-1 and MMP-2 predict healing. MMP/TIMP balance reflects independent pathways to airway injury and repair after WTC exposure.

  15. Improved Clothing for Firefighters

    NASA Technical Reports Server (NTRS)

    Abeles, F. J.

    1982-01-01

    Application of space technology should reduce incidence of injuries, heat exhaustion, and fatigue in firefighters. Using advanced materials and design concepts of aerospace technology, protective gear was fabricated and tested for the heat, face, torso, hand and foot. In tests, it was found that new gear protects better than conventional firefighter gear, weighs 40 percent less, and reduces wearer's energy expenditure by 25 percent.

  16. Improved Gloves for Firefighters

    NASA Technical Reports Server (NTRS)

    Tschirch, R. P.; Sidman, K. R.; Arons, I. J.

    1983-01-01

    New firefighter's gloves are more flexible and comfortable than previous designs. Since some firefighters prefer gloves made of composite materials while others prefer dip-coated gloves, both types were developed. New gloves also find uses in foundries, steelmills, and other plants where they are substituted for asbestos gloves.

  17. Improved Gloves for Firefighters

    NASA Technical Reports Server (NTRS)

    Tschirch, R. P.; Sidman, K. R.; Arons, I. J.

    1983-01-01

    New firefighter's gloves are more flexible and comfortable than previous designs. Since some firefighters prefer gloves made of composite materials while others prefer dip-coated gloves, both types were developed. New gloves also find uses in foundries, steelmills, and other plants where they are substituted for asbestos gloves.

  18. MMP-2 and TIMP-1 predict healing of WTC-lung injury in New York City firefighters

    PubMed Central

    2014-01-01

    Rationale After 9/11/2001, most FDNY workers had persistent lung function decline but some exposed workers recovered. We hypothesized that the protease/anti-protease balance in serum soon after exposure predicts subsequent recovery. Methods We performed a nested case–control study measuring biomarkers in serum drawn before 3/2002 and subsequent forced expiratory volume at one second (FEV1) on repeat spirometry before 3/2008. Serum was assayed for matrix metalloproteinases (MMP-1,2,3,7,8,9,12 and 13) and tissue inhibitors of metalloproteinases (TIMP-1,2,3,4). The representative sub-cohort defined analyte distribution and a concentration above 75th percentile defined elevated biomarker expression. An FEV1 one standard deviation above the mean defined resistance to airway injury. Logistic regression was adjusted for pre-9/11 FEV1, BMI, age and exposure intensity modeled the association between elevated biomarker expression and above average FEV1. Results FEV1 in cases and controls declined 10% of after 9/11/2001. Cases subsequently returned to 99% of their pre-exposure FEV1 while decline persisted in controls. Elevated TIMP-1 and MMP-2 increased the odds of resistance by 5.4 and 4.2 fold while elevated MMP-1 decreased it by 0.27 fold. Conclusions Resistant cases displayed healing, returning to 99% of pre-exposure values. High TIMP-1 and MMP-2 predict healing. MMP/TIMP balance reflects independent pathways to airway injury and repair after WTC exposure. PMID:24447332

  19. Populations potentially exposed to traffic-related air pollution in seven world cities.

    PubMed

    Su, Jason G; Apte, Joshua S; Lipsitt, Jonah; Garcia-Gonzales, Diane A; Beckerman, Bernardo S; de Nazelle, Audrey; Texcalac-Sangrador, José Luis; Jerrett, Michael

    2015-05-01

    Traffic-related air pollution (TRAP) likely exerts a large burden of disease globally, and in many places, traffic is increasing dramatically. The impact, however, of urban form on the portion of population potentially exposed to TRAP remains poorly understood. In this study, we estimate portions of population potentially exposed to TRAP across seven global cities of various urban forms. Data on population distributions and road networks were collected from the best available sources in each city and from remote sensing analysis. Using spatial mapping techniques, we first overlaid road buffers onto population data to estimate the portions of population potentially exposed for four plausible impact zones. Based on a most likely scenario with impacts from highways up to 300meters and major roadways up to 50meters, we identified that the portions of population potentially exposed for the seven cities ranged from 23 to 96%. High-income North American cities had the lowest potential exposure portions, while those in Europe had the highest. Second, we adjusted exposure zone concentration levels based on a literature suggested multiplier for each city using corresponding background concentrations. Though Beijing and Mexico City did not have the highest portion of population exposure, those in their exposure zones had the highest levels of exposure. For all seven cities, the portion of population potentially exposed was positively correlated with roadway density and, to a lesser extent, with population density. These analyses suggest that urban form may influence the portion of population exposed to TRAP and vehicle emissions and other factors may influence the exposure levels. Greater understanding of urban form and other factors influencing potential exposure to TRAP may help inform interventions that protect public health.

  20. Flame-retardant contamination of firefighter personal protective clothing - A potential health risk for firefighters.

    PubMed

    Alexander, Barbara M; Baxter, C Stuart

    2016-09-01

    There is a high incidence of cardiovascular disease and certain cancers in firefighters that may be related to their occupational exposure to hazardous substances. Exposure may result from contaminated personal protective gear, as well as from direct exposure at fire scenes. This study characterized flame-retardant contamination on firefighter personal protective clothing to assess exposure of firefighters to these chemicals. Samples from used and unused firefighter protective clothing, including gloves, hoods and a coat wristlet, were extracted with methylene chloride and analyzed by EPA method 8270D Specific Ion Method (SIM) for polybrominated diphenyl ethers (PBDEs). Until recently PBDEs were some of the most common flame-retardant chemicals used in the US. Fifteen of the seventeen PBDEs for which analysis was performed were found on at least one clothing swatch. Every clothing sample, including an unused hood and all three layers of an unused glove, held a detectable concentration of at least one PBDE. These findings, along with previous research, suggest that firefighters are exposed to PBDE flame retardants at levels much higher than the general public. PBDEs are found widely dispersed in the environment and still persist in existing domestic materials such as clothing and furnishings. Firefighter exposure to flame retardants therefore merits further study.

  1. Experiences of critical incidents among female and male firefighters.

    PubMed

    Jacobsson, Ann; Backteman-Erlanson, Susann; Brulin, Christine; Hörnsten, Åsa

    2015-04-01

    A critical incident is defined as an event stressful enough to overwhelm the usually effective coping skills of an individual. Firefighters are frequently exposed to critical incidents that might have consequences for individuals and their performance in organization. The aim of this study was to describe experiences of critical incidents among female and male Swedish firefighters. In all 180 participants (16 women, 164 men) who had been involved in up to 25 critical incidents during the last year responded to a survey describing critical incidents experienced in the past year. A qualitative content analysis identified several areas for improvement in firefighters' working conditions. Female firefighters were terse in describing their experiences, while the men described their experiences of critical events more vividly. The critical incidents described by the firefighters concerned such overwhelming situations as traffic accidents, huge fires, and other fatal incidents such as drownings and suicides. Risk of delay due to lack of equipment training and lack of medical education was mentioned. Lack of resources and organizational problems was mentioned as causing risks of failure. Several firefighters expressed frustration over being assaulted and threatened, or exposed to other kinds of violence. Not knowing how close, physically or mentally, one can get to people during ongoing rescue can lead to unsuccessful operations. Gender patterns should always be taken into account, making it possible for all firefighters to express and reflect on existentially tough experiences. Education needs to focus more on medical and mental health issues. Firefighters were sometimes exposed to the difficult challenge of violence and assault during rescue operations. The complexity of this problem needs to be highlighted, not only in firefighter organizations, but also in society in general. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. Challenges and successes in recruiting firefighters for hearing loss prevention research.

    PubMed

    Hong, OiSaeng; Fiola, Lauren Ann; Feld, Jamie

    2013-06-01

    Noise-induced hearing loss (NIHL) is a significant occupational health problem in the United States, affecting more than 1 million firefighters. Noise hazards include vehicles, sirens, and power tools. Additionally, firefighters are commonly exposed to ototoxic chemicals. Because the use of hearing protection is not universally required for firefighters, firefighters must be educated about NIHL to ensure they take personal responsibility for hearing loss prevention. This study discusses challenges associated with recruiting firefighters to participate in a randomized, controlled trial testing a web-based hearing protection training program. Successful recruitment strategies included collaboration with key stakeholders, a flexible and convenient computer-based intervention, expansion to multiple recruitment sites, and interactive outreach to potential participants. Future research should use quantitative methods to evaluate and compare the effectiveness of specific recruitment strategies to facilitate firefighter enrollment in research studies. Developing and testing effective hearing protection interventions for firefighters is a crucial first step toward preventing NIHL in this population.

  3. A qualitative study on the experiences of female firefighters.

    PubMed

    Sinden, Kathryn; MacDermid, Joy; Buckman, Stephanie; Davis, Bonnie; Matthews, Tracy; Viola, Carrie

    2013-01-01

    Firefighters are exposed to high physical and psychological occupational factors while providing an essential service to our communities. Female firefighters represent a minority group in this male dominated occupation. The purpose of this study was to qualitatively determine the impact of a male dominated, physically demanding occupation on women's work health and job satisfaction through the experiences of female firefighters. A phenomenological approach was used to collect data through semi-structured, recorded interviews with female firefighters. The recorded interviews were transcribed into text and inductive thematic analysis was used to qualitatively analyze the transcripts. Review and analysis of the participant responses identified seven themes: physical demands/difficulties, gender related physiological differences, compensatory strategies, equipment mal-adaptation, earning respect, negative attitudes of male counterparts: impact on social inclusion and health behaviors, recognition of injury risk. Female firefighters are exposed to increased risk of injury due to the psychological and physical occupational stressors in firefighting. Implications of this research are provided and include recommendations for future research to target the physical and psychosocial aspects of firefighting.

  4. Occupational stress and strain in relation to personal protective equipment of Japanese firefighters assessed by a questionnaire.

    PubMed

    Son, Su-Young; Lee, Joo-Young; Tochihara, Yutaka

    2013-01-01

    The purpose of the present study was to elucidate differences in actual work environments, mobility and satisfaction between firefighters wearing aluminized and non-aluminized personal protective equipment (PPE), and to suggest a proper standard test method for Japanese firefighters' PPE. A survey from two cities in Japan (City A: aluminized PPE; City B: non aluminized PPE) was undertaken. A total of 525 firefighters from City A and 757 from City B participated. Firefighters spent 22.5 min (City A) and 27.3 min (City B) on average firefighting with the full set of PPE in one incident, but the heat strain experienced among firefighters from City A was twice that of firefighters from City B (57.5% and 28.4%). Firefighters spent 65.9 min on one incident and 24.2 min for suppression of fire with the full set of PPE on average. The toughest task that caused physical strain in City A was 'stair climbing' and in City B was 'drawing up a hose filled with water'. The most restricted body region due to PPE was the knee for both groups. Evaluations revealed that the aluminized fire jacket had worse ventilation and mobility than the non-aluminized, while the non-aluminized one received with more unfavorable evaluations for water resistance and maintainability.

  5. The effect of World Trade Center exposure on the latency of chronic rhinosinusitis diagnoses in New York City firefighters: 2001-2011.

    PubMed

    Weakley, Jessica; Hall, Charles B; Liu, Xiaoxue; Zeig-Owens, Rachel; Webber, Mayris P; Schwartz, Theresa; Prezant, David

    2016-04-01

    To assess how the effect of World Trade Center (WTC) exposure on physician-diagnosed chronic rhinosinusitis (CRS) in firefighters changed during the decade following the attack on 9/11 (11 September 2001 to 10 September 2011). We examined temporal effects on the relation between WTC exposure and the incidence of physician diagnosed CRS in firefighters changed during the decade following the attack on 9/11 (11 September 2001 to 10 September 2011). Exposure was grouped by time of arrival at the WTC site as follows: (high) morning 11 September 2001 (n=1623); (moderate) afternoon 11 September 2001 or 12 September 2001 (n=7025); or (low) 13-24 September 2001 (n=1200). Piecewise exponential survival models were used to estimate incidences by exposure group, with change points in the relative incidences estimated by maximum likelihood. Incidences dramatically increased after 2007 due to a programmatic change that provided free medical treatment, but increases were similar in all exposure groups. For this reason, we observed no change point during the study period, meaning the relative incidence by exposure group (high vs moderate vs low) of CRS disease did not significantly change over the study period. The relative rate of developing CRS was 1.99 (95% CI=1.64 to 2.41) for high versus low exposure, and 1.52 (95% CI=1.28 to 1.80) for moderate versus low exposure during the 10-year follow-up period. The risk of CRS in FDNY firefighters appears increased with WTC-exposure, and has not diminished by time since exposure. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. The effect of World Trade Center exposure on the latency of chronic rhinosinusitis diagnoses in New York City firefighters: 2001–2011

    PubMed Central

    Weakley, Jessica; Hall, Charles B; Liu, Xiaoxue; Zeig-Owens, Rachel; Webber, Mayris P; Schwartz, Theresa; Prezant, David

    2016-01-01

    Objective To assess how the effect of World Trade Center (WTC) exposure on physician-diagnosed chronic rhinosinusitis (CRS) in firefighters changed during the decade following the attack on 9/11 (11 September 2001 to 10 September 2011). Methods We examined temporal effects on the relation between WTC exposure and the incidence of physician diagnosed CRS in firefighters changed during the decade following the attack on 9/11 (11 September 2001 to 10 September 2011). Exposure was grouped by time of arrival at the WTC site as follows: (high) morning 11 September 2001 (n=1623); (moderate) afternoon 11 September 2001 or 12 September 2001 (n=7025); or (low) 13–24 September 2001 (n=1200). Piecewise exponential survival models were used to estimate incidences by exposure group, with change points in the relative incidences estimated by maximum likelihood. Results Incidences dramatically increased after 2007 due to a programmatic change that provided free medical treatment, but increases were similar in all exposure groups. For this reason, we observed no change point during the study period, meaning the relative incidence by exposure group (high vs moderate vs low) of CRS disease did not significantly change over the study period. The relative rate of developing CRS was 1.99 (95% CI=1.64 to 2.41) for high versus low exposure, and 1.52 (95% CI=1.28 to 1.80) for moderate versus low exposure during the 10-year follow-up period. Conclusions The risk of CRS in FDNY firefighters appears increased with WTC-exposure, and has not diminished by time since exposure. PMID:26574577

  7. Plasticizer contamination of firefighter personal protective clothing--a potential factor in increased health risks in firefighters.

    PubMed

    Lacey, Steven; Alexander, Barbara M; Baxter, C Stuart

    2014-01-01

    Chemical exposures may be responsible for firefighters' elevated incidences of cancer and cardiovascular disease. This study characterized semivolatile chemical contamination on firefighter personal protective clothing to assess exposure of firefighters to these chemicals. Samples from used firefighter protective clothing, including gloves, hood, and one coat wristlet, were extracted with methylene chloride and analyzed by EPA method 8270 for semivolatile contaminants, including 20 polycyclic aromatic hydrocarbons (PAHs) and 6 phthalate diesters. Twenty-two of the chemicals of interest were found on at least one clothing swatch. Only di-(2-ethylhexyl) phthalate (DEHP), a plasticizer, added to polyvinyl chloride (PVC) to increase flexibility, was found on every swatch. DEHP concentrations were the highest of any chemical measured, and were 52 to 875 times higher than any PAH concentration measured. DEHP was also detected on most items of unused firefighter personal protective clothing, although at much lower levels. These findings suggest that firefighters are exposed to high levels of DEHP, a probable human carcinogen, and at levels much higher than PAHs, the semivolatile toxic combustion products most extensively studied historically. Firefighter exposure to DEHP and other phthalate diesters therefore merits further study.

  8. Advanced Transceivers for Firefighters

    NASA Technical Reports Server (NTRS)

    Blood, B. D.; Gandhi, O. P.; Radke, R. E.

    1986-01-01

    Report presents concept of improved portable radio transceiver for firefighters. Based in part on study of propagation of radio waves in such environments as high-rise buildings, ships, and tunnels. Study takes into account possible health hazard posed by personal tranceivers and needs and wishes expressed by firefighters in interviews. Conceptual radio attaches to clothing to allow hands-free use; voice-actuated with microphone worn at throat. Speaker placed near wearer's shoulder. Flexible antenna placed either horizontally across shoulders, vertically at one shoulder, or on transceiver itself.

  9. Advanced Transceivers for Firefighters

    NASA Technical Reports Server (NTRS)

    Blood, B. D.; Gandhi, O. P.; Radke, R. E.

    1986-01-01

    Report presents concept of improved portable radio transceiver for firefighters. Based in part on study of propagation of radio waves in such environments as high-rise buildings, ships, and tunnels. Study takes into account possible health hazard posed by personal tranceivers and needs and wishes expressed by firefighters in interviews. Conceptual radio attaches to clothing to allow hands-free use; voice-actuated with microphone worn at throat. Speaker placed near wearer's shoulder. Flexible antenna placed either horizontally across shoulders, vertically at one shoulder, or on transceiver itself.

  10. The impact of protective hoods and their water content on the prevention of head burns in New York City firefighters: laboratory tests and field results.

    PubMed

    Prezant, D J; Barker, R L; Stull, J O; King, S J; Rotanz, R A; Malley, K S; Bender, M; Guerth, C; Kelly, K J

    2001-01-01

    The New York City Fire Department (FDNY) is the largest fire department in the United States. In 1996, FDNY added the thermal protective hood to its modern protective uniform. The purpose of this study is to determine 1) the effectiveness of hoods in reducing head burns and 2) whether hood water content (dry, damp, or saturated) affects the level of thermal protection. Laboratory tests (radiant heat performance, thermal protective performance, and fully dressed manikin) and FDNY field results were used. Laboratory tests evaluated 4 different conditions (no hood, dry, damp, and saturated hoods) exposed to 4 different heat fluxes (0.1, 0.25, 0.5, and 2.0 cal/cm2/sec) equivalent to approximate air temperatures of 200, 400, 600, and 2,250 degrees F. Field results compared FDNY head burns during 3 winters wearing the hood to 3 winters without hood. Wearing a hood dramatically reduced head burns. This was true for all laboratory tests, at all heat flux exposures, and all hood water content conditions. At 0.1 cal/cm2/sec, dry hoods were superior to wet hoods. At all other heat flux exposures, thermal protection was either not significantly different between water content conditions or improved as water content increased. Confirming these laboratory tests, FDNY field results showed significant decreases in neck burns (by 54%), ear burns (by 60%), and head burn totals (by 46%). Based on combined laboratory and field results, we strongly recommend the use of modern thermal protective hoods.

  11. Thermal protective uniforms and hoods: impact of design modifications and water content on burn prevention in New York City firefighters: laboratory and field results

    PubMed Central

    Prezant, D; Malley, K; Barker, R; Guerth, C; Kelly, K

    2001-01-01

    Objectives—To determine (1) the effectiveness of hoods in reducing head burns, (2) the impact of clothes worn under the protective outer uniform (modern = long sleeve shirt and long pants; modified modern = short sleeve T-shirt and short pants) on burns, and (3) whether water content (dry, damp or saturated) affects the level of thermal protection. Setting—Fire Department of the City of New York (FDNY). Methods—Laboratory tests (fully dressed manikin) evaluated the different uniform and water conditions when exposed to an average 24 cal/cm2 heat flux, approximately 2250°F air temperature. FDNY field results compared (1) head burns during winters wearing the hood to winters without hood and (2) upper and lower extremity burns during summers wearing traditional, modern, and modified modern uniforms. Results—Laboratory tests showed that thermal protection was: (1) dramatically improved by the hood with protection increasing as water content increased and (2) not significantly different between modern and modified modern uniforms, regardless of water content. FDNY field results confirmed these tests showing (1) significant decreases in neck burns (by 54%), ear burns (by 60%), and head burn totals (by 46%) wearing the hood and (2) no significant differences in upper or lower extremity burns wearing modern compared with modified modern uniforms. Conclusions—Based on combined laboratory and field results, we strongly recommend the use of modern thermal protective hoods and the modified modern uniform. PMID:11565971

  12. Coast Guard Firefighting Module

    NASA Technical Reports Server (NTRS)

    1977-01-01

    NASA and the U.S. Coast Guard are jointly developing a lightweight, helicopter-transportable, completely self-contained firefighting module for combating shipboard and dockside fires. The project draws upon NASA technology in high-capacity rocket engine pumps, lightweight materials and compact packaging.

  13. Post—September 11, 2001, Incidence of Systemic Autoimmune Diseases in World Trade Center—Exposed Firefighters and Emergency Medical Service Workers

    PubMed Central

    Webber, Mayris P.; Moir, William; Crowson, Cynthia S.; Cohen, Hillel W.; Zeig-Owens, Rachel; Hall, Charles B.; Berman, Jessica; Qayyum, Basit; Jaber, Nadia; Matteson, Eric L.; Liu, Yang; Kelly, Kerry; Prezant, David J.

    2016-01-01

    Objective To estimate the incidence of selected systemic autoimmune diseases (SAIDs) in approximately 14,000 male rescue/recovery workers enrolled in the Fire Department of the City of New York (FDNY) World Trade Center (WTC) Health Program and to compare FDNY incidence to rates from demographically similar men in the Rochester Epidemiology Project (REP), a population-based database in Olmsted County, Minnesota. Patients and Methods We calculated incidence for specific SAIDs (rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, and others) and combined SAIDs diagnosed from September 12, 2001, through September 11, 2014, and generated expected sex- and age-specific rates based on REP rates. Rates were stratified by level of WTC exposure (higher vs lower). Standardized incidence ratios (SIRs), which are the ratios of the observed number of cases in the FDNY group to the expected number of cases based on REP rates, and 95% CIs were calculated. Results We identified 97 SAID cases. Overall, FDNY rates were not significantly different from expected rates (SIR, 0.97; 95% CI, 0.77–1.21). However, the lower WTC exposure group had 9.9 fewer cases than expected, whereas the higher WTC exposure group had 7.7 excess cases. Conclusion Most studies indicate that the healthy worker effect reduces the association between exposure and outcome by about 20%, which we observed in the lower WTC exposure group. Overall rates masked differences in incidence by level of WTC exposure, especially because the higher WTC exposure group was relatively small. Continued surveillance for early detection of SAIDs in high WTC exposure populations is required to identify and treat exposure-related adverse effects. PMID:26682920

  14. Post-September 11, 2001, Incidence of Systemic Autoimmune Diseases in World Trade Center-Exposed Firefighters and Emergency Medical Service Workers.

    PubMed

    Webber, Mayris P; Moir, William; Crowson, Cynthia S; Cohen, Hillel W; Zeig-Owens, Rachel; Hall, Charles B; Berman, Jessica; Qayyum, Basit; Jaber, Nadia; Matteson, Eric L; Liu, Yang; Kelly, Kerry; Prezant, David J

    2016-01-01

    To estimate the incidence of selected systemic autoimmune diseases (SAIDs) in approximately 14,000 male rescue/recovery workers enrolled in the Fire Department of the City of New York (FDNY) World Trade Center (WTC) Health Program and to compare FDNY incidence to rates from demographically similar men in the Rochester Epidemiology Project (REP), a population-based database in Olmsted County, Minnesota. We calculated incidence for specific SAIDs (rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, and others) and combined SAIDs diagnosed from September 12, 2001, through September 11, 2014, and generated expected sex- and age-specific rates based on REP rates. Rates were stratified by level of WTC exposure (higher vs lower). Standardized incidence ratios (SIRs), which are the ratios of the observed number of cases in the FDNY group to the expected number of cases based on REP rates, and 95% CIs were calculated. We identified 97 SAID cases. Overall, FDNY rates were not significantly different from expected rates (SIR, 0.97; 95% CI, 0.77-1.21). However, the lower WTC exposure group had 9.9 fewer cases than expected, whereas the higher WTC exposure group had 7.7 excess cases. Most studies indicate that the healthy worker effect reduces the association between exposure and outcome by about 20%, which we observed in the lower WTC exposure group. Overall rates masked differences in incidence by level of WTC exposure, especially because the higher WTC exposure group was relatively small. Continued surveillance for early detection of SAIDs in high WTC exposure populations is required to identify and treat exposure-related adverse effects. Copyright © 2016. Published by Elsevier Inc.

  15. Firefighters' exposure biomonitoring: Impact of firefighting activities on levels of urinary monohydroxyl metabolites.

    PubMed

    Oliveira, Marta; Slezakova, Klara; Alves, Maria José; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone

    2016-11-01

    The concentrations of six urinary monohydroxyl metabolites (OH-PAHs) of polycyclic aromatic hydrocarbons, namely 1-hydroxynaphthalene, 1-hydroxyacenaphthene, 2-hydroxyfluorene, 1-hydroxyphenanthrene, 1-hydroxypyrene (1OHPy), and 3-hydroxybenzo[a]pyrene, were assessed in the post-shift urine of wildland firefighters involved in fire combat activities at six Portuguese fire corporations, and compared with those of non-exposed subjects. Overall, median levels of urinary individual and total OH-PAHs (ΣOH-PAHs) suggest an increased exposure to polycyclic aromatic hydrocarbons during firefighting activities with ΣOH-PAH levels in exposed firefighters 1.7-35 times higher than in non-exposed ones. Urinary 1-hydroxynaphthalene and/or 1-hydroxyacenapthene were the predominant compounds, representing 63-98% of ΣOH-PAHs, followed by 2-hydroxyfluorene (1-17%), 1-hydroxyphenanthrene (1-13%), and 1OHPy (0.3-10%). A similar profile was observed when gender discrimination was considered. Participation in fire combat activities promoted an increase of the distribution percentage of 1-hydroxynaphthalene and 1-hydroxyacenaphthene, while contributions of 1-hydroxyphenanthrene and 1OHPy decreased. The detected urinary 1OHPy concentrations (1.73×10(-2) to 0.152μmol/mol creatinine in exposed subjects versus 1.21×10(-2) to 5.44×10(-2)μmol/mol creatinine in non-exposed individuals) were lower than the benchmark level (0.5μmol/mol creatinine) proposed by the American Conference of Governmental Industrial Hygienists. This compound, considered the biomarker of exposure to PAHs, was the less abundant one from the six analyzed biomarkers. Thus the inclusion of other metabolites, in addition to 1OHPy, in future studies is suggested to better estimate firefighters' occupational exposure to PAHs. Moreover, strong to moderate Spearman correlations were observed between individual compounds and ΣOH-PAHs corroborating the prevalence of an emission source.

  16. Firefighting module development

    NASA Technical Reports Server (NTRS)

    Burns, R. A.

    1981-01-01

    The firefighting module is a lightweight, compact, self contained, helicopter-transportable unit for fighting harbor and other specialty fires as well as for use in emergency water pumping applications. Units were fabricated and tested. A production type unit is undergoing an inservice evaluation and demonstration program at the port of St Louis. The primary purpose is to promote enhanced harbor fire protection at inland and coastal ports. The module and its development are described.

  17. Firefighters: fitness for duty.

    PubMed

    Gerkin, D

    1995-01-01

    One of the functions of the fire department physician is to give candidates and firefighters clearance to work based on medical and physical performance criteria. In this chapter the author discusses the practical application of the medical standards of NFPA 1582 and physical standards as measured by agility tests and the proposed NFPA 1583, presenting guidelines for hiring, return to work, and administration of periodic exams.

  18. Acute Symptoms in Firefighters who Participated in Collection Work after the Community Hydrogen Fluoride Spill Accident

    PubMed Central

    2013-01-01

    Objectives This study aimed to analyze the relationship between clinical status and work characteristics of firefighters and other public officers who engaged on collection duties in the site of the hydrogen fluoride spill that occurred on September 27, 2012, in Gumi City, South Korea. Methods We investigated the clinical status, personal history, and work characteristics of the study subjects and performed physical examination and several clinical examinations, including chest radiography, echocardiography, pulmonary function test, and blood testing in 348 firefighters, police officers, volunteer firefighters, and special warfare reserved force who worked at the hydrogen fluoride spill area. Results The subjects who worked near the accident site more frequently experienced eye symptoms (p = 0.026), cough (p = 0.017), and headache (p = 0.003) than the subjects who worked farther from the accident site. The longer the working hours at the accident area, the more frequently the subjects experienced pulmonary (p = 0.027), sputum (p = 0.043), and vomiting symptoms (p = 0.003). The subjects who did not wear respiratory protective devices more frequently experienced dyspnea than those who wore respiratory protective devices (p = 0.013). In the pulmonary function test, the subjects who worked near the accident site had a higher decease in forced vital capacity than the subjects who worked farther from the site (p = 0.019); however, no statistical association was found between serum calcium/phosphate level, echocardiography result, chest radiographic result, and probation work characteristics. Conclusions The subjects who worked near the site of the hydrogen fluoride spill, worked for an extended period, or worked without wearing respiratory protective devices more frequently experienced upper/lower respiratory, gastrointestinal, and neurological symptoms. Further follow-up examination is needed for the workers who were exposed to hydrogen

  19. Firefighters and flame retardant activism.

    PubMed

    Cordner, Alissa; Rodgers, Kathryn M; Brown, Phil; Morello-Frosch, Rachel

    2015-02-01

    In the past decade, exposure to flame retardant chemicals has become a pressing health concern and widely discussed topic of public safety for firefighters in the United States. Working through local, state, and national unions and independent health and advocacy organizations, firefighters have made important contributions to efforts to restrict the use of certain flame retardants. Firefighters are key members in advocacy coalitions dedicated to developing new environmental health regulations and reforming flammability standards to reflect the best available fire science. Their involvement has been motivated by substantiated health concerns and critiques of deceptive lobbying practices by the chemical industry. Drawing on observations and interviews with firefighters, fire safety experts, and other involved stakeholders, this article describes why firefighters are increasingly concerned about their exposure to flame retardant chemicals in consumer products, and analyzes their involvement in state and national environmental health coalitions.

  20. Attitude change in youths after being exposed to different road safety interventions in two Mexican cities.

    PubMed

    Híjar, Martha; Pérez-Núñez, Ricardo; Santoyo-Castillo, Dzoara; Lunnen, Jeffrey C; Chandran, Aruna; Celis, Alfredo; Carmona-Lozano, Socorro

    2013-12-01

    To assess the reach of three different types of road safety interventions (social marketing, education and law enforcement) implemented as part of the Iniciativa Mexicana de Seguridad Vial y Prevención de Lesiones en el Tránsito (Mexican Initiative for Road Safety and the Prevention of Road Traffic Injuries) among youth in two Mexican cities (Guadalajara-Zapopan, Jalisco and León, Guanajuato), and to examine students' self-reported attitude change after being exposed to these interventions. A cross-sectional design was utilized to evaluate the reach of the city-wide interventions among a random sample of public and private high school and college students from October to December 2011. A total of 5,114 students completed a self-administered questionnaire. In both cities, students reported a greater exposure to social marketing (73% in Guadalajara-Zapopan and 64% in León) as compared to educational interventions (29.3% in León and 21.6% in Guadalajara-Zapopan) and law enforcement activities (~12% in both). Among respondents, self-reported attitude change was higher after being exposed to educational interventions than law enforcement. Social marketing yielded the lowest prevalence of self-reported attitude change. Our results show a potential moderate impact, measured as self-reported attitude change, resulting from the three intervention approaches under study. Future studies should address the intensity of exposure as well as the translation of attitude change into safer behaviors. Information generated by this study could be useful for local authorities in the intervention areas to inform their activities. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. 30 CFR 56.4331 - Firefighting drills.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Firefighting drills. 56.4331 Section 56.4331 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Control Firefighting Procedures/alarms/drills § 56.4331 Firefighting drills. Emergency firefighting drills...

  2. 30 CFR 56.4331 - Firefighting drills.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Firefighting drills. 56.4331 Section 56.4331 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Control Firefighting Procedures/alarms/drills § 56.4331 Firefighting drills. Emergency firefighting drills...

  3. 30 CFR 56.4331 - Firefighting drills.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Firefighting drills. 56.4331 Section 56.4331 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Control Firefighting Procedures/alarms/drills § 56.4331 Firefighting drills. Emergency firefighting drills...

  4. 30 CFR 56.4331 - Firefighting drills.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Firefighting drills. 56.4331 Section 56.4331 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Control Firefighting Procedures/alarms/drills § 56.4331 Firefighting drills. Emergency firefighting drills...

  5. 30 CFR 56.4331 - Firefighting drills.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Firefighting drills. 56.4331 Section 56.4331 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Control Firefighting Procedures/alarms/drills § 56.4331 Firefighting drills. Emergency firefighting drills...

  6. A suitable study to evaluate colour vision requirements for firefighters?

    PubMed

    Margrain, T; Birch, J

    1994-12-01

    A recent paper by Rees (Occup. Med. 1994; 44: 253-256) has proposed a study to evaluate the performance of both clinical and trade tests on firefighter recruits. The paper suggests that a new trade test using painted gas cylinders and/or the BOC cylinder identification chart may be appropriate in the selection of firefighter recruits. Evaluation of pass/fail standards on these tests would be achieved by comparing the results with those obtained from the Ishihara test, the City University test and the Holmes-Wright lantern test. In this paper, we argue that the proposed battery of tests does not allow an accurate evaluation of the new trade tests. Indeed,the new trade tests are likely to result in a false sense of obvious fairness' that ultimately be an unsound means of assessing the colour vision requirements of firefighter recruits.

  7. Most cancer in firefighters is due to radio-frequency radiation exposure not inhaled carcinogens.

    PubMed

    Milham, S

    2009-11-01

    Recent reviews and reports of cancer incidence and mortality in firefighters conclude that they are at an increased risk of a number of cancers. These include leukemia, multiple myeloma, non-Hodgkin's lymphoma, male breast cancer, malignant melanoma, and cancers of the brain, stomach, colon, rectum, prostate, urinary bladder, testes, and thyroid. Firefighters are exposed to a long list of recognized or probable carcinogens in combustion products and the presumed route of exposure to these carcinogens is by inhalation. Curiously, respiratory system cancers and diseases are usually not increased in firefighters as they are in workers exposed to known inhaled carcinogens. The list of cancers with increased risk in firefighters strongly overlaps the list of cancers at increased risk in workers exposed to electromagnetic fields (EMF) and radiofrequency radiation (RFR). Firefighters have increased exposure to RFR in the course of their work, from the mobile two-way radio communications devices which they routinely use while fighting fires, and at times from firehouse and fire vehicle radio transmitters. I suggest that some of the increased cancer risk in firefighters is caused by RFR exposure, and is therefore preventable. The precautionary principle should be applied to reduce the risk of cancer in firefighters, and workman's compensation rules will necessarily need to be modified.

  8. Sizing Firefighters: Method and Implications

    PubMed Central

    Hsiao, Hongwei; Whitestone, Jennifer; Kau, Tsui-Ying; Whisler, Richard; Routley, J. Gordon; Wilbur, Michael

    2015-01-01

    Objective This article reports new anthropometric information of U.S. firefighters for fire apparatus design applications (Study 1) and presents a data method to assist in firefighter anthropometric data usage for research-to-practice propositions (Study 2). Background Up-to-date anthropometric information of the U.S. firefighter population is needed for updating ergonomic and safety specifications for fire apparatus. Method A stratified sampling plan of three-age by three-race/ethnicity combinations was used to collect anthropometric data of 863 male and 88 female firefighters across the U.S. regions; 71 anthropometric dimensions were measured (Study 1). Differences among original, weighted, and normality transformed data from Study 1 were compared to allowable observer errors (Study 2). Results On average, male firefighters were 9.8 kg heavier and female firefighters were 29 mm taller than their counterparts in the general U.S. population. They also have larger upper-body builds than those of the general U.S. population. The data in weighted, unweighted, and normality transformed modes were compatible among each other with a few exceptions. Conclusion The data obtained in this study provide the first available U.S. national firefighter anthropometric information for fire apparatus designs. The data represent the demographic characteristics of the current firefighter population and, except for a few dimensions, can be directly employed into fire apparatus design applications without major weighting or nonnormality concerns. Application The up-to-date firefighter anthropometric data and data method will benefit the design of future fire apparatus and protective equipment, such as seats, body restraints, cabs, gloves, and bunker gear. PMID:25141595

  9. Vitellogenin induction and reduced fecundity in zebrafish exposed to effluents from the City of Bulawayo, Zimbabwe.

    PubMed

    Teta, Charles; Naik, Yogeshkumar S

    2017-01-01

    Industrial and municipal effluents regularly pollute water bodies and cause various toxic effects to aquatic life. Because of the diverse nature of industrial processes and domestic products, urban effluents are often tainted with various anthropogenic endocrine disrupting chemicals that may interfere with the reproductive physiology of aquatic fauna. In this study, we tested effluents from the City of Bulawayo for the presence of estrogenic endocrine disrupting chemicals and their effects on fish gonads and fecundity. Effluents were collected from two sewage treatment plants (STPs), which receive largest volume of industrial effluents from the City, and from a textile factory. Male and female zebrafish (Danio rerio) were exposed to effluents and analyzed for vitellogenin induction, gonad alterations, and fertility. Male zebrafish exposed to effluent from Thorngrove STP had significantly higher (p ≤ 0.05) vitellogenin compared to control. Textile effluent caused adverse gonad alterations such as oocyte atresia (females) and increased proportion of spermatogonia (males) which could lead to reduced fertility. Textile effluent (5% v/v) and Thorngrove effluent also caused a decline in fertilization success of breeding groups of zebrafish. The results of this study show the potential effects of effluent pollution and the occurrence of EDCs in developing countries. This underscores the need to effectively prevent pollution of environmental water bodies from industrial and municipal sewage treatment plant effluents. We recommend a follow-up study to monitor the effects of the effluents on feral fish in effluent polluted downstream dams of Bulawayo. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Hearing among male firefighters: A comparison with hearing data from screened and unscreened male population

    PubMed Central

    Kang, T S; Hong, O S; Kim, K S; Yoon, C S

    2015-01-01

    We investigated whether hearing loss is associated with firefighting. We conducted cross-sectional study comparing hearing threshold levels (HTLs) of 912 male firefighters with two hearing databases obtained from an otologically normal male Korean population (KONP) and a non-industrial noise-exposed male Korean population (KNINEP), considering age and the main roles of firefighters. Firefighters' age-adjusted HTLs were significantly worse than those of KONP (prevalence ratio (PR)=5.29, P<0.001)but not different from those of KNINEP (PR=0.99, P=0.550). Rescuers (PR=1.005, P<0.001) had worse hearing than the KNINEP after age adjustment. Comparison of firefighters' HTLs (50th and 90th percentiles) with those of KONP and KNINEP by age and frequency showed that firefighters' HTLs had significant increases (poorer hearing) across most age groups and frequencies compared with KONP. Compared with KNINEP, firefighters' HTLs were worse in the younger age groups (<45 years) but not different in the older age groups (>45 years). In conclusion, the hearing thresholds of younger firefighters and rescuers were worse than expected by normal aging alone. Future research should include longitudinal studies to consider variable risk factors, such as military service, smoking, and so on. PMID:25352160

  11. Occupational exposure to woodsmoke and oxidative stress in wildland firefighters.

    PubMed

    Adetona, Olorunfemi; Zhang, Jim Junfeng; Hall, Daniel B; Wang, Jia-Sheng; Vena, John E; Naeher, Luke P

    2013-04-01

    Experimental studies indicate that exposure to woodsmoke could induce oxidative stress. However studies have not been conducted among the general population and specialized occupational groups despite the existence of elevated woodsmoke exposure situations. Therefore, we investigated whether there were across workshift changes in oxidative stress biomarkers among wildland firefighters who are occupationally exposed to elevated levels of woodsmoke. We collected pre- and post-workshift urine samples from 19 wildland firefighters before and after prescribed burns. We measured malondialdehyde (MDA) and 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxo-dG) in the samples, and analyzed whether there were cross-shift changes in their levels, and the relationships between the changes and the length of firefighting career, age of firefighter, and quantified workshift exposure to particulate matter. Overall no significant cross-shift change was observed for 8-oxodG or MDA in the urine samples of the firefighters. Changes in both biomarkers were also not associated with PM2.5, which was used as a marker of exposure. However, overall unadjusted geometric mean 8-oxo-dG levels in the samples (31 μg/g creatinine) was relatively higher compared to those measured in healthy individuals in many occupational or general population studies. Additionally, cross-shift changes in 8-oxo-dG excretion were dependent on the length of firefighting career (p=0.01) or age of the subject (p=0.01). Significant increases in 8-oxo-dG level from pre-shift to post-shift were observed for those who had been firefighters for 2 years or less. The results indicate that oxidative stress response measured as cross-shift changes in 8-oxo-dG may depend on age or the length of a firefighter's career. These results suggest the need to investigate the longer term health effects of cumulative exposure of woodsmoke exposure among wildland firefighters, because increased body burden of oxidative stress is a risk factor

  12. [Prevalence of depression among firefighters].

    PubMed

    Lima, Eduardo de Paula; Assunção, Ada Ávila; Barreto, Sandhi Maria

    2015-04-01

    Depression burder is high worldwide. Socioeconomic factors and exposure to extreme situations at work may be associated with the illness. This study focused on the prevalence of depression and associated factors among firefighters in Belo Horizonte, Minas Gerais State, Brazil. A cross-sectional study was conducted among male firefighters in Belo Horizonte (n = 711). The Beck Depression Inventory (BDI) was used to assess depression. Univariate and multivariate logistic regression models were used to study the association between socio-demographic characteristics, occupational stressors, health status, and depression. Prevalence of depression in the sample was 5.5%. The likelihood of developing depression was higher among firefighters who reported post-traumatic stress symptoms (OR = 12.47; 95%CI: 5.64-27.57) and alcohol abuse (OR = 5.30; 95%CI: 2.35-11.96). The results are discussed considering the interrelationships between mental disorders, the healthy worker effect, and social recognition of firefighters' work.

  13. Electronic Escape Trails for Firefighters

    NASA Technical Reports Server (NTRS)

    Jorgensen, Charles; Schipper, John; Betts, Bradley

    2008-01-01

    A proposed wireless-communication and data-processing system would exploit recent advances in radio-frequency identification devices (RFIDs) and software to establish information lifelines between firefighters in a burning building and a fire chief at a control station near but outside the building. The system would enable identification of trails that firefighters and others could follow to escape from the building, including identification of new trails should previously established trails become blocked. The system would include a transceiver unit and a computer at the control station, portable transceiver units carried by the firefighters in the building, and RFID tags that the firefighters would place at multiple locations as they move into and through the building (see figure). Each RFID tag, having a size of the order of a few centimeters, would include at least standard RFID circuitry and possibly sensors for measuring such other relevant environmental parameters as temperature, levels of light and sound, concentration of oxygen, concentrations of hazardous chemicals in smoke, and/or levels of nuclear radiation. The RFID tags would be activated and interrogated by the firefighters and control-station transceivers. Preferably, RFID tags would be configured to communicate with each other and with the firefighters units and the control station in an ordered sequence, with built-in redundancy. In a typical scenario, as firefighters moved through a building, they would scatter many RFID tags into smoke-obscured areas by use of a compressed-air gun. Alternatively or in addition, they would mark escape trails by dropping RFID tags at such points of interest as mantraps, hot spots, and trail waypoints. The RFID tags could be of different types, operating at different frequencies to identify their functions, and possibly responding by emitting audible beeps when activated by signals transmitted by transceiver units carried by nearby firefighters.

  14. 46 CFR 11.303 - Advanced firefighting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Procedures for coordination with shore-based firefighters. (2) Inspect and service fire-detection and... and command. (ii) Communication and coordination during firefighting operations. (iii) Ventilation... hazards (dry distillation, chemical reactions, boiler uptake). (vi) Fire precautions and...

  15. 49 CFR 195.430 - Firefighting equipment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... PIPELINE Operation and Maintenance § 195.430 Firefighting equipment. Each operator shall maintain adequate firefighting equipment at each pump station and breakout tank area. The equipment must be— (a) In...

  16. 49 CFR 195.430 - Firefighting equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... PIPELINE Operation and Maintenance § 195.430 Firefighting equipment. Each operator shall maintain adequate firefighting equipment at each pump station and breakout tank area. The equipment must be— (a) In...

  17. 49 CFR 195.430 - Firefighting equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PIPELINE Operation and Maintenance § 195.430 Firefighting equipment. Each operator shall maintain adequate firefighting equipment at each pump station and breakout tank area. The equipment must be— (a) In...

  18. 49 CFR 195.430 - Firefighting equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PIPELINE Operation and Maintenance § 195.430 Firefighting equipment. Each operator shall maintain adequate firefighting equipment at each pump station and breakout tank area. The equipment must be— (a) In...

  19. PSYCHOSOCIAL ADJUSTMENT OF DIRECTLY EXPOSED SURVIVORS SEVEN YEARS AFTER THE OKLAHOMA CITY BOMBING

    PubMed Central

    North, Carol S.; Pfefferbaum, Betty; Kawasaki, Aya; Lee, Sungkyu; Spitznagel, Edward L.

    2010-01-01

    Objective To prospectively examine the long-term course of psychiatric disorders, symptoms, and functioning among 113 directly exposed survivors of the Oklahoma City bombing systematically assessed at six months and again nearly seven years post-bombing. Methods The Diagnostic Interview Schedule/Disaster Supplement was used to assess predisaster and postdisaster psychiatric disorders and symptoms and other variables of relevance to disaster exposure and outcomes. Results Total prevalence of PTSD was 41%. Seven years post-bombing, 26% of the sample still had active PTSD. Delayed-onset PTSD and new postdisaster alcohol use disorders were not observed. PTSD non-remission was predicted by the occurrence of negative life events after the bombing. Posttraumatic symptoms among survivors without PTSD decayed more rapidly than for those with PTSD, and symptoms remained at seven years even for many who did not develop PTSD. Those with PTSD reported more functioning problems at index than those without PTSD, but functioning improved dramatically over seven years, regardless of remission from PTSD. No survivors had long-term employment disability based on psychiatric problems alone. Conclusions These findings have potentially important implications for anticipation of long-term emotional and functional recovery from disaster trauma. PMID:21220059

  20. Factors related to heart rate variability among firefighters.

    PubMed

    Shin, Jae-Hong; Lee, Jung-Youb; Yang, Seon-Hee; Lee, Mi-Young; Chung, In-Sung

    2016-01-01

    The aim of this study was to investigate factors associated with heart rate variability in firefighters working in a metropolitan city in South Korea. Self-administered questionnaires including Korean Occupational Stress Scale (KOSS) as well as surveys collecting socio-demographic characteristics and work-related factors were given to 962 firefighters. After exclusion for missing data, 645 firefighters were included, and analysis of covaiance adjusted for the general risk factors and job characteristics were used to assess the relationship between heart rate variability and associated factors. SDNN and RMSSD and were decreased in the area of occupational climate of the group with high job stress (p = 0.027, p = 0.036). HF(ln) was decreased in the area of organizational system and occupational climate of the group with high stress that statistically significant level (p = 0.034, p = 0.043). Occupational climate and organizational system are associated with reduction of heart rate variability. Preventive medical care plans for cardiovascular disease of firefighters through the analysis and evaluation of job stress factors are needed.

  1. Colour vision requirements of firefighters.

    PubMed

    Margrain, T H; Birch, J; Owen, C G

    1996-04-01

    To perform their job safely firefighters must be able to identify colours on industrial gas cylinders, portable fire extinguishers, road traffic signals and several pieces of firefighting equipment. Although good colour vision is necessary we believe that the existing colour vision standard, which bars entry to the fire service to applicants who fail more than two plates of the Ishihara test, is unnecessarily stringent. We have identified and quantified the colour coded information encountered by firefighters. Colours were plotted on the CIE chromaticity diagram (1931) and isochromatic zones, which document the colour confusions of colour deficient observers, superimposed. This novel technique established possible colour confusions in different types of colour deficiency. Analysis of the results showed that red/green dichromats (protanopes and deuteranopes), severe deuteranomalous trichromats who fail the Farnsworth D15 test, and protanomalous trichromats are unsuitable for firefighting work. However, people with slight deuteranomalous trichromatism who pass the D15 test, are not disadvantaged and can be employed safely as firefighters. A new colour vision standard and a new testing procedure is recommended.

  2. Inflammatory Effects of Woodsmoke Exposure among Wildland Firefighters Working at Prescribed Burns at the Savannah River Site, SC

    EPA Science Inventory

    Objectives: Wildland firefighters in the United States are occupationally exposed to high levels of woodsmoke. Results from experimental studies show that exposure to woodsmoke induces inflammation. Therefore, a study was conducted to investigate the effect of occupational woodsm...

  3. Inflammatory Effects of Woodsmoke Exposure among Wildland Firefighters Working at Prescribed Burns at the Savannah River Site, SC

    EPA Science Inventory

    Objectives: Wildland firefighters in the United States are occupationally exposed to high levels of woodsmoke. Results from experimental studies show that exposure to woodsmoke induces inflammation. Therefore, a study was conducted to investigate the effect of occupational woodsm...

  4. Firefighters' communication transceiver test plan

    NASA Astrophysics Data System (ADS)

    Wallace, R. J.

    1984-05-01

    The requirements for the operational testing of the firefighters communication transceiver were identified. The major concerns centered around the integrity and reliability of the firefighter/microphone interface. The major concern about the radio hardware was that it be intrinsically safe in hazardous atmospheres and that the system not interfere with the fit or facial seal of self-contained breathing apparatus (SCBA). The greatest concern for operational testing purposes as the reliability and clarity of the line of communication between the firefighter and those on the fireground with whom he must maintain contact. A desire to test any units developed in both training exercises and in real responses to hazardous material incidents was expressed. It is felt that a VOX-microphone built into the SCBA facemask gives the best performance. A voice-pickup product device which combines a bone conduction microphone and a speaker into a single ear mounted unit is examined.

  5. Firefighters' communication transceiver test plan

    NASA Technical Reports Server (NTRS)

    Wallace, R. J.

    1984-01-01

    The requirements for the operational testing of the firefighters communication transceiver were identified. The major concerns centered around the integrity and reliability of the firefighter/microphone interface. The major concern about the radio hardware was that it be intrinsically safe in hazardous atmospheres and that the system not interfere with the fit or facial seal of self-contained breathing apparatus (SCBA). The greatest concern for operational testing purposes as the reliability and clarity of the line of communication between the firefighter and those on the fireground with whom he must maintain contact. A desire to test any units developed in both training exercises and in real responses to hazardous material incidents was expressed. It is felt that a VOX-microphone built into the SCBA facemask gives the best performance. A voice-pickup product device which combines a bone conduction microphone and a speaker into a single ear mounted unit is examined.

  6. Decreased fertility in mice exposed to environmental air pollution in the city of Sao Paulo.

    PubMed

    Mohallem, Soraya Vecci; de Araújo Lobo, Débora Jã; Pesquero, Célia Regina; Assunção, João Vicente; de Andre, Paulo Afonso; Saldiva, Paulo Hilário Nascimento; Dolhnikoff, Marisa

    2005-06-01

    It has largely been shown that air pollution can affect human health. Effects on human fertility have been shown mainly in males by a decrease in semen quality. Few studies have focused on the environmental effects on female fertility. The aim of the present study was to analyze the effects of air pollution in the city of Sao Paulo on mouse female fertility. Four groups of female Balb/c mice were placed in two chambers 10 days (newborn) or 10 weeks (adults) after birth. Mice were maintained in the chambers 24 h a day, 7 days a week, for 4 months. The first chamber received air that had passed through an air filter (clean chamber) and the second received ambient air (polluted chamber). We measured PM10 and NO2 inside both chambers. Mice belonging to the adult groups were bred to male mice after living for 3 months inside the chambers. The newborn groups mated after reaching reproductive age (12 weeks). After 19 days of pregnancy the numbers of live-born pups, reabsorptions, fetal deaths, corpora lutea, and implantation failures were determined. PM10 and NO2 concentrations in the clean chamber were 50% and 77.5% lower than in the polluted chamber, respectively. Differences in fertility parameters between groups were observed only in animals exposed to air pollution at an early age (10 days after birth). We observed a higher number of live-born pups per animal in the clean chamber than per animal from the polluted chamber (median=6.0 and 4.0, respectively; P=0.037). There was a higher incidence of implantation failures in the polluted group than in the clean group (median=3.5 and 2.0, respectively; P=0.048). There were no significant differences in the other reproductive parameters between groups. These results support the concept that female reproductive health represents a target of air pollutants.

  7. Firefighting acutely increases airway responsiveness.

    PubMed

    Sherman, C B; Barnhart, S; Miller, M F; Segal, M R; Aitken, M; Schoene, R; Daniell, W; Rosenstock, L

    1989-07-01

    The acute effects of the products of combustion and pyrolysis on airway responsiveness among firefighters are poorly documented. To study this relationship, spirometry and methacholine challenge testing (MCT) were performed on 18 active Seattle firefighters before and 5 to 24 h after firefighting. Body plethysmography was used to measure changes in specific airway conductance (SGaw), and results of MCT were analyzed using PD35-SGaw, the cumulative dose causing a 35% decrease in SGaw. Subjects who did not react by the end of the protocol were assigned a value of 640 inhalational units, the largest cumulative dose. Fire exposure was defined as the total time (hours) spent without a self-contained breathing apparatus at the firesite and was categorized as mild (less than 1 h, n = 7), moderate (1 to 2 h, n = 5), or severe (greater than 2 h, n = 6). Mean age of the 18 firefighters was 36.7 +/- 6.7 yr (range, 25 to 51), with a mean of 9.1 +/- 7.9 active years in the trade (range, zero to 22). None was known to be asthmatic. After firefighting, FEV1 % predicted (%pred) and FEF25-75 %pred significantly decreased by means of 3.4 +/- 1.1% and 5.6 +/- 2.6%, respectively. The mean decline in PD35-SGaw after firefighting was 184.5 +/- 53.2 units (p = 0.003). This observed decline in PD35-SGaw could not be explained by decrements in prechallenge SGaw, FEV1, or FVC.(ABSTRACT TRUNCATED AT 250 WORDS)

  8. Occupational Exposure to Polycyclic Aromatic Hydrocarbon of Wildland Firefighters at Prescribed and Wildland Fires.

    PubMed

    Navarro, Kathleen M; Cisneros, Ricardo; Noth, Elizabeth M; Balmes, John R; Hammond, S Katharine

    2017-06-06

    Wildland firefighters suppressing wildland fires or conducting prescribed fires work long shifts during which they are exposed to high levels of wood smoke with no respiratory protection. Polycyclic aromatic hydrocarbons (PAHs) are hazardous air pollutants formed during incomplete combustion. Exposure to PAHs was measured for 21 wildland firefighters suppressing two wildland fires and 4 wildland firefighters conducting prescribed burns in California. Personal air samples were actively collected using XAD4-coated quartz fiber filters and XAD2 sorbent tubes. Samples were analyzed for 17 individual PAHs through extraction with dichloromethane and gas chromatograph-mass spectrometer analysis. Naphthalene, retene, and phenanthrene were consistently the highest measured PAHs. PAH concentrations were higher at wildland fires compared to prescribed fires and were highest for firefighters during job tasks that involve the most direct contact with smoke near an actively burning wildland fire. Although concentrations did not exceed current occupational exposure limits, wildland firefighters are exposed to PAHs not only on the fire line at wildland fires, but also while working prescribed burns and while off-duty. Characterization of occupational exposures from wildland firefighting is important to understand better any potential long-term health effects.

  9. 30 CFR 57.4331 - Surface firefighting drills.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Surface firefighting drills. 57.4331 Section 57... and Control Firefighting Procedures/alarms/drills § 57.4331 Surface firefighting drills. Emergency firefighting drills shall be held at least once every six months for persons assigned surface firefighting...

  10. 30 CFR 57.4331 - Surface firefighting drills.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Surface firefighting drills. 57.4331 Section 57... and Control Firefighting Procedures/alarms/drills § 57.4331 Surface firefighting drills. Emergency firefighting drills shall be held at least once every six months for persons assigned surface firefighting...

  11. 30 CFR 57.4331 - Surface firefighting drills.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Surface firefighting drills. 57.4331 Section 57... and Control Firefighting Procedures/alarms/drills § 57.4331 Surface firefighting drills. Emergency firefighting drills shall be held at least once every six months for persons assigned surface firefighting...

  12. 30 CFR 57.4331 - Surface firefighting drills.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Surface firefighting drills. 57.4331 Section 57... and Control Firefighting Procedures/alarms/drills § 57.4331 Surface firefighting drills. Emergency firefighting drills shall be held at least once every six months for persons assigned surface firefighting...

  13. 30 CFR 57.4331 - Surface firefighting drills.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Surface firefighting drills. 57.4331 Section 57... and Control Firefighting Procedures/alarms/drills § 57.4331 Surface firefighting drills. Emergency firefighting drills shall be held at least once every six months for persons assigned surface firefighting...

  14. Model Training Guide. Firefighter I.

    ERIC Educational Resources Information Center

    Hagevig, William A.; Gallagher, Leigh S.

    This firefighter training guide for a 180-hour course was developed to assist training officers in planning training with emphasis on conformance to recommended National Fire Protection Association (NFPA 1001) standards. The material in the guide is referenced to current editions of the International Fire Service Training Association manuals and…

  15. Firefighting Women and Sexual Harassment.

    ERIC Educational Resources Information Center

    Rosell, Ellen; And Others

    1995-01-01

    Survey responses were received from 37 of 103 department chiefs and 206 of 1,108 female firefighters. The 58% who reported sexual harassment indicated greater stress, sexual stereotyping, acts of violence, use of sick leave, and fear. Although most departments have a policy, over half of those harassed did not report incidents. (SK)

  16. Hypomethylation of dual specificity phosphatase 22 promoter correlates with duration of service in firefighters and is inducible by low-dose benzo[a]pyrene

    PubMed Central

    Ouyang, Bin; Baxter, C. Stuart; Lam, Hung-Ming; Yeramaneni, Samrat; Levin, Linda; Haynes, Erin; Ho, Shuk-mei

    2012-01-01

    Objective Firefighters are chronically exposed to smoke and products of incomplete combustion, which frequently contain PAHs. This study examined the possibility of an association between PAH-induced epigenetic alterations and occupational firefighting exposure. Methods Promoter methylation was analyzed in four genes in blood DNA from 18 firefighters (FF) and 20 non-firefighting controls (Non-FF). Jurkat and NPrEC cells were treated with benzo[a]pyrene to ascertain the epigenetic effects of this type of agent. Results FF had a higher prevalence of DUSP22 promoter hypomethylation in blood DNA (p=0.03) and the extent of hypomethylation correlated with duration of firefighting service (p=0.04), but not with age. Benzo[a]pyrene reduced promoter methylation and increased gene expression of the same gene in Jurkat and NPrEC cells. Conclusions Cumulative occupational exposure to combustion-derived PAHs during firefighting can cause epigenetic changes in promoters of specific genes. PMID:22796920

  17. Pilot task-based assessment of noise levels among firefighters

    PubMed Central

    Neitzel, RL; Hong, O; Quinlan, P; Hulea, R

    2012-01-01

    PURPOSE Over one million American firefighters are routinely exposed to various occupational hazards agents. While efforts have been made to identify and reduce some causes of injuries and illnesses among firefighters, relatively little has been done to evaluate and understand occupational noise exposures in this group. The purpose of this pilot study was to apply a task-based noise exposure assessment methodology to firefighting operations to evaluate potential noise exposure sources, and to use collected task-based noise levels to create noise exposure estimates for evaluation of risk of noise-induced hearing loss by comparison to the 8-hr and 24-hr recommended exposure limits (RELs) for noise of 85 and 80.3 dBA, respectively. METHODS Task-based noise exposures (n=100 measurements) were measured in three different fire departments (a rural department in Southeast Michigan and suburban and urban departments in Northern California). These levels were then combined with time-at-task information collected from firefighters to estimate 8-hr noise exposures for the rural and suburban fire departments (n=6 estimates for each department). Data from 24-hr dosimetry measurements and crude self-reported activity categories from the urban fire department (n=4 measurements) were used to create 24-hr exposure estimates to evaluate the bias associated with the task-based estimates. RESULTS Task-based noise levels were found to range from 82–109 dBA, with the highest levels resulting from use of saws and pneumatic chisels. Some short (e.g., 30 min) sequences of common tasks were found to result in nearly an entire allowable daily exposure. The majority of estimated 8-hr and 24-hr exposures exceeded the relevant recommended exposure limit. Predicted 24-hr exposures showed substantial imprecision in some cases, suggesting the need for increased task specificity. CONCLUSIONS The results indicate potential for overexposure to noise from a variety of firefighting tasks and

  18. Pilot task-based assessment of noise levels among firefighters.

    PubMed

    Neitzel, Rl; Hong, O; Quinlan, P; Hulea, R

    2013-11-01

    Over one million American firefighters are routinely exposed to various occupational hazards agents. While efforts have been made to identify and reduce some causes of injuries and illnesses among firefighters, relatively little has been done to evaluate and understand occupational noise exposures in this group. The purpose of this pilot study was to apply a task-based noise exposure assessment methodology to firefighting operations to evaluate potential noise exposure sources, and to use collected task-based noise levels to create noise exposure estimates for evaluation of risk of noise-induced hearing loss by comparison to the 8-hr and 24-hr recommended exposure limits (RELs) for noise of 85 and 80.3 dBA, respectively. Task-based noise exposures (n=100 measurements) were measured in three different fire departments (a rural department in Southeast Michigan and suburban and urban departments in Northern California). These levels were then combined with time-at-task information collected from firefighters to estimate 8-hr noise exposures for the rural and suburban fire departments (n=6 estimates for each department). Data from 24-hr dosimetry measurements and crude self-reported activity categories from the urban fire department (n=4 measurements) were used to create 24-hr exposure estimates to evaluate the bias associated with the task-based estimates. Task-based noise levels were found to range from 82-109 dBA, with the highest levels resulting from use of saws and pneumatic chisels. Some short (e.g., 30 min) sequences of common tasks were found to result in nearly an entire allowable daily exposure. The majority of estimated 8-hr and 24-hr exposures exceeded the relevant recommended exposure limit. Predicted 24-hr exposures showed substantial imprecision in some cases, suggesting the need for increased task specificity. The results indicate potential for overexposure to noise from a variety of firefighting tasks and equipment, and suggest a need for further

  19. Posttraumatic stress in professional firefighters in Japan: rescue efforts after the Great East Japan Earthquake (Higashi Nihon Dai-Shinsai).

    PubMed

    Fushimi, Masahito

    2012-10-01

    Firefighters are often exposed to stressful duty-related events and may experience extreme trauma. Such work-related stress can result in posttraumatic stress disorder (PTSD). It is therefore important to understand the traumatic stress experienced by firefighters in the course of their work and to promote appropriate intervention when necessary. Data were collected from 118 workers (all males) in the Fire Department of Akita City, Japan who had participated in the Great East Japan Earthquake (Higashi Nihon Dai-Shinsai) rescue effort from March 11 through March 31, 2011. Study participants completed self-report surveys at three time intervals: shortly after return from the rescue effort, approximately two weeks after return from the rescue effort, and approximately one month after return from the rescue effort. The surveys included questions of demographics, physical complaints, medical history, and the Impact of Event Scale-Revised (IES-R) Japanese version, in which a cut-off point of 24/25 was set to screen for PTSD. A total of 117 participants undertook the initial survey with a range of 0-36 points obtained on the IES-R score. For the initial survey, two of 117 participants scored ≥25 points. For the intermediate survey phase, a range of 0-19 was obtained for 116 participants and for the final survey phase, a range of 0-11 points was obtained for 114 participants. Contrary to expectations, the survey results showed no participant was judged to require prompt consultation for PTSD. The firefighters who participated in this study were in good mental health. However, more detailed study is required to ascertain whether these findings adequately and clearly reflect the mental health status of these participants.

  20. Firefighter Incident Rehabilitation: Interpreting Heart Rate Responses.

    PubMed

    Smith, Denise L; Haller, Jeannie M; Benedict, Ron; Moore-Merrell, Lori

    2016-01-01

    The primary objective of this observational study was to document the heart rate (HR) responses of firefighters during incident rehabilitation following firefighting activity in a high-rise building with a simulated fire on the 10th floor. Additionally, the study investigated potential factors, including firefighting workload, ambient temperature, firefighter movement, and individual characteristics, that may have affected HR during recovery. Firefighters (n = 198) were assigned to perform a simulation of fire suppression, search and rescue, or material support during one of six firefighting trials that involved different crew sizes and ascent modes, and were performed in different environmental conditions. After completing the simulated firefighting activity, firefighters reported to a rehabilitation area on the 8th floor. The rehabilitation area was staffed by firefighter/paramedics. HR was monitored continuously during simulated firefighting activity and a 15-minute rehabilitation period. Average HR during rehabilitation (HRmean) was calculated and compared across trials. Simulated firefighting activity was performed in the summer in Virginia, USA, and ambient conditions varied among trials (mean ± SD: 31 ± 4°C; 46 ± 15% relative humidity; 32 ± 4°C heat index). Duration of simulated firefighting activity ranged from 12.0 to 20.3 minutes among trials (mean: 15.4 ± 5.2 minutes). Over all trials, mean peak HR during simulations was 173 ± 18 beats·min(-1). Mean HR over all trials at entry into rehabilitation was 149 ± 24 beats·min(-1). Following 15 minutes of recovery, mean HR over all trials was 126 ± 23 beats·min(-1). Exploratory analyses revealed that higher workload during firefighting (stair trials), higher ambient temperature (≥30°C), greater movement during rehabilitation (≥0.1 g-force), higher age (≥45 years), and higher BMI (≥30.0 kg·m(-2)) were associated with higher HR responses during rehabilitation. During complex emergency

  1. Exposure of wildland firefighters to carbon monoxide, fine particles, and levoglucosan.

    PubMed

    Adetona, Olorunfemi; Simpson, Christopher D; Onstad, Gretchen; Naeher, Luke P

    2013-10-01

    Wildland firefighters are occupationally exposed to elevated levels of woodsmoke. Eighteen wildland firefighters were monitored for their personal exposure to particulate matter with median aerodynamic diameter of 2.5 microns (PM2.5), levoglucosan (LG), and carbon monoxide (CO) at 30 prescribed burns at the Savannah River Site, South Carolina. Linear mixed effect models were used to investigate the effect on exposure of various factors and to examine whether the firefighters were able to qualitatively estimate their own exposures. Exposure to PM2.5 and CO was higher when firefighters performed 'holding' tasks compared with 'lighting' duties, whereas exposures to CO and LG were higher when burns were in compartments with predominantly pine vegetation (P < 0.05). Exposures to PM2.5 (64-2068 µg m(-3)) and CO (0.02-8.2 p.p.m.) fell within the ranges observed in previous studies. Some recommended shorter term exposure limits for CO were exceeded in a few instances. The very low LG:PM2.5 ratios in some samples suggest that the exposures of wildland firefighters to pollutants at prescribed burns may be substantially impacted by non-woodsmoke sources. The association of the qualitative exposure estimation of the firefighters with actual PM2.5 and CO measurements (P < 0.01) indicates that qualitative estimation may be used to assess exposure in epidemiology studies.

  2. Stress hormones and immunological responses to a dual challenge in professional firefighters.

    PubMed

    Huang, Chun-Jung; Webb, Heather E; Garten, Ryan S; Kamimori, Gary H; Evans, Ronald K; Acevedo, Edmund O

    2010-03-01

    The purpose of this study was to examine the changes in heart rate (HR), catecholamines (norepinephrine [NE] and epinephrine [EPI]), pro-inflammatory cytokines (interleukin-2 [IL-2] and interleukin-6 [IL-6]), and lymphocytes (CD8+ and CD56+) in firefighters exposed to a decision-making challenge (firefighting strategies and tactics drill) while participating in moderate intensity exercise. Nine professional male firefighters participated in two counterbalanced exercise conditions on a cycle ergometer: (1) 37 min of cycle ergometry at 60% VO(2max) (exercise alone condition ; EAC) and (2) 37 min of cycle ergometry at 60% VO(2max) along with 20 min of a computerized firefighting strategy and tactics decision-making challenge (firefighting strategy condition; FSC). FSC elicited significantly greater HR, NE, EPI, and IL-2 when compared to EAC. These elevations may suggest that the addition of a mental challenge to physical stress can alter the hormonal and immunological responses during firefighting. In addition, this evidence provides insight into the possible mechanisms that explain the link between physical activity, psychological stress, and stress-related diseases.

  3. DNA damage in leukocytes, buccal cells and nasal epithelial cells of individuals exposed to air pollution in Mexico City

    SciTech Connect

    Valverde, M.; Lopez, M.C.; Ostrosky-Wegman, P.

    1997-10-01

    There is an increased interest in using biological markers to monitor populations for the identification of exposure to environmental toxicants. Test systems which permit the sensitive detection of DNA damage and DNA repair are critically important. The single cell gel electrophoresis assay is a rapid and a sensitive method for the evaluation of DNA damage at the single cell level ant it provides information on the occurrence of DNA single-strand breaks and alkali labile sites using alkaline conditions. In this work, the differences in the basal level of DNA single strand breaks using alkaline single strand breaks using alkaline single cell gel electrophoresis, between young adults from the south (exposed principally to high levels of ozone) and north (exposed principally to hydrocarbons and particles) of Mexico City was investigated using three different cell types (leukocytes, nasal and buccal epithelial cells). We found an increased DNA tail length in blood and nasal cells from individuals who live in the south part of the city compared to the northern part. However, no differences were observed in buccal epithelial cells. These results show the feasibility of using SCGE in different tissues and its great potential for the monitoring of humans exposed to xenobiotics.

  4. Lifetime prevalence of schizophrenia among individuals prenatally exposed to atomic bomb radiation in Nagasaki City.

    PubMed

    Imamura, Y; Nakane, Y; Ohta, Y; Kondo, H

    1999-11-01

    The aim of this study was to examine the relationship between prenatal exposure to atomic bomb (A-bomb) radiation and the development of schizophrenia in adulthood. We investigated the lifetime prevalence of schizophrenia among people prenatally exposed to the 1945 Nagasaki A-bomb, using the schizophrenia register and the A-bomb survivors' database. Among 1867 prenatally exposed individuals, 18 subjects (0.96%) had developed schizophrenia later in life. The prevalence was significantly higher in people exposed in the second trimester of pregnancy than in those exposed in the third trimester. The closer they had been to the hypocentre, the higher was the prevalence, but no statistically significant linear relationship was seen. This investigation could not clarify the nature of exposure to A-bomb radiation as a risk factor for schizophrenia in the prenatal period.

  5. Illness Symptoms Experienced by Children Exposed to Benzene After a Flaring Incident at the BP Refinery Facility in Texas City.

    PubMed

    D'Andrea, Mark A; Reddy, G Kesava

    2016-10-01

    Objective To evaluate the illness symptoms experienced by children who were exposed to benzene following a flaring incident at the BP refinery in Texas City, Texas. Methods A total of 641 children, aged <17 years, exposed to benzene were included. Using medical charts, data on the children's illness symptoms as well as the serum levels of β-2-microglobulin and the amount of urinary excretion of phenol were reviewed and analyzed. Results A total of 1790 illness symptoms were reported in 641 children exposed to benzene. Upper respiratory symptoms were the most (67%) frequently reported, followed by neurological symptoms (57%), diarrhea (25%), and cough (24%). Logistic regression analysis indicated that neurological symptoms (R(2) = 0.75), chest pain (R(2) = 0.64), joint pain (R(2) = 0.57), and vision difficulty (R(2) = 0.54) were positively associated with increasing age. β-2-Microglobulin levels were significantly higher in children <5 years compared with those >5 year (P = .04). Conversely, urinary phenol levels were significantly lower in children <5 years compared with those >5 years (P = .00). Conclusion Together, these findings reveal that children exposed to benzene experience a range of illness symptoms and an altered profile of urinary phenol indicating their vulnerability to potentially increased health complications. © The Author(s) 2016.

  6. Firefighter Workplace Learning: An Exploratory Case Study

    ERIC Educational Resources Information Center

    Tracey, Edward A.

    2014-01-01

    Despite there being a significant amount of research investigating workplace learning, research exploring firefighter workplace learning is almost nonexistent. The purpose of this qualitative multi-case study was to explore how firefighters conceptualize, report, and practice workplace learning. The researcher also investigated how firefighters…

  7. NASA firefighters breathing system program report

    NASA Technical Reports Server (NTRS)

    Wood, W. B.

    1977-01-01

    Because of the rising incidence of respiratory injury to firefighters, local governments expressed the need for improved breathing apparatus. A review of the NASA firefighters breathing system program, including concept definition, design, development, regulatory agency approval, in-house testing, and program conclusion is presented.

  8. Learning amongst Norwegian Fire-Fighters

    ERIC Educational Resources Information Center

    Sommer, Morten; Nja, Ove

    2011-01-01

    Purpose: The purpose of this study is to reveal and analyse dominant learning processes in emergency response work from the fire-fighters' point of view, and how fire-fighters develop their competence. Design/methodology/approach: This study adopted an explorative approach using participant observation. The objective of this open-minded approach…

  9. Firefighter Workplace Learning: An Exploratory Case Study

    ERIC Educational Resources Information Center

    Tracey, Edward A.

    2014-01-01

    Despite there being a significant amount of research investigating workplace learning, research exploring firefighter workplace learning is almost nonexistent. The purpose of this qualitative multi-case study was to explore how firefighters conceptualize, report, and practice workplace learning. The researcher also investigated how firefighters…

  10. High-Capacity, Portable Firefighting Pump

    NASA Technical Reports Server (NTRS)

    Burns, Ralph A.

    1988-01-01

    Report describes an evaluation of firefighting module that delivers water at 5,000 gal/min (320 L/s). Is compact, self-contained, portable water pump. Besides firefighting, module used for flood control, pumping water into large vessels, and pump water from sinking ships.

  11. Learning amongst Norwegian Fire-Fighters

    ERIC Educational Resources Information Center

    Sommer, Morten; Nja, Ove

    2011-01-01

    Purpose: The purpose of this study is to reveal and analyse dominant learning processes in emergency response work from the fire-fighters' point of view, and how fire-fighters develop their competence. Design/methodology/approach: This study adopted an explorative approach using participant observation. The objective of this open-minded approach…

  12. Predictors of Back Pain in Firefighters.

    PubMed

    Damrongsak, Mantana; Prapanjaroensin, Aoyjai; Brown, Kathleen C

    2017-07-01

    The purpose of this study was to identify variables-that is, demographic factors (age, history of back pain, body mass index [BMI], and waist circumference), occupational stress, job satisfaction, perceived supervisor support, and physical fitness-that predict back pain in firefighters. Firefighters, an occupational group at high risk for back injury, perform many job tasks under hazardous work conditions. A nonexperimental, correlational design was used to study a convenience sample of 298 male firefighters who completed study questionnaires. Almost one third (30.20%) of the firefighters reported current back pain. The set of factors that predicted current back pain in firefighters included occupational stress, age, history of back pain, and BMI-pseudo R(2) = .351. Further studies should validate the model and explore relationships among perceived supervisor support, occupational stress, and job satisfaction in other occupational groups, including nurses and police officers.

  13. Firefighter Shift Schedules Affect Sleep Quality.

    PubMed

    Billings, Joel; Focht, Will

    2016-03-01

    The aim of this study was to investigate the prevalence and severity of firefighter sleep quality across department shift schedules. Sleep quality was assessed using a Pittsburgh Sleep Quality Index in a sample of 109 male career firefighters from six fire departments in three Southwestern US states. The three shift schedules studied were 24on/48off, 48on/96off, and Kelly. Seventy-three percent of firefighters report poor sleep quality. The 24on/48off shift schedule is associated with the best sleep quality and Kelly is associated with the worst sleep quality. Firefighters working second jobs report significantly poorer sleep quality than those who do not. Shift schedules that disrupt normal circadian rhythms more result in poorer sleep quality, which can lead to less effective emergency response and increased risk to firefighter health and safety.

  14. Lung function measures following simulated wildland firefighter exposures.

    PubMed

    Ferguson, Matthew D; Semmens, Erin O; Weiler, Emily; Domitrovich, Joe; French, Mary; Migliaccio, Christopher; Palmer, Charles; Dumke, Charles; Ward, Tony

    2017-09-01

    Across the world, biomass smoke is a major source of air pollution and is linked with a variety of adverse health effects. This is particularly true in the western U.S. where wood smoke from wildland forest fires are a significant source of PM2.5. Wildland firefighters are impacted as they experience elevated PM2.5 concentrations over extended periods of time, often occurring during physical exertion. Various epidemiological studies have investigated wood smoke impacts on human health, including occupational field exposures experienced by wildland firefighters. As there are numerous challenges in carrying out these field studies, having the ability to research the potential health impacts to this occupational cohort in a controlled setting would provide important information that could be translated to the field setting. To this end, we have carried out a simulated wildland firefighter exposure study in a wood smoke inhalation facility. Utilizing a randomized crossover trial design, we exposed 10 participants once to clean filtered-air, 250 µg/m(3), and 500 µg/m(3) wood stove-generated wood smoke PM2.5. Participants exercised on a treadmill at an absolute intensity designed to simulate wildland firefighting for 1.5 hr. In addition to measured PM2.5 smoke concentrations, mean levels of CO2, CO, and % relative humidity were continuously monitored and recorded and were representative of occupational "real-world" exposures. Pulmonary function was measured at three time points: before, immediately after, and 1-hr post-exposure. Although there were some reductions in FVC, FEV1, and FVC:FEV1 measures, results of the spirometry testing did not show significant changes in lung function. The development of this wood smoke inhalational facility provides a platform to further address unique research questions related to wood smoke exposures and associated adverse health effects.

  15. Respiratory Health Symptoms among Students Exposed to Different Levels of Air Pollution in a Turkish City

    PubMed Central

    Gül, Hülya; Gaga, Eftade O.; Döğeroğlu, Tuncay; Özden, Özlem; Ayvaz, Özkan; Özel, Sevda; Güngör, Günay

    2011-01-01

    In this study, we aimed to investigate the frequency of respiratory health symptoms among high school students attending schools at industrial, urban and rural areas in a Turkish city. Three schools located in different zones of the city having different pollution characteristics were chosen based on the pollutant distribution maps using Geographical Information Systems (GIS) software. A cross-sectional survey was performed among 667 high school students in the schools. Outdoor and indoor nitrogen dioxide (NO2) and ozone (O3) concentrations were also measured by passive samplers in the same schools to investigate possible routes of exposure. Chronic pulmonary disease (OR = 1.49; 95%CI: 1.11–1.99; p = 0.008), tightness in the chest (OR = 1.57; 95%CI: 1.22–2.02; p = 0.001), morning cough (OR = 1.81 95%CI: 1.19–2.75; p = 0.006) were higher among students in the industrial zone where nitrogen dioxide and ozone levels were also highest. There were no indoor sources of nitrogen dioxide and ozone exists in the schools except for the dining hall. As a conclusion, this study has noticed that air pollution and respiratory health problems among high school students are high in industrial zones and the use of passive samplers combined with GIS is an effective tool that may be used by public health researchers to identify pollutant zones and persons at risk. PMID:21695031

  16. Review of the health effects of wildland fire smoke on wildland firefighters and the public

    Treesearch

    Olorunfemi Adetona; Timothy E. Reinhardt; Joe Domitrovich; George Broyles; Anna M. Adetona; Michael T. Kleinman; Roger D. Ottmar; Luke P. Naeher

    2016-01-01

    Each year, the general public and wildland firefighters in the US are exposed to smoke from wildland fires. As part of an effort to characterize health risks of breathing this smoke, a review of the literature was conducted using five major databases, including PubMed and MEDLINE Web of Knowledge, to identify smoke components that present the highest hazard potential,...

  17. A combined approach to physical vulnerability of large cities exposed to natural hazards - the case study of Arequipa, Peru

    NASA Astrophysics Data System (ADS)

    Thouret, Jean-Claude; Ettinger, Susanne; Zuccaro, Giulio; Guitton, Mathieu; Martelli, Kim; Degregorio, Daniela; Nardone, Stefano; Santoni, Olivier; Magill, Christina; Luque, Juan Alexis; Arguedas, Ana

    2013-04-01

    Arequipa, the second largest city in Peru with almost one million inhabitants, is exposed to various natural hazards, such as earthquakes, landslides, flash floods, and volcanic eruptions. This study focuses on the vulnerability and response of housing, infrastructure and lifelines in Arequipa to flash floods and eruption induced hazards, notably lahars from El Misti volcano. We propose a combined approach for assessing physical vulnerability in a large city based on: (1) remote sensing utilizing high-resolution imagery (SPOT5, Google Earth Pro, Bing, Pléïades) to map the distribution and type of land use, properties of city blocks in terms of exposure to the hazard (elevation above river level, distance to channel, impact angle, etc.); (2) in situ survey of buildings and critical infrastructure (e.g., bridges) and strategic resources (e.g., potable water, irrigation, sewage); (3) information gained from interviews with engineers involved in construction works, previous crises (e.g., June 2001 earthquake) and risk mitigation in Arequipa. Remote sensing and mapping at the scale of the city has focused on three pilot areas, along the perennial Rio Chili valley that crosses the city and oasis from north to south, and two of the east-margin tributaries termed Quebrada (ravine): San Lazaro crossing the northern districts and Huarangal crossing the northeastern districts. Sampling of city blocks through these districts provides varying geomorphic, structural, historical, and socio-economic characteristics for each sector. A reconnaissance survey included about 900 edifices located in 40 city blocks across districts of the pilot areas, distinct in age, construction, land use and demographics. A building acts as a structural system and its strength and resistance to flashfloods and lahars therefore highly depends on the type of construction and the used material. Each building surveyed was assigned to one of eight building categories based on physical criteria (dominant

  18. Biological monitoring of roadside plants exposed to vehicular pollution in Jalgaon city.

    PubMed

    Wagh, N D; Shukla, Poonam V; Tambe, Sarika B; Ingle, S T

    2006-05-01

    Experiments on air and biomonitoring were conducted to evaluate pollution impact on the vegetation along the road in Jalgaon City, Maharashtra. The plantation along the roads and mainly includes neem (Aadirachta indica), peepal (Ficus religiosa), banyan (Ficus benghalensis), almond (Terminalia catapa). For biomonitoring, leaf area, total chlorophyll, plant protein were analyzed to study the impact of air pollutants. It was observed that vegetation at roadside with heavy traffic and markets was much affected by vehicular emission. Significant decrease in total chlorophyll and protein content was observed with reduced leaf area. It is concluded that plants can be used as indicators for urban air pollution, and there is need to protect the roadside plants from air pollution.

  19. Modeling thermal insulation of firefighting protective clothing embedded with phase change material

    NASA Astrophysics Data System (ADS)

    Hu, Yin; Huang, Dongmei; Qi, Zhengkun; He, Song; Yang, Hui; Zhang, Heping

    2013-04-01

    Experiments and research on heat transport through firefighting protective clothing when exposed to high temperature or intensive radiation are significant. Phase change material (PCM) takes energy when changes from solid to liquid thus reducing heat transmission. A numerical simulation of heat protection of the firefighting protective clothing embedded with PCM was studied. We focused on the temperature variation by comparing different thicknesses and position conditions of PCM combined in the clothing, as well as the melting state of PCM and human irreversible burns through a simplified one-dimensional model. The results showed it was superior to place PCM between water and proof layer and inner layer, in addition, greater thickness increased protection time while might adding extra burden to the firefighter.

  20. Lifestyle and safety practices of firefighters and their relation to cardiovascular risk factors.

    PubMed

    Eastlake, Adrienne C; Knipper, Brad S; He, Xinjian; Alexander, Barbara M; Davis, Kermit G

    2015-01-01

    In the United States, over 50% of the deaths of on-duty firefighters are classified as sudden cardiac deaths. A holistic view of the multiple risk factors and their relation to the prevalence of cardiovascular disease (CVD) is necessary to determine a baseline for prevention. This study surveyed 154 firefighters in a large Midwestern county about their individual exposure to particulates, noise, heat stress, skin contamination, and physical stress; lifestyle factors such as exercise, diet, smoking, and alcohol consumption; health status; and demographic factors. Consumption of whole grains and alcohol were associated with a reduction of the risk of heart disease, while higher Body Mass Index (BMI) scores and increasing age were associated with increased risk of heart disease. Although firefighters are exposed to substantial occupational risks, only lifestyle factors were found to significantly predict CVD and related health issues. BMI is a modifiable risk factor, which, if controlled, could appreciably improve health outcomes.

  1. Exposure to bushfire smoke during prescribed burns and wildfires: firefighters' exposure risks and options.

    PubMed

    Reisen, Fabienne; Hansen, Dane; Meyer, C P Mick

    2011-02-01

    Firefighters are exposed to known health-damaging air pollutants present in bushfire smoke and poorly managed exposure can result in serious health issues. A better understanding of exposure levels and the major factors influencing exposures is crucial for the development of mitigation strategies to minimise exposure risks and adverse health impacts. This study monitored air toxics within the breathing zone of firefighters at prescribed burns and at wildfires in Australia. The results showed that exposure levels were highly variable, with higher exposures (sometimes exceeding occupational exposure standards) associated with particular work tasks (such as patrol and suppression) and with certain burn conditions. The majority of firefighter's exposures were at low and moderate levels (~60%), however considerable attention should be given to the high (~30%) and very high (6%) exposure risk situations for which acute and chronic health risks are very likely and for which control strategies should be developed and implemented to minimise health risks.

  2. The effectiveness of Narrative Exposure Therapy with traumatised firefighters in Saudi Arabia: a randomized controlled study.

    PubMed

    Alghamdi, Mohammed; Hunt, Nigel; Thomas, Shirley

    2015-03-01

    Firefighters are exposed to many traumatic events. The psychological costs of this exposure increase the risk of Post-Traumatic Stress disorder (PTSD), depression and anxiety. This study examined the effectiveness of Narrative Exposure Therapy (NET) as a short-term treatment for reducing PTSD symptoms among Saudi firefighters. A randomized waiting-list control study was conducted with 34 traumatized firefighters were randomly allocated to NET or Waiting-list Control (WLC). The NET group received four therapy sessions of 60-90 min over a three-week period; those in the WLC condition received the same sessions after a three-week waiting period. Participants in both groups were assessed at baseline, immediately post-intervention and at 3 and 6 month follow ups. NET led to significant reductions in PTSD symptoms, anxiety and depression compared with WLC. After the WLC group received treatment, it showed the same improvements as the NET group. This occurred immediately post-treatment in both groups, but was not sustained at 3 and 6 month follow ups. Coping strategies and social support led to significant changes only in follow up times. NET was effective in reducing PTSD symptoms in traumatised Saudi firefighters. This finding could be helpful in the management of PTSD among people who work as first responders such as firefighters, police officers and emergency medical personal, as well as security officers. Copyright © 2015. Published by Elsevier Ltd.

  3. Medical Monitoring During Firefighter Incident Scene Rehabilitation.

    PubMed

    Barr, David A; Haigh, Craig A; Haller, Jeannie M; Smith, Denise L

    2016-01-01

    The objective of this study was to retrospectively investigate aspects of medical monitoring, including medical complaints, vital signs at entry, and vital sign recovery, in firefighters during rehabilitation following operational firefighting duties. Incident scene rehabilitation logs obtained over a 5-year span that included 53 incidents, approximately 40 fire departments, and more than 530 firefighters were reviewed. Only 13 of 694 cases involved a firefighter reporting a medical complaint. In most cases, vital signs were similar between firefighters who registered a complaint and those who did not. On average, heart rate was 104 ± 23 beats·min(-1), systolic blood pressure was 132 ± 17 mmHg, diastolic blood pressure was 81 ± 12 mmHg, and respiratory rate was 19 ± 3 breaths·min(-1) upon entry into rehabilitation. At least two measurements of heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate were obtained for 365, 383, 376, and 160 cases, respectively. Heart rate, systolic and diastolic blood pressures, and respiratory rate decreased significantly (p < 0.001) during rehabilitation. Initial vital signs and changes in vital signs during recovery were highly variable. Data from this study indicated that most firefighters recovered from the physiological stress of firefighting without any medical complaint or symptoms. Furthermore, vital signs were within fire service suggested guidelines for release within 10 or 20 minutes of rehabilitation. The data suggested that vital signs of firefighters with medical symptoms were not significantly different from vital signs of firefighters who had an unremarkable recovery.

  4. PAH exposure and oxidative stress indicators of human cohorts exposed to traffic pollution in Lahore city (Pakistan).

    PubMed

    Kamal, Atif; Qamar, Khansa; Gulfraz, Muhammad; Anwar, Muhammad Asad; Malik, Riffat Naseem

    2015-02-01

    Pollution from road traffic is not only a major source of exposure to polycyclic aromatic hydrocarbons (PAHs) but also a growing problem in the city of Lahore (Pakistan). In this study, we evaluated exposure to traffic-related PAHs, among subjects including traffic police officers (TPs), rickshaw drivers (RKs) shopkeepers working near main roads (SKs) and a control group (CN) for comparative analyses. We monitored the 1-hydroxypyrene (1-OHP) as biomarkers of exposure to PAHs and its probable association with catalase (CAT), glutathione (GSH) glutathione peroxidase (GSHPx) activity as biomarkers of oxidative stress in selected cohorts from the city Lahore. Results showed that median 1-OHP concentration was significantly higher in TPs than CN (med 1.21 vs. 0.51 μmol mol-C(-1) respectively, P=0.046), followed by RKs (0.68 μmol mol-C(-1), P=0.19 vs. CN). Furthermore, GSH, GSHPx, and CAT activities were also higher in exposed subjects than CN, which indicated that they experienced oxidative stress. Similar, but less severe observations were recorded in SKs. Observation of self-reported health status showed that, on the basis of daily time spent in the middle of heavy traffic, TPs and RKs most frequently suffered from adverse head and respiratory symptoms. The study shows that increasing traffic pollution can be associated with important health risk factor not only for the workers in transport industry but also for the public. Finally, the issue of traffic pollution in Lahore city needs to be addressed on priority.

  5. An occupational exposure assessment of polychlorinated dibenzo-p-dioxin and dibenzofurans in firefighters.

    PubMed

    Hsu, Jing-Fang; Guo, How-Ran; Wang, Hsueh Wen; Liao, Chin-Kun; Liao, Pao-Chi

    2011-05-01

    Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) are unintentional byproducts of combustion and industrial processes. Firefighters face the risk of occupational exposure to PCDD/Fs. Congener-specific analyses of 17 PCDD/Fs were performed on 20 serum samples collected from firefighters and fire scene investigators, and four soot samples that had deposited on the surfaces of the fire helmets and were collected after the firefighters had fought fires. The PCDD/F concentrations on the helmets that were contaminated by being worn at the fire scenes were 63-285 times higher than those on a clean helmet. The median serum PCDD/F concentration of the 16 firefighters (12 pg WHO(2005)-TEQ g(-1)lipid) was not different from those of the males from the general Taiwanese population (9.4 pg WHO(2005)-TEQ g(-1) lipid). However, the median PCDD/F level in the four fire scene investigators (15 pg WHO(2005)-TEQ g(-1) lipid) was higher than those in the male from the general Taiwanese population (Mann-Whitney U test, p<0.01). Furthermore, the serum samples from the firefighters and fire scene investigators, and the soot samples from the fire scenes presented similarly distinctive PCDD/F profiles that had elevated proportions for 10 PCDF congeners. Limited data indicated that the fire scene investigators were occupationally exposed to PCDD/Fs at the fire scenes. We suggested that the firefighters were not occupationally exposed to PCDD/Fs at the fire scenes due to appropriate protection. However, the fire scene investigators may have had more occupational exposure to PCDD/Fs due to poor protection, and further research must be performed to confirm this. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. An Internet-based tailored hearing protection intervention for firefighters: development process and users' feedback.

    PubMed

    Hong, OiSaeng; Eakin, Brenda L; Chin, Dal Lae; Feld, Jamie; Vogel, Stephen

    2013-07-01

    Noise-induced hearing loss is a significant occupational injury for firefighters exposed to intermittent noise on the job. It is important to educate firefighters about using hearing protection devices whenever they are exposed to loud noise. Computer technology is a relatively new health education approach and can be useful for tailoring specific aspects of behavioral change training. The purpose of this study is to present the development process of an Internet-based tailored intervention program and to assess its efficacy. The intervention programs were implemented for 372 firefighters (mean age = 44 years, Caucasian = 82%, male = 95%) in three states (California, Illinois, and Indiana). The efficacy was assessed from firefighters' feedback through an Internet-based survey. A multimedia Internet-based training program was developed through (a) determining program content and writing scripts, (b) developing decision-making algorithms for tailoring, (c) graphic design and audio and video productions, (d) creating computer software and a database, and (e) postproduction quality control and pilot testing. Participant feedback regarding the training has been very positive. Participants reported that they liked completing the training via computer (83%) and also that the Internet-based training program was well organized (97%), easy to use (97%), and effective (98%) and held their interest (79%). Almost all (95%) would recommend this Internet training program to other firefighters. Interactive multimedia computer technology using the Internet was a feasible mode of delivery for a hearing protection intervention among firefighters. Participants' favorable feedback strongly supports the continued utilization of this approach for designing and developing interventions to promote healthy behaviors.

  7. Estrogenic responses of larval sunshine bass (Morone saxatilis x M. Chrysops) exposed to New York City sewage effluent.

    PubMed

    Todorov, Julia R; Elskus, Adria A; Schlenk, Daniel; Ferguson, P Lee; Brownawell, Bruce J; McElroy, Anne E

    2002-01-01

    To determine the estrogenicity of effluents from sewage treatment plants (STPs) to larval fish, 2-day-old sunshine bass were exposed to effluents from three STPs serving New York City (NYC), varying in size and treatment level. Estrogenic response was evaluated by measuring vitellogenin (VTG) and estrogen receptor (ER) expression in cytosolic fractions of whole body homogenates. Concentrations of the presumptive endocrine disruptors in the effluents were also measured. VTG and ER levels in sewage-exposed fish were 3-5 times that observed in controls. Combined concentrations of estradiol and estrone ranged from 5 to 13 ng/l and nonylphenol-ethoxylate metabolites (NPEOs: 4-nonylphenol, and 1-, 2-, and 3-nonylphenol-ethoxylates) ranged from 180 to 470 microg/l in chlorinated effluent. Results indicate that both ER and VTG can be used as biomarkers for endocrine disruption in larval fish, and that 4-day exposure to sewage effluent is sufficient to elicit significant expression of these markers in sunshine bass larvae. The extremely higher concentrations of NPEOs found in effluent relative to hormones (approximately 40,000-fold) indicates that surfactant metabolites may be contributing significantly to the estrogenic effects observed.

  8. Dietary intake, lung function and airway inflammation in Mexico City school children exposed to air pollutants

    PubMed Central

    2009-01-01

    Introduction Air pollutant exposure has been associated with an increase in inflammatory markers and a decline in lung function in asthmatic children. Several studies suggest that dietary intake of fruits and vegetables might modify the adverse effect of air pollutants. Methods A total of 158 asthmatic children recruited at the Children's Hospital of Mexico and 50 non-asthmatic children were followed for 22 weeks. Pulmonary function was measured and nasal lavage collected and analyzed every 2 weeks. Dietary intake was evaluated using a 108-item food frequency questionnaire and a fruit and vegetable index (FVI) and a Mediterranean diet index (MDI) were constructed. The impact of these indices on lung function and interleukin-8 (IL-8) and their interaction with air pollutants were determined using mixed regression models with random intercept and random slope. Results FVI was inversely related to IL-8 levels in nasal lavage (p < 0.02) with a significant inverse trend (test for trend p < 0.001), MDI was positively related to lung function (p < 0.05), and children in the highest category of MDI had a higher FEV1 (test for trend p < 0.12) and FVC (test for trend p < 0.06) than children in the lowest category. A significant interaction was observed between FVI and ozone for FEV1 and FVC as was with MDI and ozone for FVC. No effect of diet was observed among healthy children. Conclusion Our results suggest that fruit and vegetable intake and close adherence to the Mediterranean diet have a beneficial effect on inflammatory response and lung function in asthmatic children living in Mexico City. PMID:20003306

  9. For Firefighters, Another Danger: the Heart

    MedlinePlus

    ... cardiovascular system that firefighters face, said Dr. Stefanos Kales, an associate professor at Harvard Medical School. The ... closer attention to this group's unique needs, added Kales, who wrote an editorial about the study. Both ...

  10. Exploratory breath analyses for assessing toxic dermal exposures of firefighters during suppression of structural burns.

    PubMed

    Pleil, Joachim D; Stiegel, Matthew A; Fent, Kenneth W

    2014-09-01

    Firefighters wear fireproof clothing and self-contained breathing apparatus (SCBA) during rescue and fire suppression activities to protect against acute effects from heat and toxic chemicals. Fire services are also concerned about long-term health outcomes from chemical exposures over a working lifetime, in particular about low-level exposures that might serve as initiating events for adverse outcome pathways (AOP) leading to cancer. As part of a larger US National Institute for Occupational Safety and Health (NIOSH) study of dermal exposure protection from safety gear used by the City of Chicago firefighters, we collected pre- and post-fire fighting breath samples and analyzed for single-ring and polycyclic aromatic hydrocarbons as bioindicators of occupational exposure to gas-phase toxicants. Under the assumption that SCBA protects completely against inhalation exposures, any changes in the exhaled profile of combustion products were attributed to dermal exposures from gas and particle penetration through the protective clothing. Two separate rounds of firefighting activity were performed each with 15 firefighters per round. Exhaled breath samples were collected onto adsorbent tubes and analyzed with gas-chromatography-mass spectrometry (GC-MS) with a targeted approach using selective ion monitoring. We found that single ring aromatics and some PAHs were statistically elevated in post-firefighting samples of some individuals, suggesting that fire protective gear may allow for dermal exposures to airborne contaminants. However, in comparison to a previous occupational study of Air Force maintenance personnel where similar compounds were measured, these exposures are much lower suggesting that firefighters' gear is very effective. This study suggests that exhaled breath sampling and analysis for specific targeted compounds is a suitable method for assessing systemic dermal exposure in a simple and non-invasive manner.

  11. Safety climate and firefighting: Focus group results.

    PubMed

    DeJoy, David M; Smith, Todd D; Dyal, Mari-Amanda

    2017-09-01

    Firefighting is a hazardous occupation and there have been numerous calls for fundamental changes in how fire service organizations approach safety and balance safety with other operational priorities. These calls, however, have yielded little systematic research. As part of a larger project to develop and test a model of safety climate for the fire service, focus groups were used to identify potentially important dimensions of safety climate pertinent to firefighting. Analyses revealed nine overarching themes. Competency/professionalism, physical/psychological readiness, and that positive traits sometimes produce negative consequences were themes at the individual level; cohesion and supervisor leadership/support at the workgroup level; and politics/bureaucracy, resources, leadership, and hiring/promotion at the organizational level. A multi-level perspective seems appropriate for examining safety climate in firefighting. Safety climate in firefighting appears to be multi-dimensional and some dimensions prominent in the general safety climate literature also seem relevant to firefighting. These results also suggest that the fire service may be undergoing transitions encompassing mission, personnel, and its fundamental approach to safety and risk. These results help point the way to the development of safety climate measures specific to firefighting and to interventions for improving safety performance. Copyright © 2017 National Safety Council and Elsevier Ltd. All rights reserved.

  12. ERRATUM to Illness Symptoms Experienced by Children Exposed to Benzene After a Flaring Incident at the BP Refinery Facility in Texas City.

    PubMed

    2017-02-01

    Owing to errors made by SAGE, the following article contains errors. D'Andrea, M A., & Reddy G. K. (2016). Illness symptoms experienced by children exposed to benzene after a flaring incident at the BP refinery facility in Texas City. Clinical Pediatrics, 55(12), 1089-1192. DOI: 10.1177/0009922816641463.

  13. Early Elevation of Serum MMP-3 and MMP-12 Predicts Protection from World Trade Center-Lung Injury in New York City Firefighters: A Nested Case-Control Study

    PubMed Central

    Echevarria, Ghislaine C.; Comfort, Ashley L.; Naveed, Bushra; Prezant, David J.; Rom, William N.; Nolan, Anna

    2013-01-01

    Objective After 9/11/2001, some Fire Department of New York (FDNY) workers had excessive lung function decline. We hypothesized that early serum matrix metalloproteinases (MMP) expression predicts World Trade Center-Lung Injury (WTC-LI) years later. Methods This is a nested case-control analysis of never-smoking male firefighters with normal pre-exposure Forced Expiratory Volume in one second (FEV1) who had serum drawn up to 155 days post 9/11/2001. Serum MMP-1, 2,3,7,8, 9, 12 and 13 were measured. Cases of WTC-LI (N = 70) were defined as having an FEV1 one standard deviation below the mean (FEV1≤77%) at subspecialty pulmonary evaluation (SPE) which was performed 32 months (IQR 21–53) post-9/11. Controls (N = 123) were randomly selected. We modeled MMP's ability as a predictor of cases status with logistic regression adjusted for time to blood draw, exposure intensity, weight gain and pre-9/11 FEV1. Results Each log-increase in MMP-3 and MMP-12 showed reduced odds of developing WTC-LI by 73% and 54% respectively. MMP-3 and MMP-12 consistently clustered together in cases, controls, and the cohort. Increasing time to blood draw significantly and independently increased the risk of WTC-LI. Conclusions Elevated serum levels of MMP-3 and MMP-12 reduce the risk of developing WTC-LI. At any level of MMP-3 or 12, increased time to blood draw is associated with a diminished protective effect. PMID:24146820

  14. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting,...

  15. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  16. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  17. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue and firefighting operations. Following evacuation of a mine in a fire emergency, only persons wearing and trained...

  18. Physiological Responses to Firefighting in Extreme Temperatures Do Not Compare to Firefighting in Temperate Conditions

    PubMed Central

    Windisch, Stephanie; Seiberl, Wolfgang; Hahn, Daniel; Schwirtz, Ansgar

    2017-01-01

    Purpose: The aim of this study was to examine physiological responses to two different simulated firefighting exercises: a firefighting exercise with flashovers, smoke, poor visibility and extreme temperatures (300°) in a burning container and a standard firefighting exercise in temperate conditions. Furthermore, a second purpose of the study was to find out if the contribution of strength and endurance capacities to firefighting performance changes when the demands of the firefighting exercise change. Methods: Sixteen professional firefighters performed a maximum treadmill test, strength testing, a standard simulated firefighting exercise (SFE) without heat and flashovers and a firefighting exercise with a simulation of the flashover phenomenon in a burning container (FOT). The treadmill testing was used to determine peak oxygen uptake (VO2peak), ventilatory threshold (VT1) and respiratory compensation point (RCP). Three intensity zones were identified according to heart rate (HR) values corresponding to VT1 and RCP: zone 1–HR below VT1, zone 2-HR between VT1 and RCP, zone 3–HR above RCP. Firefighting performance was determined by a simple time-strain-air depletion model (TSA) taking the sum of z-transformed parameters of time to finish the exercise, strain in terms of mean heart rate, and air depletion from the breathing apparatus. Correlations were then established between TSA based firefighting performance parameters and fitness variables representing strength and endurance. Results: HR was significantly lower during SFE (79.9 ± 6.9%HRmax) compared to FOT (85.4 ± 5.2%HRmax). During SFE subjects spent 24.6 ± 30.2% of time in zone 1, 65.8 ± 28.1% in zone 2 and 9.7 ± 16.6% in zone 3. During FOT subjects spent 16.3 ± 12.8% in zone 1, 50.4 ± 13.2% in zone 2 and 33.3 ± 16.6% in zone 3. Out of all correlations, relative VO2peak showed the highest relation to mean HR during SFE (−0.593) as well as FOT (−0.693). Conclusions: Endurance in terms of VO2

  19. Physiological Responses to Firefighting in Extreme Temperatures Do Not Compare to Firefighting in Temperate Conditions.

    PubMed

    Windisch, Stephanie; Seiberl, Wolfgang; Hahn, Daniel; Schwirtz, Ansgar

    2017-01-01

    Purpose: The aim of this study was to examine physiological responses to two different simulated firefighting exercises: a firefighting exercise with flashovers, smoke, poor visibility and extreme temperatures (300°) in a burning container and a standard firefighting exercise in temperate conditions. Furthermore, a second purpose of the study was to find out if the contribution of strength and endurance capacities to firefighting performance changes when the demands of the firefighting exercise change. Methods: Sixteen professional firefighters performed a maximum treadmill test, strength testing, a standard simulated firefighting exercise (SFE) without heat and flashovers and a firefighting exercise with a simulation of the flashover phenomenon in a burning container (FOT). The treadmill testing was used to determine peak oxygen uptake (VO2peak), ventilatory threshold (VT1) and respiratory compensation point (RCP). Three intensity zones were identified according to heart rate (HR) values corresponding to VT1 and RCP: zone 1-HR below VT1, zone 2-HR between VT1 and RCP, zone 3-HR above RCP. Firefighting performance was determined by a simple time-strain-air depletion model (TSA) taking the sum of z-transformed parameters of time to finish the exercise, strain in terms of mean heart rate, and air depletion from the breathing apparatus. Correlations were then established between TSA based firefighting performance parameters and fitness variables representing strength and endurance. Results: HR was significantly lower during SFE (79.9 ± 6.9%HRmax) compared to FOT (85.4 ± 5.2%HRmax). During SFE subjects spent 24.6 ± 30.2% of time in zone 1, 65.8 ± 28.1% in zone 2 and 9.7 ± 16.6% in zone 3. During FOT subjects spent 16.3 ± 12.8% in zone 1, 50.4 ± 13.2% in zone 2 and 33.3 ± 16.6% in zone 3. Out of all correlations, relative VO2peak showed the highest relation to mean HR during SFE (-0.593) as well as FOT (-0.693). Conclusions: Endurance in terms of VO2peak is an

  20. Contamination of firefighter personal protective equipment and skin and the effectiveness of decontamination procedures.

    PubMed

    Fent, Kenneth W; Alexander, Barbara; Roberts, Jennifer; Robertson, Shirley; Toennis, Christine; Sammons, Deborah; Bertke, Stephen; Kerber, Steve; Smith, Denise; Horn, Gavin

    2017-10-01

    Firefighters' skin may be exposed to chemicals via permeation/penetration of combustion byproducts through or around personal protective equipment (PPE) or from the cross-transfer of contaminants on PPE to the skin. Additionally, volatile contaminants can evaporate from PPE following a response and be inhaled by firefighters. Using polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) as respective markers for non-volatile and volatile substances, we investigated the contamination of firefighters' turnout gear and skin following controlled residential fire responses. Participants were grouped into three crews of twelve firefighters. Each crew was deployed to a fire scenario (one per day, four total) and then paired up to complete six fireground job assignments. Wipe sampling of the exterior of the turnout gear was conducted pre- and post-fire. Wipe samples were also collected from a subset of the gear after field decontamination. VOCs off-gassing from gear were also measured pre-fire, post-fire, and post-decon. Wipe sampling of the firefighters' hands and neck was conducted pre- and post-fire. Additional wipes were collected after cleaning neck skin. PAH levels on turnout gear increased after each response and were greatest for gear worn by firefighters assigned to fire attack and to search and rescue activities. Field decontamination using dish soap, water, and scrubbing was able to reduce PAH contamination on turnout jackets by a median of 85%. Off-gassing VOC levels increased post-fire and then decreased 17-36 min later regardless of whether field decontamination was performed. Median post-fire PAH levels on the neck were near or below the limit of detection (< 24 micrograms per square meter [µg/m(2)]) for all positions. For firefighters assigned to attack, search, and outside ventilation, the 75(th) percentile values on the neck were 152, 71.7, and 39.3 µg/m(2), respectively. Firefighters assigned to attack and search had higher post

  1. [Smoking and occupational stressors in firefighters, 2011].

    PubMed

    Lima, Eduardo de Paula; Assuncao, Ada Avila; Barreto, Sandhi Maria

    2013-10-01

    To analyze the prevalence of smoking in firefighters and associated factors. Cross sectional study of 711 firefighters in Belo Horizonte, MG, Southeastern Brazil, in 2011. The data were obtained using a self-applied structured questionnaire, which included sociodemographic characteristics, occupational stressors, health status and adverse life events. Smoking was analyzed as a dichotomous variable (multiple logistic regression). The prevalence of smoking among firefighters was 7.6%. Currently smoking status was associated with low levels of schooling, a monthly income in the middle band, the existence of psychiatric problems in the past, high exposure to traumatic events in life, social discrimination, occupational stressors and low demand at work. The low prevalence of smoking indicates the relevance of employment conditions in explaining harmful habits and health. Organizational and operational stressors contribute independently to explaining current smoking status in the population studied.

  2. Situational Pressures that Influence Firefighters' Decision Making about Personal Protective Equipment: A Qualitative Analysis.

    PubMed

    Maglio, Michael A; Scott, Cliff; Davis, Andrea L; Allen, Joseph; Taylor, Jennifer A

    2016-09-01

    Firefighters are exposed to hazardous conditions as a result of their occupation and often understand the dangers of these toxic exposures; yet, it remains unclear why some refrain from wearing personal protective equipment (PPE) in dangerous situations. We were intrigued by the gap between demonstrated safety knowledge and lack of connection to observed or self-reported safety behaviors, an issue about which there is limited consensus among scholars. In a national study of fire service safety climate, 123 firefighters across 12 fire departments participated in 62 interviews and 10 focus groups. Firefighter identity, goal seduction, and situation aversion were the strongest factors of PPE non-compliance, whereas PPE empowerment and individual will promoted PPE use within a fire department. Understanding situations where PPE use is both practiced and neglected is imperative to improving fire service safety culture. Peer-pressure and leading by example at the peer and organizational levels appear to be essential considerations firefighters undertake when choosing whether or not to engage in safety behavior.

  3. The Amplification of Common Somatic Symptoms by Posttraumatic Stress Disorder in Firefighters.

    PubMed

    Milligan-Saville, Josie S; Paterson, Helen M; Harkness, Emily L; Marsh, Annabel M; Dobson, Mark; Kemp, Richard I; Bryant, Richard A; Harvey, Samuel B

    2017-04-01

    Posttraumatic stress disorder (PTSD) in emergency service personnel and other trauma-exposed populations is known to be associated with a variety of physical health problems. However, little attention has been paid to the health of ageing emergency service personnel, who may be forced into early medical retirement because of a combination of these issues. Currently employed (N = 274) Australian firefighters completed a cross-sectional survey using validated, self-report measures of PTSD and somatic symptoms. Analyses examined the association between probable PTSD and a range of common somatic symptoms, and whether any association differed depending on the age of the firefighters. Firefighters with PTSD reported greater levels of neurological (p = .024), gastrointestinal (p = .015), and cardiorespiratory (p = .027) symptoms compared to those without PTSD. After adjusting for sex, age, and rank, linear regression analysis demonstrated that PTSD was significantly associated with increased total somatic symptom severity (p = .024), with PTSD accounting for 9.8% of the variance in levels of somatic symptoms. There was no interaction between age and the association between PTSD and somatic symptom severity. These results suggest that PTSD is associated with a significant increase in a wide range of somatic symptoms among firefighters, regardless of age. The implications for the identification and treatment of PTSD are discussed. Copyright © 2017 International Society for Traumatic Stress Studies.

  4. Review of the health effects of wildland fire smoke on wildland firefighters and the public.

    PubMed

    Adetona, Olorunfemi; Reinhardt, Timothy E; Domitrovich, Joe; Broyles, George; Adetona, Anna M; Kleinman, Michael T; Ottmar, Roger D; Naeher, Luke P

    2016-01-01

    Each year, the general public and wildland firefighters in the US are exposed to smoke from wildland fires. As part of an effort to characterize health risks of breathing this smoke, a review of the literature was conducted using five major databases, including PubMed and MEDLINE Web of Knowledge, to identify smoke components that present the highest hazard potential, the mechanisms of toxicity, review epidemiological studies for health effects and identify the current gap in knowledge on the health impacts of wildland fire smoke exposure. Respiratory events measured in time series studies as incidences of disease-caused mortality, hospital admissions, emergency room visits and symptoms in asthma and chronic obstructive pulmonary disease patients are the health effects that are most commonly associated with community level exposure to wildland fire smoke. A few recent studies have also determined associations between acute wildland fire smoke exposure and cardiovascular health end-points. These cardiopulmonary effects were mostly observed in association with ambient air concentrations of fine particulate matter (PM2.5). However, research on the health effects of this mixture is currently limited. The health effects of acute exposures beyond susceptible populations and the effects of chronic exposures experienced by the wildland firefighter are largely unknown. Longitudinal studies of wildland firefighters during and/or after the firefighting career could help elucidate some of the unknown health impacts of cumulative exposure to wildland fire smoke, establish occupational exposure limits and help determine the types of exposure controls that may be applicable to the occupation.

  5. Anonymous Fireman v. City of Willoughby.

    PubMed

    1991-12-13

    The United States District Court, Eastern District of Ohio, upheld the City of Willoughby's policy of mandatory testing of firefighters and paramedics for HIV. Although the HIV test was performed on blood which had already been drawn for annual physicals, the separate chemical analysis required by the test constituted a Fourth Amendment "search." The court determined that the search was reasonable because: (1) firefighters and paramedics have diminished expectations of privacy because they are highly-regulated public employees; (2) the city has a compelling interest in protecting the public from contraction and transmission of HIV by firefighters and paramedics, and in preventing the spread of HIV; (3) firefighters and paramedics are at high risk of contracting and transmitting HIV to the public. The court concluded that psychological concerns surrounding an employee who tests positive do not raise constitutional privacy issues, because other serious diseases revealed by blood tests present similar concerns.

  6. Determining Best Practices to Reduce Occupational Health Risks in Firefighters.

    PubMed

    McDonough, Suzanne L; Phillips, Jonathan S; Twilbeck, Travis J

    2015-07-01

    The physical demands of firefighting are extensive, and firefighters face increased risk of cardiovascular and metabolic disease, musculoskeletal injury, and cancer. To reduce these risks, a tailored wellness initiative program (FIT Firefighter) was developed and executed. Implementation of FIT Firefighter, consisting of assessment, educational, instructional, and personal coaching and training elements regarding nutrition, health, fitness, wellness, and strength and conditioning, revealed enhanced healthy behavior change including increased motivation and marked improvements in blood pressure, resting heart rate, aerobic fitness, body mass index, waist circumference, percent body fat, back flexibility, and biceps strength among participating firefighters.

  7. Moisture effects in heat transfer through clothing systems for wildland firefighters.

    PubMed

    Lawson, Lelia K; Crown, Elizabeth M; Ackerman, Mark Y; Dale, J Douglas

    2004-01-01

    Wildland firefighters work in unfavourable environments involving both heat and moisture. Moisture in clothing systems worn by wildland firefighters may increase or decrease heat transfer, depending on its source and location in the clothing system, location on the body, timing of application and degree of sorption. In this experiment, 4 outerwear/underwear combinations were exposed to 1 of 5 different conditions varying on amount and location of moisture. The fabric systems were then exposed to either a high-heat-flux flame exposure (83 kW/m(2)) or a low-heat-flux radiant exposure (10 kW/m(2)). Under high-heat-flux flame exposures, external moisture tended to decrease heat transfer through the fabric systems, while internal moisture tended to increase heat transfer. Under low-heat-flux radiant exposures, internal moisture decreased heat transfer through the fabric systems. The nature and extent of such differences was fabric dependent. Implications for test protocol development are discussed.

  8. Individual and cumulative impacts of fire emissions and tobacco consumption on wildland firefighters' total exposure to polycyclic aromatic hydrocarbons.

    PubMed

    Oliveira, Marta; Slezakova, Klara; Magalhães, Carlos Pires; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; do Carmo Pereira, Maria; Morais, Simone

    2017-07-15

    There is limited information about wildland firefighters' exposure to polycyclic aromatic hydrocarbons (PAHs), being scarce studies that included the impact of tobacco consumption. Thus, this work evaluated the individual and cumulative impacts of firefighting activities and smoking on wildland firefighters' total exposure to PAHs. Six urinary PAH metabolites (1-hydroxynaphthalene (1OHNaph), 1-hydroxyacenaphthene (1OHAce), 2-hydroxyfluorene (2OHFlu), 1-hydroxyphenanthrene (1OHPhen), 1-hydroxypyrene (1OHPy), and 3-hydroxybenzo[a]pyrene (3OHB[a]P)) were quantified by high-performance liquid chromatography with fluorescence detection. Firefighters from three fire stations were characterized and organized in three groups: non-smoking and non-exposed to fire emissions (NSNExp), smoking non-exposed (SNExp), and smoking exposed (SExp) individuals. 1OHNaph+1OHAce were the most predominant OH-PAHs (66-91% ∑OH-PAHs), followed by 2OHFlu (2.8-28%), 1OHPhen (1.3-7%), and 1OHPy (1.4-6%). 3OHB[a]P, the carcinogenicity PAH biomarker, was not detected. Regular consumption of tobacco increased 76-412% ∑OH-PAHs. Fire combat activities promoted significant increments of 158-551% ∑OH-PAHs. 2OHFlu was the most affected compound by firefighting activities (111-1068%), while 1OHNaph+1OHAce presented the more pronounced increments due to tobacco consumption (22-339%); 1OHPhen (76-176%) and 1OHPy (20-220%) were the least influenced ones. OH-PAH levels of SExp firefighters were significantly higher than in other groups, suggesting that these subjects may be more vulnerable to develop and/or aggravate diseases related with PAHs exposure. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Igniting interest in prevention: using firefighter focus groups to inform implementation and enhancement of an urban canvassing program.

    PubMed

    Frattaroli, Shannon; McDonald, Eileen M; Tran, Nhan T; Trump, Alison R; OʼBrocki, Raymond C; Gielen, Andrea C

    2012-01-01

    Smoke alarm canvassing is recognized as an empirically based, effective intervention for increasing access to and the presence of smoke alarms in homes. We sought to inform the implementation of an intervention designed to enhance an existing fire department smoke alarm canvassing program through an empirically grounded, participatory process. We conducted a series of focus groups with fire union leaders and firefighters involved with the canvassing program in 1 US city, shared the results with the participants, and presented the resulting recommendations to fire department leadership. This research occurred in Baltimore, Maryland. Focus group participants included firefighters who participate in the Fire Department's smoke alarm canvassing program and representatives from the local firefighters' union. The focus groups sought to capture firefighters' experiences with and opinions about the canvassing program and how to improve it as well as challenges to canvassing work. We conducted 10 focus groups with 65 participants. Firefighters' perspectives on the canvassing program and their recommendations for improving it were expressed through 3 categories of themes concerning program management, canvassing challenges, and attitudes about the program and the community. We also discuss the process of presenting these findings and recommendations to the participants and the fire department leadership, and describe how implementation of some of the recommendations has progressed. Both the process and outcomes of this formative work inform how to develop and implement community-based public health interventions in real-world settings through academic-community partnerships. The findings also have implications for how canvassing programs are being implemented.

  10. Efforts to update firefighter safety zone guidelines

    Treesearch

    Bret Butler

    2009-01-01

    One of the most critical decisions made on wildland fires is the identification of suitable safety zones for firefighters during daily fire management operations. To be effective (timely, repeatable, and accurate), these decisions rely on good training and judgment, but also on clear, concise guidelines. This article is a summary of safety zone guidelines and the...

  11. Recent findings relating to firefighter safety zones

    Treesearch

    Bret Butler; Russ Parsons; William Mell

    2015-01-01

    Designation of safety zones is a primary duty of all wildland firefighters. Unfortunately, information regarding what constitutes an adequate safety zone is inadequately defined. Measurements of energy release from wildland fires have been used to develop an empirically based safety zone guideline. The basis for this work is described here.

  12. Classroom Challenge: Designing a Firefighting Robot

    ERIC Educational Resources Information Center

    Roman, Harry T.

    2007-01-01

    Robots provide teachers with opportunities to teach multidimensional thinking and critical thinking skills. In this article, the author presents a classroom activity wherein students are required to design a firefighting robot. This activity aims to demonstrate the complexity and interdisciplinary nature of the robotics technology.

  13. Integral Face Shield Concept for Firefighter's Helmet

    NASA Technical Reports Server (NTRS)

    Abeles, F.; Hansberry, E.; Himel, V.

    1982-01-01

    Stowable face shield could be made integral part of helmet worn by firefighters. Shield, made from same tough clear plastic as removable face shields presently used, would be pivoted at temples to slide up inside helmet when not needed. Stowable face shield, being stored in helmet, is always available, ready for use, and is protected when not being used.

  14. Crew equipment applications - Firefighter's Breathing System.

    NASA Technical Reports Server (NTRS)

    Smith, W. L.

    1973-01-01

    The Firefighter's Breathing System (FBS) represents a significant step in applying NASA's crew equipment technologists and technologies to civilian sector problems. This paper describes the problem, the utilization of user-design committees as a forum for development of design goals, the design of the FBS, and the field test program to be conducted.

  15. The NASA firefighter's breathing system program

    NASA Technical Reports Server (NTRS)

    Mclaughlan, P. B.; Carson, M. A.

    1974-01-01

    The research is reported in the development of a firefighter's breathing system (FBS) to satisfy the operational requirements of fire departments while remaining within their cost constraints. System definition for the FBS is discussed, and the program status is reported. It is concluded that the most difficult problem in the FBS Program is the achievement of widespread fire department acceptance of the system.

  16. Classroom Challenge: Designing a Firefighting Robot

    ERIC Educational Resources Information Center

    Roman, Harry T.

    2007-01-01

    Robots provide teachers with opportunities to teach multidimensional thinking and critical thinking skills. In this article, the author presents a classroom activity wherein students are required to design a firefighting robot. This activity aims to demonstrate the complexity and interdisciplinary nature of the robotics technology.

  17. The thermal ergonomics of firefighting reviewed.

    PubMed

    Barr, David; Gregson, Warren; Reilly, Thomas

    2010-01-01

    The occupation of firefighting is one that has repeatedly attracted the research interests of ergonomics. Among the activities encountered are attention to live fires, performing search and rescue of victims, and dealing with emergencies. The scientific literature is reviewed to highlight the investigative models used to contribute to the knowledge base about the ergonomics of firefighting, in particular to establish the multi-variate demands of the job and the attributes and capabilities of operators to cope with these demands. The job requires individuals to be competent in aerobic and anaerobic power and capacity, muscle strength, and have an appropriate body composition. It is still difficult to set down thresholds for values in all the areas in concert. Physiological demands are reflected in metabolic, circulatory, and thermoregulatory responses and hydration status, whilst psychological strain can be partially reflected in heart rate and endocrine measures. Research models have comprised of studying live fires, but more commonly in simulations in training facilities or treadmills and other ergometers. Wearing protective clothing adds to the physiological burden, raising oxygen consumption and body temperature, and reducing the time to fatigue. More sophisticated models of cognitive function compatible with decision-making in a fire-fighting context need to be developed. Recovery methods following a fire-fighting event have focused on accelerating the restoration towards homeostasis. The effectiveness of different recovery strategies is considered, ranging from passive cooling and wearing of cooling jackets to immersions in cold water and combinations of methods. Rehydration is also relevant in securing the safety of firefighters prior to returning for the next event in their work shift.

  18. Fire Simulation and Cardiovascular Health in Firefighters.

    PubMed

    Hunter, Amanda L; Shah, Anoop S V; Langrish, Jeremy P; Raftis, Jennifer B; Lucking, Andrew J; Brittan, Mairi; Venkatasubramanian, Sowmya; Stables, Catherine L; Stelzle, Dominik; Marshall, James; Graveling, Richard; Flapan, Andrew D; Newby, David E; Mills, Nicholas L

    2017-04-04

    Rates of myocardial infarction in firefighters are increased during fire suppression duties, and are likely to reflect a combination of factors including extreme physical exertion and heat exposure. We assessed the effects of simulated fire suppression on measures of cardiovascular health in healthy firefighters. In an open-label randomized crossover study, 19 healthy firefighters (age, 41±7 years; 16 males) performed a standardized training exercise in a fire simulation facility or light duties for 20 minutes. After each exposure, ex vivo thrombus formation, fibrinolysis, platelet activation, and forearm blood flow in response to intra-arterial infusions of endothelial-dependent and -independent vasodilators were measured. After fire simulation training, core temperature increased (1.0±0.1°C) and weight reduced (0.46±0.14 kg, P<0.001 for both). In comparison with control, exposure to fire simulation increased thrombus formation under low-shear (73±14%) and high-shear (66±14%) conditions (P<0.001 for both) and increased platelet-monocyte binding (7±10%, P=0.03). There was a dose-dependent increase in forearm blood flow with all vasodilators (P<0.001), which was attenuated by fire simulation in response to acetylcholine (P=0.01) and sodium nitroprusside (P=0.004). This was associated with a rise in fibrinolytic capacity, asymptomatic myocardial ischemia, and an increase in plasma cardiac troponin I concentrations (1.4 [0.8-2.5] versus 3.0 [1.7-6.4] ng/L, P=0.010). Exposure to extreme heat and physical exertion during fire suppression activates platelets, increases thrombus formation, impairs vascular function, and promotes myocardial ischemia and injury in healthy firefighters. Our findings provide pathogenic mechanisms to explain the association between fire suppression activity and acute myocardial infarction in firefighters. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01812317. © 2017 The Authors.

  19. 75 FR 61412 - Information Collection; Federal Excess Personal Property (FEPP) and Firefighter Property (FFP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

    ... Forest Service Information Collection; Federal Excess Personal Property (FEPP) and Firefighter Property... Personal Property (FEPP) and Firefighter Property (FFP) program Cooperative Agreements. DATES: Comments... Personal Property (FEPP) and Firefighter Property (FFP) Cooperative Agreements. OMB Number: 0596-NEW. Type...

  20. [Hearing damage as a consequence of firefighters' professional exposure to noise].

    PubMed

    Lalić, Hrvoje; Ferhatović, Mensur; Dinko, Jurjević; Culinović, Marko

    2009-05-01

    The aim of the study was to find out whether firefighters' professional exposure to the noise of sirens, motor water pumps and transportation by heavy vehicles causes biauricular hearing impairment. Furthermore, on the basis of the results the aim was to find out whether it is necessary to launch a hearing preservation program and additional health protection measures for this specific working population. The method of physical examination and audiometry was used. Thirty-four professional firefighters from Opatija and 30 workers of Rijeka Promet employed at the town parking lots underwent audiometry on a Sibelmed AC 50 device and then analyzed. The results of biauricular audiometry showed significant differences in hearing damage between the firefighters and Rijeka Promet employees at higher frequencies where hearing damage begins, i.e. at 4 kHz and 8 kHz (P < 0.05). The firefighters' maximal hearing loss of 30.58 +/- 24.66 dB for the right ear at 4 kHz and of 28.52 +/- 24.66 dB for the right ear at 8 kHz were higher than the hearing loss of the parking lot employees with maximal hearing loss of 17.00 +/- 13.10 dB at 4 kHz and of 16.33 +/- 13.89 dB at 8 kHz. The results of left ear audiometry were very close to those of right ear in both groups of subjects. The linear regression analysis yielded almost identical positive correlation between the time spent at the job and hearing damage, with correlation factor r = +.55 for the right and left ear at 4 kHz. The noise was measured at the Opatija Fire Station. Several measurements were performed: on the premises where firefighters are exposed to so-called communal noise, measurements at 2 m of the fire truck when sirens are sounded, noise measurements in driver's cab when sirens are sounded, and the noise made by motor water pump used in firefighting. Also, measurements were performed on the spot, i.e. at the working place of parking lot employees in the center of Rijeka where they stay most of the time, and on the

  1. Adverse Health Complaints of Adults Exposed to Benzene After a Flaring Disaster at the BP Refinery Facility in Texas City, Texas.

    PubMed

    D'Andrea, Mark A; Reddy, G Kesava

    2017-09-07

    The objective of this study was to assess the adverse health symptoms experienced by adult subjects who were exposed to benzene after a flaring disaster at the BP refinery in Texas City, Texas. A total of 2162 adults aged 18 years or older and exposed to benzene were included. Using the patients' medical charts, we collected and analyzed data on health complaints as well as the patients' serum levels of beta-2-microglobulin and urinary excretion of phenol. A total of 11,368 health symptom complaints were reported in 2162 adults exposed to benzene. Neurological symptoms occurred most frequently (174%), followed upper respiratory symptoms (115%), cough (31%), painful joints (30%), cardiac symptoms (28%), dermatological symptoms (28%), gastrointestinal symptoms (27%), diarrhea (25%), vision symptoms (21%), and nausea/vomiting (19%). Logistic regression analysis indicated that urinary symptoms (R2=0.65) and painful joints (R2=0.44) were positively associated with increasing age in benzene-exposed subjects. Adult subjects exposed to benzene experience a range of adverse health symptoms and an altered profile of urinary phenol, thus indicating they are at high risk of developing serious future health complications. (Disaster Med Public Health Preparedness. 2017;page 1 of 9).

  2. Evaluation of circuit-training intensity for firefighters.

    PubMed

    Abel, Mark G; Mortara, Anthony J; Pettitt, Robert W

    2011-10-01

    Firefighters are required to perform a variety of strenuous occupational tasks that require high levels of both aerobic and anaerobic fitness. Thus, it is critical that firefighters train at an appropriate intensity to develop adequate levels of aerobic and anaerobic fitness. Circuit training is a unique training method that stresses both energy systems and therefore may be a viable training method to enhance firefighter preparedness. Thus, the purpose of this study was to compare the aerobic and anaerobic intensities of a circuit-based workout to physiological data previously reported on firefighters performing fire suppression and rescue tasks. Twenty career firefighters performed a workout that included 2 rotations of 12 exercises that stressed all major muscle groups. Heart rate was recorded at the completion of each exercise. Blood lactate was measured before and approximately 5 minutes after the workout. The workout heart rate and post-workout blood lactate responses were statistically compared to data reported on firefighters performing fire suppression and rescue tasks. The mean circuit-training heart rate was similar to previously reported heart rate responses from firefighters performing simulated smoke-diving tasks (79 ± 5 vs. 79 ± 6% maximum heart rate [HRmax], p = 0.741), but lower than previously reported heart rate responses from firefighters performing fire suppression tasks (79 ± 5 vs. 88 ± 6% HRmax, p < 0.001). The workout produced a similar peak blood lactate compared to that when performing firefighting tasks (12 ± 3 vs. 13 ± 3 mmol·L(-1), p = 0.084). In general, the circuit-based workout produced a lower cardiovascular stress but a similar anaerobic stress as compared to performing firefighting tasks. Therefore, firefighters should supplement low-intensity circuit-training programs with high-intensity cardiovascular and resistance training (e.g., ≥85% 1-repetition maximum) exercises to adequately prepare for the variable physical

  3. Excretion of arsenic (As) in urine of children, 7--11 years, exposed to elevated levels of As in the city water supply in Hermosillo, Sonora, Mexico

    SciTech Connect

    Wyatt, C.J.; Quiroga, V.L.; Acosta, R.T.O.; Mendez, R.O.

    1998-07-01

    Arsenic (As) is a common element in the environment with many industrial uses, but it also can be a contaminant in drinking water and present serious health concerns. Earlier studies on the quality of drinking water in the city of Hermosillo, Sonora, Mexico, showed high levels of As in water from wells located in the northern part of the city. Additionally a high positive correlation between the levels of Fluoride (F) and As in the same wells was found. Therefore, the objective of this study was to determine the excretion of As in children, 7--11 years of age, that had been exposed to elevated levels of As in their drinking water. Twenty-four-hour urine samples and a water sample taken directly in the home were collected from school age children living in two different areas with known high levels of As in their drinking water. A control group with normal levels of As in their water was also included.

  4. Evaporation-Cooled Protective Suits for Firefighters

    NASA Technical Reports Server (NTRS)

    Weinstein, Leonard Murray

    2007-01-01

    Suits cooled by evaporation of water have been proposed as improved means of temporary protection against high temperatures near fires. When air temperature exceeds 600 F (316 C) or in the presence of radiative heating from nearby sources at temperatures of 1,200 F (649 C) or more, outer suits now used by firefighters afford protection for only a few seconds. The proposed suits would exploit the high latent heat of vaporization of water to satisfy a need to protect against higher air temperatures and against radiant heating for significantly longer times. These suits would be fabricated and operated in conjunction with breathing and cooling systems like those with which firefighting suits are now equipped

  5. Inflammatory effects of woodsmoke exposure among wildland firefighters working at prescribed burns at the Savannah River Site, SC.

    PubMed

    Hejl, Anna M; Adetona, Olorunfemi; Diaz-Sanchez, David; Carter, Jacqueline D; Commodore, Adwoa A; Rathbun, Stephen L; Naeher, Luke P

    2013-01-01

    Wildland firefighters in the United States are occupationally exposed to high levels of woodsmoke. Results from experimental studies show that exposure to woodsmoke induces inflammation. A study was conducted to investigate the effect of occupational woodsmoke exposure on inflammatory biomarkers in firefighters working at prescribed burns. Twelve U.S. Forest Service wildland firefighters at the Savannah River Site, South Carolina, volunteered to give blood samples during four prescribed burns between February and March 2011. Twenty-four paired (pre- and post-work shift) blood samples were collected using dried blood spot method to facilitate repeated sample collection. Inflammatory biomarker concentrations in blood samples were measured using the Meso Scale Discovery multi-spot assay system. Concurrent personal PM₂.₅ and CO monitoring of firefighters was conducted. Linear mixed models were used to test whether cross-work shift differences occurred in the following inflammatory biomarkers: IL-1β, IL-8, CRP, SAA, ICAM-1, and VCAM-1. IL-8 showed a significant cross-work shift difference as indicated by a post/pre-work shift ratio of 1.70 (95% CL: 1.35, 2.13; p = 0.0012). Concentrations of IL-8, CRP, and ICAM-1 increased in >50% of samples across work shift. Firefighters who lighted fires as opposed to other work tasks had the largest cross-work shift increase in IL-8. A significant cross-work shift increase in IL-8 in blood samples was observed in healthy wildland firefighters working at prescribed burns. Further research is needed to understand the physiological responses underlying the adverse effects of woodsmoke exposure, and the dose-response relationship between woodsmoke exposure and inflammatory responses.

  6. Stress and coping in wildland firefighting dispatchers.

    PubMed

    Palmer, Charles G

    2014-01-01

    To gain a better understanding of the stressors faced by wildland firefighting dispatchers and how they cope with it. Qualitative method of phenomenology. Dispatch centers around the western United States. Subjects were recruited via e-mail solicitation. Only currently employed wildland firefighting dispatchers with extensive dispatching experience were selected. Dispatchers included in this study were employed at the local (3), geographic (4), or national level (4). Eleven dispatchers in total were interviewed, six females and five males. Average experience level as a dispatcher was 14.2 years. In-person interviews. Three broad categories of stressors were revealed: balancing personal and professional lives, contending with job-related issues, and dealing with issues related to control. Four coping strategies also emerged: taking time off, exercising, providing a service to firefighters, and receiving support from others. In general, a complex and at times even a paradoxical relationship between the dispatchers interviewed and stress was noted. In other words, while subjects felt that the stressors experienced as a dispatcher had the ability to negatively affect their performance, they also believed that stress was beneficial at times. Future research is recommended to further our understanding of workplace stressors for wildland fire dispatchers, and how they cope with them.

  7. Water immersion for post incident cooling of firefighters; a review of practical fire ground cooling modalities.

    PubMed

    Brearley, Matt; Walker, Anthony

    2015-01-01

    Rapidly cooling firefighters post emergency response is likely to increase the operational effectiveness of fire services during prolonged incidents. A variety of techniques have therefore been examined to return firefighters core body temperature to safe levels prior to fire scene re-entry or redeployment. The recommendation of forearm immersion (HFI) in cold water by the National Fire and Protection Association preceded implementation of this active cooling modality by a number of fire services in North America, South East Asia and Australia. The vascularity of the hands and forearms may expedite body heat removal, however, immersion of the torso, pelvis and/or lower body, otherwise known as multi-segment immersion (MSI), exposes a greater proportion of the body surface to water than HFI, potentially increasing the rates of cooling conferred. Therefore, this review sought to establish the efficacy of HFI and MSI to rapidly reduce firefighters core body temperature to safe working levels during rest periods. A total of 38 studies with 55 treatments (43 MSI, 12 HFI) were reviewed. The core body temperature cooling rates conferred by MSI were generally classified as ideal (n = 23) with a range of ~0.01 to 0.35 °C min(-1). In contrast, all HFI treatments resulted in unacceptably slow core body temperature cooling rates (~0.01 to 0.05 °C min(-1)). Based upon the extensive field of research supporting immersion of large body surface areas and comparable logistics of establishing HFI or MSI, it is recommended that fire and rescue management reassess their approach to fireground rehabilitation of responders. Specifically, we question the use of HFI to rapidly lower firefighter core body temperature during rest periods. By utilising MSI to restore firefighter Tc to safe working levels, fire and rescue services would adopt an evidence based approach to maintaining operational capability during arduous, sustained responses. While the optimal MSI protocol will be

  8. Fire Simulation and Cardiovascular Health in Firefighters

    PubMed Central

    Hunter, Amanda L.; Shah, Anoop S.V.; Langrish, Jeremy P.; Raftis, Jennifer B.; Lucking, Andrew J.; Brittan, Mairi; Venkatasubramanian, Sowmya; Stables, Catherine L.; Stelzle, Dominik; Marshall, James; Graveling, Richard; Flapan, Andrew D.; Newby, David E.

    2017-01-01

    Background: Rates of myocardial infarction in firefighters are increased during fire suppression duties, and are likely to reflect a combination of factors including extreme physical exertion and heat exposure. We assessed the effects of simulated fire suppression on measures of cardiovascular health in healthy firefighters. Methods: In an open-label randomized crossover study, 19 healthy firefighters (age, 41±7 years; 16 males) performed a standardized training exercise in a fire simulation facility or light duties for 20 minutes. After each exposure, ex vivo thrombus formation, fibrinolysis, platelet activation, and forearm blood flow in response to intra-arterial infusions of endothelial-dependent and -independent vasodilators were measured. Results: After fire simulation training, core temperature increased (1.0±0.1°C) and weight reduced (0.46±0.14 kg, P<0.001 for both). In comparison with control, exposure to fire simulation increased thrombus formation under low-shear (73±14%) and high-shear (66±14%) conditions (P<0.001 for both) and increased platelet-monocyte binding (7±10%, P=0.03). There was a dose-dependent increase in forearm blood flow with all vasodilators (P<0.001), which was attenuated by fire simulation in response to acetylcholine (P=0.01) and sodium nitroprusside (P=0.004). This was associated with a rise in fibrinolytic capacity, asymptomatic myocardial ischemia, and an increase in plasma cardiac troponin I concentrations (1.4 [0.8–2.5] versus 3.0 [1.7–6.4] ng/L, P=0.010). Conclusions: Exposure to extreme heat and physical exertion during fire suppression activates platelets, increases thrombus formation, impairs vascular function, and promotes myocardial ischemia and injury in healthy firefighters. Our findings provide pathogenic mechanisms to explain the association between fire suppression activity and acute myocardial infarction in firefighters. Clinical Trial Registration: URL: http://www.clinicaltrials.gov. Unique identifier

  9. Investigation on the Lung Function of General Population in Ilam, West of Iran, as a City Exposed to Dust Storm

    PubMed Central

    Amarloei, Ali; Jafari, Ahmad Jonidi; Mahabadi, Hassan Asilian; Asadollahi, Kheirollah; Nourmoradi, Heshmatollah

    2015-01-01

    Background: Dust storm is one of the most important natural sources of air pollution in the Middle East that has caused a major concern in recent years. The aim of this study was to evaluate the respiratory tract function of people living in Ilam city (Iran) during dust storm. Methods: A sample size of 250 people was selected and the cluster sampling was randomly used from 13 health centers in Ilam city. Pulmonary function test (PFT) was determined via a standard spirometry apparatus. Vital capacity (VC), Forced Vital capacity (FVC), FVC in first second (FEV1), FEV1/VC, FEV1/FVC, peek expiratory flow (PEF), forced expiratory flow (FEF25-75%), forced expiratory flow (FEF25–75%), forced expiratory flow (FEF75–85%), forced mid flow time (FMFT) and maximum voluntary ventilation (MVV) were measured. Results: Mean values of respiratory capacities measured in all participants excluding FEV1/VC and FMFT were less than predicted mean values by ECCS reference. 21.6% of the population suffered from obstructive lesions. This value among males (24.1%) was more than females (19.6%). This could be related to more exposure (outdoor jobs) of males with dust storms. Conclusion: The results also showed a negative significant relationship between duration of inhabitance in Ilam city and all respiratory capacities. Further studies are needed for confident confirmation of whether reduction of respiratory capacities among Ilamian people is only related to dust storms. PMID:25948466

  10. 77 FR 39717 - Assistance to Firefighters Grant Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ...-2012-0022] Assistance to Firefighters Grant Program AGENCY: Federal Emergency Management Agency, DHS... notice in the Federal Register at 77 FR 37687 notifying the public of the application process for grants and the criteria for awarding grants in the fiscal year 2012 Assistance to Firefighters Grant Program...

  11. Firefighters from Mayport Naval Station train at CCAFS

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Firefighters hold their hoses on a burning simulated aircraft, creating a rainbow. Watching at right (red uniform) and in the foreground are trainers. The training exercises for firefighters with Fire and Emergency Services at Naval Station Mayport, Fla., are being held at Cape Canaveral Air Force Station Pad 30.

  12. The communicative construction of safety in wildland firefighting (Proceedings)

    Treesearch

    Jody Jahn

    2012-01-01

    This dissertation project used a two-study mixed methods approach, examining the communicative accomplishment of safety from two perspectives: high reliability organizing (Weick, Sutcliffe, & Obstfeld 1999), and safety climate (Zohar 1980). In Study One, 27 firefighters from two functionally similar wildland firefighting crews were interviewed about their crew-...

  13. 46 CFR 131.535 - Firefighting training and drills.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Firefighting training and drills. 131.535 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.535 Firefighting training and drills. (a) A fire drill must... drill, nor immediately before or after the abandon-ship drill. If none can be held on schedule, because...

  14. 46 CFR 131.535 - Firefighting training and drills.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Firefighting training and drills. 131.535 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.535 Firefighting training and drills. (a) A fire drill must... drill, nor immediately before or after the abandon-ship drill. If none can be held on schedule, because...

  15. 46 CFR 131.535 - Firefighting training and drills.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Firefighting training and drills. 131.535 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.535 Firefighting training and drills. (a) A fire drill must... drill, nor immediately before or after the abandon-ship drill. If none can be held on schedule, because...

  16. 46 CFR 131.535 - Firefighting training and drills.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Firefighting training and drills. 131.535 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.535 Firefighting training and drills. (a) A fire drill must... drill, nor immediately before or after the abandon-ship drill. If none can be held on schedule, because...

  17. Competency-Based Education Curriculum for Firefighter Training.

    ERIC Educational Resources Information Center

    West Virginia State Vocational Curriculum Lab., Cedar Lakes.

    This competency-based education curriculum, developed by firefighters and educators in West Virginia, is designed for use as a resource for the development of improved firefighter training programs. It consists of an introductory note to the instructor and 140 competency sheets. These sheets deal with tasks in the following areas: general…

  18. Suicide in the Fire Service: Saving the Lives of Firefighters

    DTIC Science & Technology

    2016-03-01

    Interpersonal Theory of Suicide (ITS), Firefighter Behavioral Health Association (FBHA), National Fallen Firefighters Foundation (NFFF) 15. NUMBER OF...Advisor Erik Dahl Associate Chair of Instruction, Department of National Security Affairs iv THIS PAGE INTENTIONALLY LEFT BLANK v...ABBREVIATIONS APA American Psychological Association ARC American Red Cross CBT cognitive behavioral therapy CISD Critical Incident Stress

  19. 46 CFR 196.15-60 - Firefighting equipment, general.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Firefighting equipment, general. 196.15-60 Section 196.15-60 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS OPERATIONS Test, Drills, and Inspections § 196.15-60 Firefighting equipment, general. (a) It shall...

  20. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation... organizations. (b) Fire alarm procedures or systems shall be established to pomptly warn every person who could be endangered by a fire. (c) Fire alarm systems shall be maintained in operable condition. ...

  1. Competency-Based Education Curriculum for Firefighter Training.

    ERIC Educational Resources Information Center

    West Virginia State Vocational Curriculum Lab., Cedar Lakes.

    This competency-based education curriculum, developed by firefighters and educators in West Virginia, is designed for use as a resource for the development of improved firefighter training programs. It consists of an introductory note to the instructor and 140 competency sheets. These sheets deal with tasks in the following areas: general…

  2. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation... organizations. (b) Fire alarm procedures or systems shall be established to pomptly warn every person who could be endangered by a fire. (c) Fire alarm systems shall be maintained in operable condition. ...

  3. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation... organizations. (b) Fire alarm procedures or systems shall be established to pomptly warn every person who could be endangered by a fire. (c) Fire alarm systems shall be maintained in operable condition. ...

  4. 30 CFR 56.4330 - Firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Fire Prevention and Control Firefighting Procedures/alarms/drills § 56.4330 Firefighting, evacuation... organizations. (b) Fire alarm procedures or systems shall be established to pomptly warn every person who could be endangered by a fire. (c) Fire alarm systems shall be maintained in operable condition. ...

  5. Alcohol Use and Problem Drinking among Women Firefighters.

    PubMed

    Haddock, Christopher K; Poston, Walker S C; Jahnke, Sara A; Jitnarin, Nattinee

    2017-08-16

    Given high levels of occupational stress and toxic exposures, firefighters have a relatively high prevalence of occupationally related medical and mental health disorders compared with the general public. Previous research found high rates of heavy and binge drinking among male firefighters. This study is the first to examine alcohol use among women firefighters. Data were collected as part of a national online survey of women, career firefighters. A total of 1,913 women firefighters completed questions regarding alcohol use. Nearly 40% reported binge drinking in the previous month and 4.3% reported driving while intoxicated. Among those who drank, 16.5% screened positive for problem drinking. Problem drinkers were more than 2.5 times as likely to have been diagnosed with depression or have symptoms of posttraumatic stress disorder, and were approximately 40% more likely to have been injured on the job in the previous year, when compared with other women firefighters. Those who screened positive for problem drinking also were significantly less likely to say that they would recommend a fire service career to other women. As with male firefighters, heavy and problem drinking are prevalent among women firefighters and are associated with negative occupational outcomes. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  6. Firefighting and mental health: Experiences of repeated exposure to trauma.

    PubMed

    Jahnke, Sara A; Poston, Walker S Carlos; Haddock, Christopher K; Murphy, Beth

    2016-02-15

    Firefighters must be ready to respond to a broad range of emergencies every duty day. In the course of many of these emergencies, firefighters witness events which have the potential to induce emotional trauma, such as badly injured people, deceased children, and individuals who are highly distraught. Previous research suggests that repeated exposure to these traumas (RET) may have negative impacts on the emotional and mental health of fire service personnel. Research on the mental health of firefighters has been limited to small surveys reporting the prevalence of specific mental health problems such as depression and post-traumatic stress disorder among firefighters. Despite the likelihood that RET leads to negative outcomes in firefighters, data is lacking on how exposure impacts fire service personnel. The current study examines the experiences of firefighters related to RET. Using formative research methods, we examined the beliefs and experiences of firefighters and administrators from across the United States regarding the impact of RET on firefighter health. Study findings highlight the cumulative psychological toll of repeated exposure to traumatic events including desensitization, flashbacks, and irritability. Results of the current study suggest that RET is a significant concern for emergency responders that warrants additional research and attention. It is likely that the long term consequences of RET are closely intertwined with other mental health outcomes and general well-being of this important occupational group.

  7. 49 CFR 176.164 - Fire precautions and firefighting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Fire precautions and firefighting. (a) Matches, lighters, fire, and other ignition sources are... provided with a fixed fire extinguishing system. Each adjacent cargo compartment either must be protected by a fixed fire extinguishing installation or must be accessible for firefighting operations. (e) A...

  8. 46 CFR 131.535 - Firefighting training and drills.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Firefighting training and drills. 131.535 Section 131... OPERATIONS Tests, Drills, and Inspections § 131.535 Firefighting training and drills. (a) A fire drill must... drill, nor immediately before or after the abandon-ship drill. If none can be held on schedule,...

  9. Can acceptable risk be defined in wildland firefighting?

    Treesearch

    David. Clancy

    2011-01-01

    Risk is an ever-present challenge for fire agencies, fire managers, and firefighters, who must ensure that risks are managed at a level that is as low as reasonably practicable. This challenge provides a significant dilemma as there is no one prescriptive method for—or consensus on—defining "acceptable risk" in the field of firefighting....

  10. Hematological and hepatic alterations in nonsmoking residents exposed to benzene following a flaring incident at the British petroleum plant in Texas City.

    PubMed

    D'Andrea, Mark A; Reddy, G Kesava

    2014-12-20

    Human exposure to benzene is associated with multiple adverse health effects with an increased risk of developing carcinogenesis. Benzene exposure is known to affect many critical organs including the hematological, hepatic, renal, lung, and cardiac functions. The purpose of this study is to examine the health effects of benzene exposure among nonsmoking subjects from a prolonged flaring incident that occurred at the British petroleum (BP) refinery in the Texas City, Texas. The study included nonsmoking subjects who had been exposed and unexposed to benzene. Using medical charts, clinical data including white blood cell (WBC) counts, platelet counts, hemoglobin, hematocrit, blood urea nitrogen (BUN), creatinine, alkaline phosphatase (ALP), aspartate amino transferase (AST), and alanine amino transferase (ALT) in nonsmoking subjects exposed to benzene were reviewed and analyzed and compared with unexposed adults. A total of 1422 nonsmoking subjects (benzene exposed, n=1093 and unexposed, n=329) were included. Benzene exposed subjects had significantly higher levels of WBC (×10(3) per μL) counts (7.7±2.2 versus 6.8±1.7, P=0.001) and platelet (×10(3) per μL) counts (288.8±59.0 versus 245.3±54.4, P=0.001) compared with the unexposed subjects. The mean serum creatinine (mg/dL) levels were also significantly increased in the benzene exposed group compared with the unexposed group (1.1±0.4 versus 0.8±0.2, P=0.001). Serum levels of ALP (IU/L) was significantly elevated in the benzene exposed subjects compared with the unexposed subjects (87.3±22.6 versus 69.6±16.5, P=0.001). Similarly, benzene exposed subjects had significantly higher levels of AST and ALT compared with those unexposed subjects. Benzene exposure from the prolonged BP flaring incident caused significant alterations in hematological and liver markers indicating that these nonsmoking residents exposed to refinery chemicals may be at a higher risk of developing hepatic or blood related disorders.

  11. Development of a Flow Modifier for Reducing the Reaction Force of Firefighting Nozzles

    DTIC Science & Technology

    1991-05-07

    Borows Risk & Industrial Safety Consultants, Inc. 268 Howard Street Des Plaines, IL 60018-1906 Contract No. F08635-90- C -0065...ORGftJlZATION MSD PKR FQ1J tffY’able) Contract #F08635-90- C -0065 Be. ADDRESS (City, State, and ZIP Code) 10 . SOURCE OF FUNDING NUMBERS Eglin AFB, Florida...Modifier for Reducing the Reaction Force of Firefighting Nozzles 12. PERSONAL A UTHOR($) C . K. Krishnakumar, s. Atallah, and K. A. Borows 13a . TYPE

  12. KSC firefighters support recent firefighting efforts with a railroad tanker car

    NASA Technical Reports Server (NTRS)

    1998-01-01

    A Kennedy Space Center railroad tanker car loaded with 20,000 gallons of water and retrofitted with a special attachment for directly filling fire trucks was transported to the scene of a fire in north Brevard County to assist with firefighting efforts.

  13. KSC firefighters support recent firefighting efforts with a railroad tanker car

    NASA Technical Reports Server (NTRS)

    1998-01-01

    A Kennedy Space Center railroad tanker car loaded with 20,000 gallons of water and retrofitted with a special attachment for directly filling fire trucks was transported to the scene of a fire in north Brevard County to assist with firefighting efforts.

  14. Firefighters' exposure to perfluoroalkyl acids and 2-butoxyethanol present in firefighting foams.

    PubMed

    Laitinen, Juha Ari; Koponen, Jani; Koikkalainen, Janne; Kiviranta, Hannu

    2014-12-01

    The aim of this study was to assess eight firefighters' exposure to Sthamex 3% AFFF (aqueous film forming foam) in the simulation of aircraft accidents at Oulu airport in Finland. Study was conducted in 2010 before limitation for the use of PFOA and PFOS in AFFFs. Due to prospective limitation also eight commercially available AFFFs were evaluated from occupational and environmental point of view to find substitutive AFFFs for future. The firefighters' exposure to twelve perfluoroalkyl acids (PFAS) was analyzed in order to observe the signs of accumulation during three consecutive training sessions. The firefighters' short-term exposure to 2-butoxyethanol (EGBE) was analyzed by urinalysis of 2-butoxyacetic acid (2-BAA). For the background information also the concentration of PFAS in used AFFF-liquid was analyzed. Fire fighters' serum PFHxS and PFNA concentrations seemed to increase during the three training sessions although they were not the main PFAS in used AFFF. The statistical significance for the elevations was not able to test due to limited size of test group. In two training sessions, the average urinary excretions of 2-BAA exceeded the reference limit of the occupationally unexposed population. In the evaluations of the firefighting foams, non-fluorine based products were favored and the alcohol resistance properties of foams were recommended for consideration due to the increasing use of biofuels. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  15. ZrP nanoplates based fire-fighting foams stabilizer

    NASA Astrophysics Data System (ADS)

    Zhang, Lecheng; Cheng, Zhengdong; Li, Hai

    2015-03-01

    Firefighting foam, as a significant innovation in fire protection, greatly facilitates extinguishments for liquid pool fire. Recently, with developments in LNG industry, high-expansion firefighting foams are also used for extinguishing LNG fire or mitigating LNG leakage. Foam stabilizer, an ingredient in fire-fighting foam, stabilizes foam bubbles and maintains desired foam volume. Conventional foam stabilizers are organic molecules. In this work, we developed a inorganic based ZrP (Zr(HPO4)2 .H2O, Zirconium phosphate) plates functionalized as firefighting foam stabilizer, improving firefighting foam performance under harsh conditions. Several tests were conducted to illustrate performance. The mechanism for the foam stabilization is also proposed. Artie McFerrin Department of Chemical Engineering, Texas A&M University, College Station, TX 77843, USA. Mary Kay O'Connor Process Safety Center, Texas A&M University, College Station, TX, 77843-3122

  16. Firefighter heart presumption retirements in Massachusetts 1997-2004.

    PubMed

    Holder, Jonathan D; Stallings, Leonard A; Peeples, Lynne; Burress, John W; Kales, Stefanos N

    2006-10-01

    "Heart Presumption" legislation is common throughout North America. We sought to study Massachusetts firefighters retiring with heart disability awards. The authors conducted a retrospective review of Massachusetts firefighters: 362 receiving Heart Presumption pensions (1997-2004) and a comparison group of 310 professionally active firefighters. Of retirements, 77% were due to coronary heart disease and 23% for other cardiovascular conditions. Only 42% of the retirements were related to discrete on-duty events. Fire suppression (odds ratio = 51, 95% confidence interval = 12-223) and alarm response (odds ratio = 6.4, 95% confidence interval = 2.5-17) were associated with markedly higher risks of duty-related heart retirement events than nonemergency activities. Cardiovascular risk factor prevalence was high among all retiree subgroups and significantly greater than among control firefighters in almost all cases. Our study supports calls for improved cardiovascular prevention and risk reduction strategies among firefighters.

  17. Excessive daytime sleepiness in firefighters in the central United States.

    PubMed

    Haddock, C Keith; Poston, Walker S C; Jitnarin, Nattinee; Jahnke, Sara A

    2013-04-01

    To determine the prevalence and severity of excessive daytime sleepiness (EDS) in a population-based sample of firefighters. Sleepiness was assessed using the Epworth Sleepiness Scale in a sample of male career firefighters (n = 458) from 11 randomly selected fire departments in the Midwestern United States. Unadjusted EDS rates (13.7% and 14.0% for on- and off-duty, respectively) were similar to the general US population and comparable occupational groups. Factors associated with EDS included 48-hour work shifts, non-private department sleep areas, and working a second job outside the fire service (P < 0.05). Given firefighters' important role in public safety, concerns have been raised about whether firefighters' work schedules result in high rates of excessive sleepiness. Nevertheless, firefighters in this study did not have high rates of EDS despite their extended work schedule.

  18. Electrocardiographic Responses During Fire Suppression and Recovery Among Experienced Firefighters.

    PubMed

    Al-Zaiti, Salah; Rittenberger, Jon C; Reis, Steven E; Hostler, David

    2015-09-01

    We sought to evaluate the impact of high-intensity exertion and heat stress on electrocardiographic changes during fire suppression and recovery. Healthy firefighters completed a live-fire training evolution. Each firefighter was randomly assigned to complete either two or three intervals of fire suppression tasks followed by a structured recovery. Firefighters were continuously monitored using 12-lead Holter electrocardiogram. Most firefighters (71.4%) exceeded their maximum heart rate and one third had pathological ST events. Nearly one third of each of these abnormalities persisted throughout recovery period. Longer fire suppression intervals did not affect the incidence of these abnormalities. Fire suppression is associated with ST-segment changes among firefighters at low risk for cardiovascular disease. These abnormalities continued into initial recovery even though cooling and rehydration were provided.

  19. Comorbid trends in World Trade Center cough syndrome and probable posttraumatic stress disorder in firefighters.

    PubMed

    Niles, Justin K; Webber, Mayris P; Gustave, Jackson; Cohen, Hillel W; Zeig-Owens, Rachel; Kelly, Kerry J; Glass, Lara; Prezant, David J

    2011-11-01

    We describe the relationship between World Trade Center (WTC) cough syndrome symptoms, pulmonary function, and symptoms consistent with probable posttraumatic stress disorder (PTSD) in WTC-exposed firefighters in the first year post-September 11, 2001 (baseline), and 3 to 4 years later (follow-up). Five thousand three hundred sixty-three firefighters completed pulmonary function tests (PFTs) and questionnaires at both times. Relationships among WTC cough syndrome, probable PTSD, and PFTs were analyzed using simple and multivariable models. We also examined the effects of cofactors, including WTC exposure. WTC cough syndrome was found in 1,561 firefighters (29.1%) at baseline and 1,186 (22.1%) at follow-up, including 559 with delayed onset (present only at follow-up). Probable PTSD was found in 458 firefighters (8.5%) at baseline and 548 (10.2%) at follow-up, including 343 with delayed onset. Baseline PTSD symptom counts and probable PTSD were associated with WTC cough syndrome at baseline, at follow-up, and in those with delayed-onset WTC cough syndrome. Similarly, WTC cough syndrome symptom counts and WTC cough syndrome at baseline were associated with probable PTSD at baseline, at follow-up, and in those with delayed-onset probable PTSD. WTC arrival time and work duration were cofactors of both outcomes. A small but consistent association existed between pulmonary function and WTC cough syndrome, but none with PTSD. The study showed a moderate association between WTC cough syndrome and probable PTSD. The presence of one contributed to the likelihood of the other, even after adjustment for shared cofactors such as WTC exposure.

  20. Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

    PubMed Central

    Niles, Justin K.; Gustave, Jackson; Cohen, Hillel W.; Zeig-Owens, Rachel; Kelly, Kerry J.; Glass, Lara; Prezant, David J.

    2011-01-01

    Background: We describe the relationship between World Trade Center (WTC) cough syndrome symptoms, pulmonary function, and symptoms consistent with probable posttraumatic stress disorder (PTSD) in WTC-exposed firefighters in the first year post-September 11, 2001 (baseline), and 3 to 4 years later (follow-up). Methods: Five thousand three hundred sixty-three firefighters completed pulmonary function tests (PFTs) and questionnaires at both times. Relationships among WTC cough syndrome, probable PTSD, and PFTs were analyzed using simple and multivariable models. We also examined the effects of cofactors, including WTC exposure. Results: WTC cough syndrome was found in 1,561 firefighters (29.1%) at baseline and 1,186 (22.1%) at follow-up, including 559 with delayed onset (present only at follow-up). Probable PTSD was found in 458 firefighters (8.5%) at baseline and 548 (10.2%) at follow-up, including 343 with delayed onset. Baseline PTSD symptom counts and probable PTSD were associated with WTC cough syndrome at baseline, at follow-up, and in those with delayed-onset WTC cough syndrome. Similarly, WTC cough syndrome symptom counts and WTC cough syndrome at baseline were associated with probable PTSD at baseline, at follow-up, and in those with delayed-onset probable PTSD. WTC arrival time and work duration were cofactors of both outcomes. A small but consistent association existed between pulmonary function and WTC cough syndrome, but none with PTSD. Conclusions: The study showed a moderate association between WTC cough syndrome and probable PTSD. The presence of one contributed to the likelihood of the other, even after adjustment for shared cofactors such as WTC exposure. PMID:21546435

  1. Cytokine release from alveolar macrophages exposed to ambient particulate matter: Heterogeneity in relation to size, city and season

    PubMed Central

    Hetland, Ragna B; Cassee, Flemming R; Låg, Marit; Refsnes, Magne; Dybing, Erik; Schwarze, Per E

    2005-01-01

    Background Several studies have demonstrated an association between exposure to ambient particulate matter (PM) and respiratory and cardiovascular diseases. Inflammation seems to play an important role in the observed health effects. However, the predominant particle component(s) that drives the inflammation is still not fully clarified. In this study representative coarse (2.5–10 μm) and fine (0.1–2.5 μm) particulate samples from a western, an eastern, a northern and a southern European city (Amsterdam, Lodz, Oslo and Rome) were collected during three seasons (spring, summer and winter). All fractions were investigated with respect to cytokine-inducing potential in primary macrophages isolated from rat lung. The results were related to the physical and chemical parameters of the samples in order to disclose possible connections between inflammatory potential and specific characteristics of the particles. Results Compared on a gram-by gram basis, both site-specific and seasonal variations in the PM-induced cytokine responses were demonstrated. The samples collected in the eastern (Lodz) and southern (Rome) cities appeared to be the most potent. Seasonal variation was most obvious with the samples from Lodz, with the highest responses induced by the spring and summer samples. The site-specific or seasonal variation in cytokine release could not be attributed to variations in any of the chemical parameters. Coarse fractions from all cities were more potent to induce the inflammatory cytokines interleukin-6 and tumour necrosis factor-α than the corresponding fine fractions. Higher levels of specific elements such as iron and copper, some polycyclic aromatic hydrocarbons (PAHs) and endotoxin/lipopolysaccaride seemed to be prevalent in the coarse fractions. However, variations in the content of these components did not reflect the variation in cytokine release induced by the different coarse fractions. Addition of polymyxin B did not affect the particle

  2. Firefighter safety: rampant unsafe practices as documented in mainstream media.

    PubMed

    Kahn, Steven A; Woods, Jason; Sipes, Jan C; Toscano, Nicole; Bell, Derek E

    2014-01-01

    More than 30,000 firefighters are injured on the fireground each year. Literature suggests that injury often occurs when protective gear is not used properly. According to firefighters, failure to correctly wear protective equipment occurs for several reasons: (1) gear not used because of haste, (2) cumbersome gear can sometimes interfere with performance, and (3) cultural factors. The purpose of this study is to quantify improper gear and tactic use in a publicly available, online video repository in order to better understand unsafe firefighting. This was an Institutional Review Board-exempt study of public video records. A search for "fire fighting videos" was conducted at YouTube (www.youtube.com). The first 50 videos that contained volunteer or career firefighters at work fighting fires were selected evaluated for appropriate use of personal protective equipment and for safe behavior. The videos were evaluated by two highly experienced professional firefighters. Of the 50 videos reviewed, 25 (50%) demonstrated violations of firefighting safety principles. Of the unsafe videos, 21 (42%) displayed firefighters improperly using gear, while the other 4 (8%) were related to unsound tactics. The most common problem was failure to wear or properly secure a self-contained breathing apparatus when appropriate (14 videos or 28%). The second most common failure was lack of helmet, hood, or approved gloves (11 videos or 22%). In conclusion, firefighting as documented on YouTube is often unsafe because of failure to properly use personal protective equipment. Half of the videos reviewed contained unsafe practices. With such a shockingly high rate of unsafe firefighting, the profession is in need of additional education and reform. In response to this epidemic, a multidisciplinary educational program has been developed to improve firefighter awareness of gear limitations and burn injury risk. Effectiveness of educational programs should be documented in additional

  3. Comparison of the impacts of urban development and climate change on exposing European cities to pluvial flooding

    NASA Astrophysics Data System (ADS)

    Skougaard Kaspersen, Per; Høegh Ravn, Nanna; Arnbjerg-Nielsen, Karsten; Madsen, Henrik; Drews, Martin

    2017-08-01

    The economic and human consequences of extreme precipitation and the related flooding of urban areas have increased rapidly over the past decades. Some of the key factors that affect the risks to urban areas include climate change, the densification of assets within cities and the general expansion of urban areas. In this paper, we examine and compare quantitatively the impact of climate change and recent urban development patterns on the exposure of four European cities to pluvial flooding. In particular, we investigate the degree to which pluvial floods of varying severity and in different geographical locations are influenced to the same extent by changes in urban land cover and climate change. We have selected the European cities of Odense, Vienna, Strasbourg and Nice for analyses to represent different climatic conditions, trends in urban development and topographical characteristics. We develop and apply a combined remote-sensing and flood-modelling approach to simulate the extent of pluvial flooding for a range of extreme precipitation events for historical (1984) and present-day (2014) urban land cover and for two climate-change scenarios (i.e. representative concentration pathways, RCP 4.5 and RCP 8.5). Changes in urban land cover are estimated using Landsat satellite imagery for the period 1984-2014. We combine the remote-sensing analyses with regionally downscaled estimates of precipitation extremes of current and expected future climate to enable 2-D overland flow simulations and flood-hazard assessments. The individual and combined impacts of urban development and climate change are quantified by examining the variations in flooding between the different simulations along with the corresponding uncertainties. In addition, two different assumptions are examined with regards to the development of the capacity of the urban drainage system in response to urban development and climate change. In the stationary approach, the capacity resembles present

  4. The 5000 GPM firefighting module evaluation test

    NASA Technical Reports Server (NTRS)

    Burns, Ralph A.

    1986-01-01

    The 5000 GPM Firefighting Module development was sponsored and shared by the Navy Facilities Engineering Command. It is a lightweight, compact, self-contained, helicopter-transportable unit for fighting harbor and other specialty fires as well as for use in emergency and shipboard water pumping applications. This unit is a more advanced model of the original 1500 GPM module developed for the U.S. Coast Guard. The module and an evaluation test program conducted at the North Island Naval Air Station, San Diego, California, by NASA and the U.S. Navy, are described.

  5. Polymer Fabric Protects Firefighters, Military, and Civilians

    NASA Technical Reports Server (NTRS)

    2008-01-01

    In 1967, NASA contracted with Celanese Corporation, of New York, to develop a line of PBI textiles for use in space suits and vehicles. In 2005, the PBI fiber and polymer business was sold to PBI Performance Products Inc., of Charlotte, North Carolina, under the ownership of the InterTech Group, of North Charleston, South Carolina. PBI Performance Products now offers two distinct lines: PBI, the original heat and flame resistant fiber; and Celazole, a family of high-temperature PBI polymers available in true polymer form. PBI is now used in numerous firefighting, military, motor sports, and other applications.

  6. The inflammatory response in lungs of rats exposed on the airborne particles collected during different seasons in four European cities.

    PubMed

    Halatek, Tadeusz; Stepnik, Maciej; Stetkiewicz, Jan; Krajnow, Aleksander; Kur, Barbara; Szymczak, Wieslaw; Rydzynski, Konrad; Dybing, Erik; Cassee, Fleming R

    2011-01-01

    Epidemiological studies have reported associations of ambient particulate air pollution, especially particulate matter (PM) less than 10 μm with exacerbations of asthma and chronic obstructive pulmonary disease. In an in vivo model, we have tested the toxicity of urban airborne particles collected during spring, summer, and winter seasons in four cities (Amsterdam, Lodz, Oslo, and Rome) spread across Europe. The seasonal differences in inflammatory responses were striking, and almost all the study parameters were affected by PM. Coarse fractions of the urban particle samples were less potent per unit mass than the fine fractions in increasing cytokine [macrophage inflammatory protein (MIP)-2 and tumor necrosis factor (TNF)-α] levels and in reducing Clara-cell secretory protein (CC16) levels. This study shows that PM collected at 4 contrasting sites across Europe and during different seasons have differences in toxic potency. These differences were even more prominent between the fine and coarse fractions of the PM.

  7. PCDD/F and PCB in human serum of differently exposed population groups of an Italian city.

    PubMed

    Turrio-Baldassarri, Luigi; Abate, Vittorio; Battistelli, Chiara Laura; Carasi, Sergio; Casella, Marialuisa; Iacovella, Nicola; Indelicato, Annamaria; La Rocca, Cinzia; Scarcella, Carmelo; Alivernini, Silvia

    2008-08-01

    A chemical plant located in Brescia, an industrial city in North-Western Italy, produced polychlorobiphenyls (PCBs) during a 30-50 year period, causing widespread pollution of the surrounding agricultural area. This area contains several small farms, which principally produce veal meat for private consumption of the farmers' families. The pollution went undiscovered for many years, during which period contaminated food was regularly consumed. This paper reports the polychlorodibenzodioxin (PCDD), polychlorodibenzofuran (PCDF) and PCB levels of a serum sample pooled from the consumers of contaminated food, compared to six population groups of the city of Brescia. Four of these groups were selected in order to represent, respectively, the local general population and the residents of three zones of the polluted area, while the last two groups represented, respectively, the present and the former workers of the plant. One human milk sample from one of the consumers of contaminated food was also analyzed. Results show that the consumers of the contaminated food and the former workers of the plant display considerably higher levels than all other groups. The levels of general population and of all other groups were generally similar both to each other and to the range of literature values for unexposed populations. The respective contribution of PCDDs, PCDFs, mono-ortho and non-ortho PCBs (dioxin-like PCBs) to (Toxicity Equivalents) TEQ of the population groups of this study were also compared to literature data: the two groups with a high contamination level, together with the human milk sample, displayed a higher incidence of mono-ortho PCBs and a lower contribution of PCDD, possibly correlated with the source of contamination.

  8. Acute effects of firefighting on arterial stiffness and blood flow.

    PubMed

    Fahs, Christopher A; Yan, Huimin; Ranadive, Sushant; Rossow, Lindy M; Agiovlasitis, Stamatis; Echols, George; Smith, Denise; Horn, Gavin P; Rowland, Thomas; Lane, Abbi; Fernhall, Bo

    2011-04-01

    Sudden cardiac events are responsible for 40-50% of line-of-duty firefighter fatalities, yet the exact cause of these events is unknown. Likely, combinations of thermal, physical, and mental factors impair cardiovascular function and trigger such events. Therefore, the purpose of this study was to examine the impact of firefighting activities on vascular function. Sixty-nine young (28 ± 1 years) male firefighters underwent 3 hours of firefighting activities. Carotid, aortic, and brachial blood pressures (BP), heart rate (HR), augmentation index (AIx), wave reflection timing (TR), aortic pulse wave velocity (PWV), forearm blood flow (FBF), and forearm reactive hyperemia (RH) were measured before and after firefighting activities. Paired samples t-tests revealed significant (p < 0.05) increases in aortic diastolic BP, HR, AIx, PWV, RH, and FBF, and significant decreases in brachial and aortic pulse pressure and TR following firefighting activities. In conclusion, these results suggest that 3 hours of firefighting activities increase both arterial stiffness and vasodilation.

  9. Firefighter safety and photovoltaic installations research project

    NASA Astrophysics Data System (ADS)

    Backstrom, Robert; Dini, Dave

    2012-10-01

    Under the United States Department of Homeland Security (DHS) Assistance to Fire Fighters grant, UL LLC examined fire service concerns of photovoltaic (PV) systems. These concerns included firefighter vulnerability to electrical and casualty hazards when mitigating a fire involving photovoltaic (PV) modules systems. Findings include: 1. The electric shock hazard due to application of water is dependent on voltage, water conductivity, distance and spray pattern of the suppression stream. 2. Outdoor weather exposure rated electrical enclosures are not resistant to water penetration by fire hose streams. 3. Firefighter's gloves and boots afford limited protection against electrical shock provided the insulating surface is intact and dry. 4. "Turning off" an array is not a simple matter of opening a disconnect switch. 5. Tarps offer varying degrees of effectiveness. 6. Fire equipment scene lighting and exposure fires may illuminate PV systems sufficiently to cause a lock-on hazard. 7. Severely damaged PV arrays are capable of producing hazardous conditions. 8. Damage to modules from tools may result in both electrical and fire hazards. 9. Severing of conductors in both metal and plastic conduit results in electrical and fire hazards. 10. Responding personnel must stay away from the roofline in the event of modules or sections of an array sliding off the roof. 11. Fires under an array but above the roof may breach roofing materials and decking allowing fire to propagate into the attic space. Several tactical considerations were developed utilizing the data from the experiments.

  10. Firefighter Hand Anthropometry and Structural Glove Sizing: A New Perspective

    PubMed Central

    Hsiao, Hongwei; Whitestone, Jennifer; Kau, Tsui-Ying; Hildreth, Brooke

    2015-01-01

    Objective We evaluated the current use and fit of structural firefighting gloves and developed an improved sizing scheme that better accommodates the U.S. firefighter population. Background Among surveys, 24% to 30% of men and 31% to 62% of women reported experiencing problems with the fit or bulkiness of their structural firefighting gloves. Method An age-, race/ethnicity-, and gender-stratified sample of 863 male and 88 female firefighters across the United States participated in the study. Fourteen hand dimensions relevant to glove design were measured. A cluster analysis of the hand dimensions was performed to explore options for an improved sizing scheme. Results The current national standard structural firefighting glove-sizing scheme underrepresents firefighter hand size range and shape variation. In addition, mismatch between existing sizing specifications and hand characteristics, such as hand dimensions, user selection of glove size, and the existing glove sizing specifications, is significant. An improved glove-sizing plan based on clusters of overall hand size and hand/finger breadth-to-length contrast has been developed. Conclusion This study presents the most up-to-date firefighter hand anthropometry and a new perspective on glove accommodation. The new seven-size system contains narrower variations (standard deviations) for almost all dimensions for each glove size than the current sizing practices. Application The proposed science-based sizing plan for structural firefighting gloves provides a step-forward perspective (i.e., including two women hand model–based sizes and two wide-palm sizes for men) for glove manufacturers to advance firefighter hand protection. PMID:26169309

  11. The effect of resilience on posttraumatic stress disorder in trauma-exposed inner-city primary care patients.

    PubMed

    Wrenn, Glenda L; Wingo, Aliza P; Moore, Renee; Pelletier, Tiffany; Gutman, Alisa R; Bradley, Bekh; Ressler, Kerry J

    2011-07-01

    Posttraumatic stress disorder (PTSD) has previously been associated with increased risk for a variety of chronic medical conditions and it is often underdiagnosed in minority civilian populations. The current study examined the effects of resilience on the likelihood of having a diagnosis of PTSD in an inner-city sample of primary care patients (n=767). We measured resilience with the Connor-Davidson Resilience Scale, trauma with the Childhood Trauma Questionnaire and Trauma Events Inventory, and assessed for PTSD with the modified PTSD symptom scale. Multiple logistic regression model with presence/absence of PTSD as the outcome yielded 3 significant factors: childhood abuse, nonchild abuse trauma, and resilience. One type of childhood abuse in moderate to severe range (OR, 2.01; p = .0001), 2 or more types of childhood abuse in moderate to severe range (OR, 4.00; p < or = .0001), and 2 or more types of nonchildhood abuse trauma exposure (OR, 3.33; p < or = .0001), were significantly associated with an increased likelihood of PTSD, while resilience was robustly and significantly associated with a decreased likelihood of PTSD (OR, 0.93; p < or = .0001). By understanding the role of resilience in recovery from adverse experiences, improved treatment and interventional methods may be developed. Furthermore, these results suggest a role for assessing resilience in highly traumatized primary care populations as a way to better characterize risk for PTSD and direct screening/psychiatric referral efforts.

  12. Intensely Exposed Oklahoma City Terrorism Survivors: Long-term Mental Health and Health Needs and Posttraumatic Growth.

    PubMed

    Tucker, Phebe; Pfefferbaum, Betty; Nitiéma, Pascal; Wendling, Tracy L; Brown, Sheryll

    2016-03-01

    In this study, we explore directly exposed terrorism survivors' mental health and health status, healthcare utilization, alcohol and tobacco use, and posttraumatic growth 18½ years postdisaster. Telephone surveys compared terrorism survivors and nonexposed community control subjects, using Hopkins Symptom Checklist, Breslau's PTSD screen, Posttraumatic Growth Inventory, and Health Status Questionnaire 12. Statistical analyses included multivariable logistic regression and linear modeling. Survivors, more than 80% injured, reported more anxiety and depression symptoms than did control subjects, with survivors' anxiety and depression associated with heavy drinking (≥5 drinks) and worse mental health and social functioning. While survivors had continued posttraumatic stress disorder symptoms (32 [23.2%] met probable posttraumatic stress disorder threshold), they also reported posttraumatic growth. Survivors had more care from physical, speech, respiratory, and occupational therapists. In this unprecedented long-term assessment, survivors' psychiatric symptoms, alcohol use, and ancillary health service utilization suggest unmet mental health and health needs. Extended recovery efforts might benefit from maximizing positive growth and coping.

  13. Bucklands Crossing firefighter burnover-a case study of fire behaviour and firefighter safety implications

    Treesearch

    H. Grant Pearce

    2007-01-01

    On March 24, 1998, a crew of eight rural firefighters were burned over while attempting to suppress a backburning sector of the Bucklands Crossing Fire in North Otago, New Zealand. The fire demonstrates how factors typical of the New Zealand fire environment – steep slopes, highly flammable shrub fuels, and a strong foehn wind effect – combined to produce extreme fire...

  14. Physical and thermal strain of firefighters according to the firefighting tactics used to suppress wildfires.

    PubMed

    Rodríguez-Marroyo, J A; Villa, J G; López-Satue, J; Pernía, R; Carballo, B; García-López, J; Foster, C

    2011-11-01

    The aim of this study was to analyse the physiological strain of firefighters, using heart rate (HR) and core temperature, during real wildfire suppression according to the type of attack performed (direct, indirect or mixed). Three intensity zones were established according to the HR corresponding to the ventilatory threshold (VT) and respiratory compensation threshold (RCT): zone 1, RCT. The exercise workload (training impulse (TRIMP)), the physiological strain index (PSI) and the cumulative heat strain index(CHSI) were calculated using the time spent in each zone, and the HR and core temperature, respectively. Significantly higher mean HR, time spent in Z2 and Z3 and TRIMP h(-1) were found in direct and mixed versus indirect attacks. The highest PSI and CHSI were observed in the direct attack. In conclusion, exercise strain and combined thermal strain, but not core temperature during wildfire suppression, are related to the type of attack performed. STATEMENT OF RELEVANCE: Our findings demonstrated that wildfire firefighting is associated with high physiological demands, which vary significantly depending on the tactics chosen for performing the task. These results should be kept in mind when planning programmes to improve wildland firefighters' physical fitness, which will allow improvement in their performance.

  15. DETAIL OF WATER INTAKES FOR FIREFIGHTING SYSTEM ON STARBOARD SIDE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    DETAIL OF WATER INTAKES FOR FIREFIGHTING SYSTEM ON STARBOARD SIDE OF BOAT UNDER THE WATERLINE. ZINCS ARE ALSO ADDED HERE TO PRESERVE THE METAL. - Fireboat JOHN J. HARVEY, Pier 63, North River, New York County, NY

  16. 75 FR 23785 - Assistance to Firefighters Grant Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ... SECURITY Federal Emergency Management Agency Assistance to Firefighters Grant Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice of guidance. SUMMARY: This Notice provides guidelines that... Fitness Activities. In implementing the criteria panel's recommendations, DHS has determined that...

  17. 46 CFR 13.307 - Eligibility: Firefighting course.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TANKERMEN Requirements for âTankerman-PIC (Barge)â Endorsement § 13.307 Eligibility: Firefighting course. Each applicant for a “Tankerman-PIC (Barge)” endorsement shall present a certificate of...

  18. 30 CFR 57.4362 - Underground rescue and firefighting operations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4362 Underground rescue...

  19. Preventing noise-induced hearing loss in firefighters.

    PubMed

    Chalupka, Stephanie

    2013-09-01

    NIOSH recommends the use of quieter equipment, better work practices, and hearing protection devices and implementation of effective hearing loss prevention programs to prevent noise-induced hearing loss in firefighters. Copyright 2013, SLACK Incorporated.

  20. 46 CFR 13.307 - Eligibility: Firefighting course.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TANKERMEN Requirements for âTankerman-PIC (Barge)â Endorsement § 13.307 Eligibility: Firefighting course. Each applicant for a “Tankerman-PIC (Barge)” endorsement shall present a certificate of...

  1. 46 CFR 13.307 - Eligibility: Firefighting course.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TANKERMEN Requirements for âTankerman-PIC (Barge)â Endorsement § 13.307 Eligibility: Firefighting course. Each applicant for a “Tankerman-PIC (Barge)” endorsement shall present a certificate of...

  2. 46 CFR 13.307 - Eligibility: Firefighting course.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TANKERMEN Requirements for âTankerman-PIC (Barge)â Endorsement § 13.307 Eligibility: Firefighting course. Each applicant for a “Tankerman-PIC (Barge)” endorsement shall present a certificate of...

  3. The effect of fatigue and training status on firefighter performance.

    PubMed

    Dennison, Katie J; Mullineaux, David R; Yates, James W; Abel, Mark G

    2012-04-01

    Firefighting is a strenuous occupation that requires optimal levels of physical fitness. The National Fire Protection Association suggests that firefighters should be allowed to exercise on duty to maintain adequate fitness levels. However, no research has addressed the effect of exercise-induced fatigue on subsequent fire ground performance. Therefore, the primary purpose of this study was to determine the effect that a single exercise session had on the performance of a simulated fire ground test (SFGT). Secondarily, this study sought to compare the effect of physical training status (i.e., trained vs. untrained firefighters) on the performance of an SFGT. Twelve trained (age: 31.8 ± 6.9 years; body mass index [BMI]: 27.7 ± 3.3 kg·m(-2); VO2peak: 45.6 ± 3.3 ml·kg(-1)·min(-1)) and 37 untrained (age: 31.0 ± 9.0 years; BMI: 31.3 ± 5.2 kg·m(-2); VO2peak: 40.2 ± 5.2 ml·kg(-1)·min(-1)) male career firefighters performed a baseline SFGT. The trained firefighters performed a second SFGT after an exercise session. Time to complete the SFGT, heart rate, and blood lactate were compared between baseline and exercise SFGT (EX-SFGT) conditions. In the trained firefighters, time to complete the SFGT (9.6% increase; p = 0.002) and heart rate (4.1% increase; p = 0.032) were greater during the EX-SFGT compared with baseline, with no difference in post-SFGT blood lactate (p = 0.841). The EX-SFGT time of the trained firefighters was faster than approximately 70% of the untrained firefighters' baseline SFGT time. In addition, the baseline SFGT time of the trained firefighters was faster than 81% of the untrained firefighters. This study demonstrated that on-duty exercise training reduced the work efficiency in firefighters. However, adaptations obtained through regular on-duty exercise training may limit decrements in work efficiency because of acute exercise fatigue and allow for superior work efficiency compared with not participating in a training program.

  4. Cardiovascular disease in US firefighters: a systematic review.

    PubMed

    Soteriades, Elpidoforos S; Smith, Denise L; Tsismenakis, Antonios J; Baur, Dorothee M; Kales, Stefanos N

    2011-01-01

    Cardiovascular disease (CVD) is the leading cause of on-duty death among firefighters (45% of on-duty fatalities) and a major cause of morbidity. CVD in the fire service also has adverse public safety implications as well as significant cost impacts on government agencies. Over the last decade, our understanding of CVD among firefighters has significantly improved and provides insight into potential preventive strategies. The physiology of cardiovascular arousal and other changes that occur in association with acute firefighting activities have been well-characterized. However, despite the strenuous nature of emergency duty, firefighters' prevalence of low fitness, obesity, and other CVD risk factors are high. Unique statistical approaches have documented that on-duty CVD events do not occur at random in the fire service. They are more frequent at certain times of day, certain periods of the year, and are overwhelmingly more frequent during strenuous duties compared with nonemergency situations. Moreover, as expected on-duty CVD events occur almost exclusively among susceptible firefighters with underlying CVD. These findings suggest that preventive measures with proven benefits be applied aggressively to firefighters. Furthermore, all fire departments should have entry-level medical evaluations, institute periodic medical and fitness evaluations, and require rigorous return to work evaluations after any significant illness. Finally, on the basis of the overwhelming evidence supporting markedly higher relative risks of on-duty death and disability among firefighters with established coronary heart disease, most firefighters with clinically significant coronary heart disease should be restricted from participating in strenuous emergency duties.

  5. Economic benefit of the PHLAME wellness programme on firefighter injury

    PubMed Central

    2013-01-01

    Background Work-related injuries and illness are prevalent and costly. Firefighting is especially hazardous and many firefighters sustain work-related injuries. Workplace health promotion programmes have shown positive return on investment (ROI). Little is known about how similar programmes would impact injury and cost among firefighters. Aims To evaluate the impact of a workplace health promotion intervention on workers’ compensation (WC) claims and medical costs among Oregon fire departments participating in the PHLAME (Promoting Healthy Lifestyles: Alternative Models’ Effects) health promotion programme compared with Oregon fire departments not participating in PHLAME. Methods Data from firefighters from four large urban fire departments in Oregon were evaluated using a retrospective quasi-experimental study design. Outcomes were (i) total annual firefighter WC claims, (ii) total annual incurred medical costs prior to and after implementation of the PHLAME firefighter worksite health promotion programme (iii) and an ROI analysis. Results Data were obtained from 1369 firefighters (mean age of 42 years, 91% white, 93% male). WC claims (P < 0.001) and medical costs (P < 0.01) were significantly lower among PHLAME fire departments compared with Oregon fire departments not participating in the programme. Fire departments participating in the PHLAME TEAM programme demonstrated a positive ROI of 4.61–1.00 (TEAM is used to indicate the 12-session peer-led health promotion programme). Conclusions Fire department WC claims and medical costs were reduced after implementation of the PHLAME workplace health promotion programme. This is a low cost, team-based, peer-led, wellness programme that may provide a feasible, cost-effective means to reduce firefighter injury and illness rates. PMID:23416849

  6. The effect of terrain slope on firefighter safety zone effectiveness

    Treesearch

    Bret Butler; J. Forthofer; K. Shannon; D. Jimenez; D. Frankman

    2010-01-01

    The current safety zone guidelines used in the US were developed based on the assumption that the fire and safety zone were located on flat terrain. The minimum safe distance for a firefighter to be from a flame was calculated as that corresponding to a radiant incident energy flux level of 7.0kW-m-2. Current firefighter safety guidelines are based on the assumption...

  7. Effect of hydration on whole blood viscosity in firefighters.

    PubMed

    Holsworth, Ralph E; Cho, Young I; Weidman, Joseph

    2013-01-01

    Cardiovascular disease (CVD) is the leading cause of on-duty death among firefighters, totaling 45% of on-duty fatalities. Heat stress and fluid losses can result in decreases in cardiac output of firefighters, despite sustained tachycardia and maximally elevated heart rate during emergencies. Measurements of whole blood viscosity (WBV) may serve as an independent biomarker of the hydration and dehydration states of on-duty firefighters. The current pilot study investigates the effects of a strenuous firefighting simulation and subsequent rehydration on WBV and other biological metrics in nine healthy, nonsmoking firefighters to (1) determine whether dehydration and rehydration result in detectable changes in WBV and (2) compare WBV with the results from a range of conventional medical tests. The research team designed a single-center, unblinded pilot study. Fire Training Division, 1900 Lind Ave SW, Renton, WA, 98057. Participants were 9 healthy, nonsmoking firefighters who were volunteers. Vital signs, traditional medical blood tests, and WBV were measured for each firefighter (1) at baseline, (2) after exercise but before rehydration with alkaline water, and (3) postexercise and after rehydration. Hematocrit (HCT), hemoglobin (Hb), and WBV increased after exercise and before rehydration. Dehydration during the mock fire drill resulted in elevated WBV at both low- and high-shear rates. HCT and Hb increased due to dehydration and hemoconcentration. Hb and HCT returned to baseline values after exercise and rehydration, and while WBV improved, baseline values were not restored. After exercise but before rehydration, WBV changes were significantly larger than HCT and Hb changes, suggesting the profound influence of hydration states on WBV. WBV measurements were better determinants of hydration states than HCT or Hb and should be performed to monitor the cardiovascular health of at-risk firefighters.

  8. Accuracy of body mass index in volunteer firefighters.

    PubMed

    Ode, J; Knous, J; Schlaff, R; Hemenway, J; Peterson, J; Lowry, J

    2014-04-01

    Obesity is prevalent among career firefighters and may contribute to heart attacks, a leading cause of on-duty fatalities. The US National Fire Protection Association estimates that 800 000 of 1.1 million firefighters are volunteers. Body mass index (BMI) is commonly used to assess obesity, but little is known about its accuracy in volunteer firefighters, in whom muscle mass may be higher, given firefighting's physical demands, reducing its accuracy in identifying obesity. To evaluate the accuracy of BMI in identifying obese volunteer firefighters. Height, weight and body composition were measured in 73 male volunteer firefighters (mean age 40±12). The proportions with BMI ≥ 25kg/m(2), ≥30kg/ m(2) and percent fat ≤ 20th percentile were determined. Using the age-specific 20th percentile for percent fat (Cooper Clinic) as the criterion for being over-fat, the accuracy of BMI was assessed using sensitivity and specificity calculations. The means ± standard deviation of BMI and percent fat were 32±6 and 25±5, respectively. The proportions with a BMI ≥ 25 and ≥30 were 90% and 60%, respectively. Fifty-one percent had a percent fat ≤ 20th percentile. The measure BMI ≥ 25 had a perfect sensitivity (1.0) and low specificity (0.19) and BMI ≥ 30 had a high sensitivity (0.89) and moderate specificity (0.69). Although BMI ≥ 30 accurately predicted being over-fat, it misclassified large and lean firefighters. Although BMI should be used cautiously, it can identify over-fat firefighters at risk of cardiovascular disease, and its measurement is cost-effective and simple.

  9. Lung function changes in wildland firefighters working at prescribed burns.

    SciTech Connect

    Adetona, Olorunfemi; Hall, Daniel, B.; Naeher, L,P.

    2011-10-01

    Although decline in lung function across workshift has been observed in wildland firefighters, measurements have been restricted to days when they worked at fires. Consequently, such results could have been confounded by normal circadian variation associated with lung function. We investigated the across-shift changes in lung function of wildland firefighters, and the effect of cumulative exposure on lung function during the burn season.

  10. Surveillance of Traumatic Firefighter Fatalities: An Assessment of Four Systems

    PubMed Central

    Estes, Chris R.; Marsh, Suzanne M.; Castillo, Dawn N.

    2011-01-01

    Objectives Firefighters regularly respond to hazardous situations that put them at risk for fatal occupational injuries. Traumatic occupational fatality surveillance is a foundation for understanding the problem and developing prevention strategies. We assessed four surveillance systems for their utility in characterizing firefighter fatalities and informing prevention measures. Methods We examined three population-based systems (the Bureau of Labor Statistics' Census of Fatal Occupational Injuries and systems maintained by the United States Fire Administration and the National Fire Protection Association) and one case-based system (data collected through the National Institute for Occupational Safety and Health Fire Fighter Fatality Investigation and Prevention Program). From each system, we selected traumatic fatalities among firefighters for 2003–2006. Then we compared case definitions, methods for case ascertainment, variables collected, and rate calculation methods. Results Overall magnitude of fatalities differed among systems. The population-based systems were effective in characterizing the circumstances of traumatic firefighter fatalities. The case-based surveillance system was effective in formulating detailed prevention recommendations, which could not be made based on the population-based data alone. Methods for estimating risk were disparate and limited fatality rate comparisons between firefighters and other workers. Conclusions The systems included in this study contribute toward a greater understanding of firefighter fatalities. Areas of improvement for these systems should continue to be identified as they are used to direct research and prevention efforts. PMID:21800748

  11. Risk of Cancer Among Firefighters in California, 1988–2007

    PubMed Central

    Tsai, Rebecca J.; Luckhaupt, Sara E.; Schumacher, Pam; Cress, Rosemary D.; Deapen, Dennis M.; Calvert, Geoffrey M.

    2015-01-01

    Background Most studies of firefighter cancer risks were conducted prior to 1990 and do not reflect risk from advances in building materials. Methods A case–control study using California Cancer Registry data (1988–2007) was conducted to evaluate the risk of cancer among firefighters, stratified by race. Results This study identified 3,996 male firefighters with cancer. Firefighters were found to have a significantly elevated risk for melanoma (odds ratio [OR]=1.8; 95% confidence interval [CI] 1.4–2.1), multiple myeloma (OR 1.4; 95%CI 1.0–1.8), acute myeloid leukemia (OR 1.4; 95%CI 1.0–2.0), and cancers of the esophagus (OR 1.6;95%CI 1.2–2.1), prostate (OR 1.5; 95%CI 1.3–1.7), brain (OR 1.5; 95%CI 1.2–2.0), and kidney (OR 1.3; 95%CI 1.0–1.6). Conclusions In addition to observing cancer findings consistent with previous research, this study generated novel findings for firefighters with race/ethnicity other than white. It provides additional evidence to support the association between firefighting and several specific cancers. PMID:25943908

  12. Fitness self-perception and Vo2max in firefighters.

    PubMed

    Peate, W F; Lundergan, Linda; Johnson, Jerry J

    2002-06-01

    Firefighters work at maximal levels of exertion. Fitness for such duty requires adequate aerobic capacity (maximum oxygen consumption [Vo2max]). Aerobic fitness can both improve a worker's ability to perform and offer resistance to cardiopulmonary conditions. Inactive firefighters have a 90% greater risk of myocardial infarction than those who are aerobically fit. Participants (101 firefighters) completed a questionnaire that asked them to rank their fitness level from 0 to 7; e.g., Level 0 was low fitness: "I avoid walking or exertion, e.g., always use elevator, drive whenever possible." The level of activity rating increased to Level 7: "I run over 10 miles per week or spend 3 hours per week in comparable physical activity." Each participant then completed two measures of Vo2max: a 5-minute step test and a submaximal treadmill test. There was no association between the firefighters' self-perception of their level of fitness and their aerobic capacity as measured by either step test or submaximal treadmill. Because of the critical job demands of firefighting and the negative consequences of inadequate fitness and aerobic capacity, periodic aerobic capacity testing with individualized exercise prescriptions and work--community support may be advisable for all active-duty firefighters.

  13. [Analysis of posttraumatic stress disorder in rescuers and firefighters].

    PubMed

    Ci, Song; Lan, Yajia; Zhang, Qin; Zhou, Dinglun; De, Ji

    2015-06-01

    To investigate the occurrence and associated factors for posttraumatic stress disorder (PTSD) in rescuers and firefighters. The PTSD of 264 rescuers and firefighters who had participated in rescue was evaluated using the self-designed fireman general situation questionnaire and PTSD Checklist-Civilian Version (PCL-C). The factors associated with the occurrence of PTSD were also analyzed. The incidence rate of PTSD in the subjects was 8.3%. The PTSD rate of special service corps (12%) was significantly higher than that of other subjects (P<0.05). The incidence of PTSD was highest in the rescuers and firefighters above the third rank, but without significant differences (P>0.05). The PTSD rate of married rescuers and firefighters was significantly higher than that of unmarried subjects (P<0.05). The PTSD rate of subjects addicted to drinking was significantly higher than that of non-drinking subjects (P<0.05). Subjects with more frequent attendance were more susceptible to PTSD compared with those with less attendance. The incidence rate of PTSD is high in rescuers and firefighters who have attended rescues. It is necessary to implement both short-term and long-term counseling programs for stress management and intervention in order to reduce the psychological trauma after rescue and improve the mental health of rescuers and firefighters.

  14. Physiological responses to simulated firefighter exercise protocols in varying environments.

    PubMed

    Horn, Gavin P; Kesler, Richard M; Motl, Robert W; Hsiao-Wecksler, Elizabeth T; Klaren, Rachel E; Ensari, Ipek; Petrucci, Matthew N; Fernhall, Bo; Rosengren, Karl S

    2015-01-01

    For decades, research to quantify the effects of firefighting activities and personal protective equipment on physiology and biomechanics has been conducted in a variety of testing environments. It is unknown if these different environments provide similar information and comparable responses. A novel Firefighting Activities Station, which simulates four common fireground tasks, is presented for use with an environmental chamber in a controlled laboratory setting. Nineteen firefighters completed three different exercise protocols following common research practices. Simulated firefighting activities conducted in an environmental chamber or live-fire structures elicited similar physiological responses (max heart rate: 190.1 vs 188.0 bpm, core temperature response: 0.047°C/min vs 0.043°C/min) and accelerometry counts. However, the response to a treadmill protocol commonly used in laboratory settings resulted in significantly lower heart rate (178.4 vs 188.0 bpm), core temperature response (0.037°C/min vs 0.043°C/min) and physical activity counts compared with firefighting activities in the burn building. Practitioner Summary: We introduce a new approach for simulating realistic firefighting activities in a controlled laboratory environment for ergonomics assessment of fire service equipment and personnel. Physiological responses to this proposed protocol more closely replicate those from live-fire activities than a traditional treadmill protocol and are simple to replicate and standardise.

  15. Silica Foams for Fire Prevention and Firefighting.

    PubMed

    Vinogradov, Alexander V; Kuprin, D S; Abduragimov, I M; Kuprin, G N; Serebriyakov, Evgeniy; Vinogradov, Vladimir V

    2016-01-13

    We report the new development of fire-extinguishing agents employing the latest technology of fighting and preventing fires. The in situ technology of fighting fires and explosions involves using large-scale ultrafast-gelated foams, which possess new properties and unique characteristics, in particular, exceptional thermal stability, mechanical durability, and full biocompatibility. We provide a detailed description of the physicochemical processes of silica foam formation at the molecular level and functional comparison with current fire-extinguishing and fire-fighting agents. The new method allows to produce controllable gelation silica hybrid foams in the range from 2 to 30 s up to 100 Pa·s viscosity. Chemical structure and hierarchical morphology obtained by scanning electron microscopy and transmission electron microscopy images develop thermal insulation capabilities of the foams, reaching a specific heat value of more than 2.5 kJ/(kg·°C). The produced foam consists of organized silica nanoparticles as determined by X-ray photoelectron spectroscopy and X-ray diffraction analysis with a narrow particle size distribution of ∼10-20 nm. As a result of fire-extinguishing tests, it is shown that the extinguishing efficiency exhibited by silica-based sol-gel foams is almost 50 times higher than that for ordinary water and 15 times better than that for state-of-the-art firefighting agent aqueous film forming foam. The biodegradation index determined by the time of the induction period was only 3 d, while even for conventional foaming agents this index is several times higher.

  16. Ozone reactivity and free radical scavenging behavior of phenolic secondary metabolites in lichens exposed to chronic oxidant air pollution from Mexico City.

    PubMed

    Valencia-Islas, N; Zambrano, A; Rojas, J L

    2007-08-01

    Lichen secondary metabolites putatively protect lichens from a variety of environmental stress factors, but it is unknown whether these substances respond to air pollution. To assess such a possibility, the three major phenolics of two epiphytic lichen species with contrasting tolerance to chronic air pollution from Mexico City were studied by combining experimental reactivity data and measured field contents. The antioxidant activity and antiradical power of boninic (BO), 2-O-methylsekikaic (MA), and usnic (US) acids, isolated from the tolerant Ramalina asahinae and salazinic acid (SA), atranorin (AT), and chloroatranorin (CA), from the sensitive Parmotrema stuppeum, were determined in vitro by kinetic experiments with ozone and the free radical diphenyl picryl hidrazyl (DPPH*), respectively. In addition, the field contents of these phenolics in the lichens, and the potential antioxidant capacity (PAC) they provide, were compared among three forested sites exposed to urban emissions and a similar, relatively clean site. The six phenolics had antioxidant activity and antiradical power according to these trends: CA > AT > US > SA > or = BO > or = MA for O(3); and CA > AT > US > MA > SA = BO for DPPH*. The three most reactive phenolics are cortical compounds, located in the lichen portion most exposed to the surrounding environment. In contrast, the less reactive SA, BO, and MA are medullary. Such reactivity patterns indicate that some phenolics may provide antioxidative protection at the air-lichen interface. The higher antioxidant power of CA and AT may be due to the reactive hydroxyl groups at positions 2 and 4 of ring A, instead of the less reactive methoxyl at the same positions in both BO and MA. In the field comparisons, total quantified phenolics were significantly higher near Mexico City for both lichens, except for the tolerant R. asahinae at one site. Nevertheless, only the latter species had significantly increased PAC values at all sites near the city

  17. A Study of Thyroid 131I Activity of Five Human Subjects Exposed to a Radioactive Plume at Tamura City in Fukushima.

    PubMed

    Uchiyama, Koji; Miyashita, Masami; Sato, Hitoshi; Tanishima, Yoshinobu; Maeda, Shigenobu; Yoshikawa, Jun; Kimura, Shinzo

    2015-12-01

    Thyroid 131I activities were determined for five human subjects from a disaster medical assistance team of Fukui Prefectural Hospital. The team was dispatched to the Tamura City Sports Park, 40 km from the Fukushima Daiichi nuclear power plant. They were exposed to a radioactive plume on 15 March 2011. In vivo measurements at Fukui Prefectural Hospital were conducted around 17 h after the team left the park. A thyroid counter equipped with a 51-mm-diameter × 51-mm-thick NaI(Tl) detector with a 20-mm-thick lead collimator was used. Mock iodine (133Ba and 137Cs) with a thyroid uptake neck phantom was used for calibration. On 16 March 2011, at 11:30, thyroid activity of a member of the team age 53 y, who was never administered stable iodine, was 268 ± 38 Bq. The remaining four men, aged 49, 35, 34, and 27 y, ingested two stable iodine pills (a total of 100 mg of potassium iodide) approximately 36 h before being exposed to the plume. Their thyroid activity values were 249 ± 86 Bq, 676 ± 107 Bq, 569 ± 96 Bq, and 1,082 ± 119 Bq, respectively. An inverse relationship between age and thyroid activity was observed among those who ingested potassium iodide before exposure, indicating that stable iodine administration may have a protective effect. Thyroid 131I activity was reduced by approximately 70% in the oldest person. This can be explained by the iodine metabolism in the thyroid of younger individuals being significantly faster than that of older individuals.

  18. Differences in psychiatric symptoms and barriers to mental health care between volunteer and career firefighters.

    PubMed

    Stanley, Ian H; Boffa, Joseph W; Hom, Melanie A; Kimbrel, Nathan A; Joiner, Thomas E

    2017-01-01

    Firefighters are at increased risk for mental health problems. However, little is known about differences in psychiatric symptoms between volunteer and career firefighters. This study aimed to (1) describe differences in psychiatric symptoms and barriers to mental health care between U.S. firefighters in volunteer-only and career-only departments; and (2) determine if greater self-reported structural barriers to mental health care (e.g., cost, availability of resources) explain the differences in psychiatric symptom levels. Overall, 525 current U.S. firefighters participated. Analyses of covariance and logistic regression analyses were used to evaluate group differences between volunteer (n=204) and career (n=321) firefighters, adjusting for demographic and occupational characteristics. Volunteer firefighters reported significantly elevated levels of depression, posttraumatic stress, and suicidal symptoms compared to career firefighters. Career firefighters reported relatively elevated levels of problematic alcohol use. Volunteer firefighters additionally reported greater structural barriers to mental health care (e.g., cost, availability of resources), and these barriers accounted for the differences in mental health variables between volunteer and career firefighters. Findings suggest that volunteer firefighters report elevated psychiatric symptoms compared to career firefighters and greater structural barriers to mental health treatment may explain this link. Increased efforts are needed to develop firefighter-specific interventions and bolster mental health service utilization.

  19. Exposure–response relationships for select cancer and non-cancer health outcomes in a cohort of US firefighters from San Francisco, Chicago and Philadelphia (1950–2009)

    PubMed Central

    Daniels, Robert D.; Bertke, Stephen; Dahm, Matthew M.; Yiin, James H.; Kubale, Travis L.; Hales, Thomas R.; Baris, Dalsu; Zahm, Shelia H.; Beaumont, James J.; Waters, Kathleen M.; Pinkerton, Lynne E.

    2015-01-01

    Objectives To examine exposure–response relationships between surrogates of firefighting exposure and select outcomes among previously studied US career firefighters. Methods Eight cancer and four non-cancer outcomes were examined using conditional logistic regression. Incidence density sampling was used to match each case to 200 controls on attained age. Days accrued in firefighting assignments (exposed-days), run totals (fire-runs) and run times (fire-hours) were used as exposure surrogates. HRs comparing 75th and 25th centiles of lagged cumulative exposures were calculated using loglinear, linear, log-quadratic, power and restricted cubic spline general relative risk models. Piecewise constant models were used to examine risk differences by time since exposure, age at exposure and calendar period. Results Among 19 309 male firefighters eligible for the study, there were 1333 cancer deaths and 2609 cancer incidence cases. Significant positive associations between fire-hours and lung cancer mortality and incidence were evident. A similar relation between leukaemia mortality and fire-runs was also found. The lung cancer associations were nearly linear in cumulative exposure, while the association with leukaemia mortality was attenuated at higher exposure levels and greater for recent exposures. Significant negative associations were evident for the exposure surrogates and colorectal and prostate cancers, suggesting a healthy worker survivor effect possibly enhanced by medical screening. Conclusions Lung cancer and leukaemia mortality risks were modestly increasing with firefighter exposures. These findings add to evidence of a causal association between firefighting and cancer. Nevertheless, small effects merit cautious interpretation. We plan to continue to follow the occurrence of disease and injury in this cohort. PMID:25673342

  20. Ankle restrictive firefighting boots alter the lumbar biomechanics during landing tasks.

    PubMed

    Vu, Vy; Walker, Anthony; Ball, Nick; Spratford, Wayne

    2017-11-01

    Firefighters incur high incidences of lower back and body injuries. Firefighting boots, with specific design requirements, have been shown to reduce ankle range of motion. This reduction has been associated with impaired force dissipation and lower body kinematic alterations. Thus, the aim of this study was to determine the relationship between firefighting boots, lumbar biomechanics and load carriage during landing. Our data indicates that when wearing firefighting boots, lumbar forces increased and kinematics changed in frontal and transverse planes. These changes may be occurring due to the restrictive shaft of the firefighting boot reducing ankle range of motion. Comparisons between unloaded and loaded conditions also showed increased changes in lumbar biomechanics, independent of footwear worn. Therefore, wearing firefighting boots, in addition to operational loading, may be placing firefighters at greater risk of lumbar injuries. Future research investigating firefighting boots and additional load carriage on lower body biomechanics during landing is recommended. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Field tests for evaluating the aerobic work capacity of firefighters.

    PubMed

    Lindberg, Ann-Sofie; Oksa, Juha; Gavhed, Désirée; Malm, Christer

    2013-01-01

    Working as a firefighter is physically strenuous, and a high level of physical fitness increases a firefighter's ability to cope with the physical stress of their profession. Direct measurements of aerobic capacity, however, are often complicated, time consuming, and expensive. The first aim of the present study was to evaluate the correlations between direct (laboratory) and indirect (field) aerobic capacity tests with common and physically demanding firefighting tasks. The second aim was to give recommendations as to which field tests may be the most useful for evaluating firefighters' aerobic work capacity. A total of 38 subjects (26 men and 12 women) were included. Two aerobic capacity tests, six field tests, and seven firefighting tasks were performed. Lactate threshold and onset of blood lactate accumulation were found to be correlated to the performance of one work task (r(s) = -0.65 and -0.63, p<0.01, respectively). Absolute (mL · min(-1)) and relative (mL · kg(-1) · min(-1)) maximal aerobic capacity was correlated to all but one of the work tasks (r(s) = -0.79 to 0.55 and -0.74 to 0.47, p<0.01, respectively). Aerobic capacity is important for firefighters' work performance, and we have concluded that the time to row 500 m, the time to run 3000 m relative to body weight (s · kg(-1)), and the percent of maximal heart rate achieved during treadmill walking are the most valid field tests for evaluating a firefighter's aerobic work capacity.

  2. 30 CFR 77.1108-1 - Type and capacity of firefighting equipment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Type and capacity of firefighting equipment. 77... UNDERGROUND COAL MINES Fire Protection § 77.1108-1 Type and capacity of firefighting equipment. Firefighting... capacity for each 1,000 tons of coal processed (average) per shift. (b) Fire extinguishers....

  3. 30 CFR 77.1108-1 - Type and capacity of firefighting equipment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Type and capacity of firefighting equipment. 77... UNDERGROUND COAL MINES Fire Protection § 77.1108-1 Type and capacity of firefighting equipment. Firefighting... capacity for each 1,000 tons of coal processed (average) per shift. (b) Fire extinguishers....

  4. 30 CFR 77.1108-1 - Type and capacity of firefighting equipment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Type and capacity of firefighting equipment. 77... UNDERGROUND COAL MINES Fire Protection § 77.1108-1 Type and capacity of firefighting equipment. Firefighting... capacity for each 1,000 tons of coal processed (average) per shift. (b) Fire extinguishers....

  5. 30 CFR 77.1108-1 - Type and capacity of firefighting equipment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Type and capacity of firefighting equipment. 77... UNDERGROUND COAL MINES Fire Protection § 77.1108-1 Type and capacity of firefighting equipment. Firefighting... capacity for each 1,000 tons of coal processed (average) per shift. (b) Fire extinguishers....

  6. 14 CFR 139.315 - Aircraft rescue and firefighting: Index determination.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... firefighting and emergency medical response personnel. (3) Type of rescue and firefighting equipment to be... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Aircraft rescue and firefighting: Index determination. 139.315 Section 139.315 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT...

  7. 33 CFR 155.4050 - Ensuring that the salvors and marine firefighters are adequate.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... marine firefighters are adequate. 155.4050 Section 155.4050 Navigation and Navigable Waters COAST GUARD... REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4050 Ensuring that the salvors and marine... participation in successful salvage and/or marine firefighting operations, including equipment deployment. (3...

  8. 33 CFR 155.4050 - Ensuring that the salvors and marine firefighters are adequate.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... marine firefighters are adequate. 155.4050 Section 155.4050 Navigation and Navigable Waters COAST GUARD... REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4050 Ensuring that the salvors and marine... participation in successful salvage and/or marine firefighting operations, including equipment deployment. (3...

  9. 33 CFR 155.4050 - Ensuring that the salvors and marine firefighters are adequate.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... marine firefighters are adequate. 155.4050 Section 155.4050 Navigation and Navigable Waters COAST GUARD... REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4050 Ensuring that the salvors and marine... participation in successful salvage and/or marine firefighting operations, including equipment deployment. (3...

  10. Validation of a cardiorespiratory fitness assessment for firefighters.

    PubMed

    Delisle, Anthony T; Piazza-Gardner, Anna K; Cowen, Tiffany L; Huq, Mona B Sayedul; Delisle, Alexis D; Stopka, Christine B; Tillman, Mark D

    2014-10-01

    Currently, a submaximal protocol is used to measure cardiorespiratory fitness in firefighters by estimating their true aerobic capacity (V[Combining Dot Above]O2max); however, this submaximal test has not been cross-validated among firefighters. Thirty firefighters (85% male, 15% female), completed the submaximal protocol and the maximal (Bruce) treadmill protocol on separate occasions. Pearson's correlation analyses between the submaximal and Bruce protocol revealed a significant moderate positive correlation (r = 0.635, p = 0.005). The range of mean V[Combining Dot Above]O2max values and SDs produced from the submaximal and maximal protocols varied greatly (35.4-50.9 vs. 28.6-58.4 ml·kg·min, and SD of 3.91 vs. 7.22, respectively). The submaximal V[Combining Dot Above]O2 test underestimated the true V[Combining Dot Above]O2max in the majority of firefighters (72.4%) and overestimated the true V[Combining Dot Above]O2max in the remainder of firefighters. Participants with a higher body fat percentage were more likely (p = 0.0157) to have an overestimated true V[Combining Dot Above]O2max than those with a lower-body fat percentage. Our results indicate the current submaximal V[Combining Dot Above]O2 test used to measure cardiorespiratory fitness in firefighters is an improvement over previous protocols. However, our findings also show that the accuracy of this submaximal test for predicting the true V[Combining Dot Above]O2max in firefighters is questionable, and may not identify firefighters who possess substandard cardiorespiratory fitness, particularly in those with a higher percentage of body fat. Thus, the results of this study indicate that improvements to the current Fire Service Joint Management, Wellness & Fitness Initiative (WFI) V[Combining Dot Above]O2 assessment is still needed to accurately reflect the true V[Combining Dot Above]O2max of individual firefighters.

  11. PTSD symptoms and suicidal thoughts and behaviors among firefighters.

    PubMed

    Boffa, Joseph W; Stanley, Ian H; Hom, Melanie A; Norr, Aaron M; Joiner, Thomas E; Schmidt, Norman B

    2017-01-01

    Research into the causes and prevention of suicide has been deemed a national priority, with a recent focus on sectors of the workforce, such as firefighters, who experience occupational hazards that may confer risk for suicide. Elevated levels of posttraumatic stress symptoms (PTSS), which show robust relationships with both suicidal ideation (SI) and suicide attempts, are common among firefighters. However, no study to date has investigated the relationship between PTSS and suicidality among firefighters. The current study therefore aimed to identify the degree to which PTSS were related were related to a history of SI and prior attempts in a national sample of firefighters (N = 893). Results revealed that greater PTSS were associated with greater risk of reporting lifetime SI and prior attempts, after controlling for other known risk factors for suicidality. Exploratory models investigating the unique contributions of individual PTSS clusters to suicidality found that numbing and re-experiencing PTSS were significantly related to SI, but only re-experiencing was related to prior attempts. The theoretical and clinical implications of these relationships, particularly among firefighters, are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. The relationship between burnout, PTSD symptoms and injuries in firefighters.

    PubMed

    Katsavouni, F; Bebetsos, E; Malliou, P; Beneka, A

    2016-01-01

    Firefighters participate in activities with intense physical and psychological stress. To examine the correlation between work-related injuries (WRIs), burnout and post-traumatic stress disorder (PTSD) symptoms in firefighters. The method used for the recording of the elements was the collection of self-report anonymous questionnaires, the completion of which was optional. The questionnaires used were: (i) a WRIs questionnaire, (ii) the Maslach Burnout Inventory (MBI) and (iii) the Impact of Event Scale-Revised-Greek version. Descriptive statistics along with univariate and multivariate logistic regression analyses were applied. The study population consisted of 3289 firefighters. There was a significant association between WRIs, burnout syndrome, PTSD symptoms and age, work experience and physical condition. Relationships were found between PTSD symptoms, the MBI-emotional exhaustion dimension and WRIs and between MBI-depersonalization dimension and PTSD symptoms. The most traumatic event was the 'dealing with death or rescue of a child' and the top stress factor was 'depression about the responsibility for quality of victims' life'. The occupational obligations may be responsible for the psychological and musculoskeletal problems experienced by firefighters. Early recognition and response to psychosomatic issues in firefighters is of high importance. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Occupational exposure of firefighters to polycyclic aromatic hydrocarbons in non-fire work environments.

    PubMed

    Oliveira, Marta; Slezakova, Klara; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone

    2017-08-15

    This work aims to characterize personal exposure of firefighters to polycyclic aromatic hydrocarbons (PAHs) in non-fire work environments (fire stations), and assesses the respective risks. Eighteen PAHs (16 considered by USEPA as priority pollutants, dibenzo[a,l]pyrene and benzo[j]fluoranthene) were monitored in breathing zones of workers at five Portuguese fire stations during a normal shift. The obtained levels of PAHs fulfilled all existent occupational exposure limits as well as air quality guidelines with total concentrations (ΣPAHs) in range of 46.8-155ngm(-3). Light compounds (2-3 rings) were the most predominant congeners (74-96% of ΣPAHs) whereas PAHs with 5-6 rings accounted 3-9% of ΣPAHs. Fuel and biomass combustions, vehicular traffic emissions, and use of lubricant oils were identified as the main sources of PAHs exposure at the studied fire corporations. Incremental lifetime cancer risks were below the recommend USEPA guideline of 10(-6) and thus negligible for all the studied subjects, but WHO health-based guideline level of 10(-5) was exceeded (9-44 times) at all fire corporations. These results thus show that even during non-fire situations firefighters are exposed to PAHs at levels that may promote some adverse health outcomes; therefore the respective occupational exposures to these compounds should be carefully controlled. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Occupational exposures and symptoms among firefighters and police during the carmel forest fire: the Carmel cohort study.

    PubMed

    Amster, Eric D; Fertig, Shahar S; Baharal, Uri; Linn, Shai; Green, Manfred S; Lencovsky, Zvi; Carel, Rafael S

    2013-06-01

    From 2 to 5 December 2010, Israel experienced the most severe forest fire In its history, resulting in the deaths of rescue workers. Little research exists on the health risks to emergency responders during forest fires, and there is no published research to date on occupational health among firefighters in Israel. To describe the exposures experienced by emer gency responders to smoke, fire retardants and stress; the utilization of protective equipment; and the frequency of corresponding symptoms during and following the Carmel Forest fire. A cohort of 204 firfighers and 68 police who took part in rescue and fire-abating activites during the Carmel Forest fire were recruited from a representative sample of participating stations throughout the country and interviewed regarding their activities during the fire and their coinciding symptoms. Unpaired two-sample t-test compared mean exposures and symptom frequency for firefighters and police. Chi-square estimates of OR and 95%CI are provided for odds of reporting symptoms, incurring injury or being hospitalied for various risk factors Of the study participants, 87% reported having at least one symptom during rescue work at the Carmel Forest fire,with eye irritation (77%) and fatigue (71%) being the most comon. Occupational stress was extremely high during the fire; the average length of time working without rest was 18.4 hours among firefighters. Firefighter and police were exposed to smoke and ocupational stress prolonged periods during the fire. Further research is needed on the residual health effects from exposure to forest fires among emergency responders, and to identify areas for improvement in health preparedness.

  15. Prefrontal white matter pathology in air pollution exposed Mexico City young urbanites and their potential impact on neurovascular unit dysfunction and the development of Alzheimer's disease.

    PubMed

    Calderón-Garcidueñas, Lilian; Reynoso-Robles, Rafael; Vargas-Martínez, Javier; Gómez-Maqueo-Chew, Aline; Pérez-Guillé, Beatriz; Mukherjee, Partha S; Torres-Jardón, Ricardo; Perry, George; Gónzalez-Maciel, Angélica

    2016-04-01

    Millions of urban children are chronically exposed to high concentrations of air pollutants, i.e., fine particulate matter (PM2.5) and ozone, associated with increased risk for Alzheimer's disease. Compared with children living with clear air those in Mexico City (MC) exhibit systemic, brain and intrathecal inflammation, low CSF Aβ42, breakdown of the BBB, attention and short-term memory deficits, prefrontal white matter hyperintensities, damage to epithelial and endothelial barriers, tight junction and neural autoantibodies, and Alzheimer and Parkinson's hallmarks. The prefrontal white matter is a target of air pollution. We examined by light and electron microscopy the prefrontal white matter of MC dogs (n: 15, age 3.17±0.74 years), children and teens (n: 34, age: 12.64±4.2 years) versus controls. Major findings in MC residents included leaking capillaries and small arterioles with extravascular lipids and erythrocytes, lipofuscin in pericytes, smooth muscle and endothelial cells (EC), thickening of cerebrovascular basement membranes with small deposits of amyloid, patchy absence of the perivascular glial sheet, enlarged Virchow-Robin spaces and nanosize particles (20-48nm) in EC, basement membranes, axons and dendrites. Tight junctions, a key component of the neurovascular unit (NVU) were abnormal in MC versus control dogs (χ(2)<0.0001), and white matter perivascular damage was significantly worse in MC dogs (p=0.002). The integrity of the NVU, an interactive network of vascular, glial and neuronal cells is compromised in MC young residents. Characterizing the early NVU damage and identifying biomarkers of neurovascular dysfunction may provide a fresh insight into Alzheimer pathogenesis and open opportunities for pediatric neuroprotection.

  16. Cardiac Fatalities in Firefighters: An Analysis of the U.S. Fire Administration Database.

    PubMed

    Sen, Soman; Palmieri, Tina; Greenhalgh, David

    2016-01-01

    Cardiac fatalities are the leading cause of death among all firefighters. Increasing age has been linked to increased cardiac fatalities in firefighters; however, circumstances surrounding in-line-of-duty cardiac firefighter deaths can also increase the risk of a cardiac death. The authors hypothesize that cardiac fatalities among firefighters will be related to the type of duty and level of physical exertion. The authors analyzed the Firefighter Fatalities and Statistics data collected by the U.S. Fire Administration (http://apps.usfa.fema.gov/firefighter-fatalities/fatalityData/statistics) from January 2002 to December 2012. Data were analyzed for associations between age, firefighter classification, duty-type, and cause of fatal cardiac event. A total of 1153 firefighter fatalities occurred during the 10-year period reviewed. Of these, 47% were cardiac fatalities. Mean age was significantly higher in firefighters who suffered a cardiac fatality (52.0 ± 11.4 ± 40.8 ± 14.7 years; P < .05). Volunteer firefighters suffered significantly higher proportion of cardiac fatalities (62%; P < .05) followed by career firefighters (32%). Additionally, cardiac fatalities were the leading cause of death for volunteer firefighters (54%; P < .05). The highest proportion of cardiac fatalities occurred on-the-scene (29%; P < .05) followed by after-duty fatalities (25%). Stress and overexertion accounted for 98% of the cause of cardiac fatalities. Adjusting for rank and firefighter classification, age (odds ratio, 1.06; 95% confidence interval, 1.05-1.08) and stress or overexertion (odds ratio, 11.9; 95% confidence interval, 1.7-83.4) were independent predictors of a firefighter cardiac fatality. Both career and volunteer firefighters are at significantly higher risk of a fatal cardiac event as they age. These fatalities occur in a significant proportion on-the-scene. National efforts should be aimed at these high-risk populations to improve cardiovascular health.

  17. Comparison of aerobic capacity in annually certified and uncertified volunteer firefighters.

    PubMed

    Hammer, Rodney L; Heath, Edward M

    2013-05-01

    The leading cause of mortality among firefighters has been cardiac arrest precipitated by stress and overexertion with volunteer firefighters having double the death rate from this cause compared with career firefighters. In an attempt to reduce on-duty sudden cardiac deaths, annual fitness testing, and certification, has been widely instigated in wildland firefighters, who have half the cardiac arrest death rate of structural firefighters. The hypothesis was that annual fitness testing would serve as motivation to produce higher cardiorespiratory fitness. This study compared predicted aerobic capacity in annually certified and uncertified volunteer firefighters. Each firefighter performed a submaximal treadmill test to predict V[Combining Dot Above]O2max. Certified volunteer firefighters, who participated in annual fitness testing, had a predicted V[Combining Dot Above]O2max of 39.9 ± 8.4 ml·kg·min. Uncertified volunteer firefighters had a predicted V[Combining Dot Above]O2max of 37.8 ± 8.5 ml·kg·min. Annual fitness testing during the certification process did not contribute to statistically higher (F2,78 = 0.627, p = 0.431) V[Combining Dot Above]O2max levels in certified volunteer firefighters. Although there was no significant difference in predicted V[Combining Dot Above]O2max values for certified and uncertified volunteer firefighters, it was reported that 30% of volunteer firefighters had predicted aerobic capacities below the recommended minimum V[Combining Dot Above]O2max level of 33.5 ml·kg·min. Current annual fitness testing for volunteer firefighters does not seem to be effective. Thus, the study emphasizes the need of a higher priority for firefighter fitness programs to best ensure the safety of firefighters and the public.

  18. Firefighter Down! How to Rapidly Remove Turnout Gear.

    PubMed

    ALexander, John G

    2016-04-01

    The rescue of an injured colleague--and probably a good friend--is an emotionally charged event. A common initial response could be to remove everything as quickly as possible. Keep in mind that we have accepted practices for the removal of motorcycle equipment and football gear. There are also procedures for removing a patient from a vehicle or swimming pool. These all exist to protect a patient from further injury. We now have established practices for removing a firefighter from a window, or down a ladder. Why then do the procedures stop? Once a firefighter is rescued from a hot zone, he deserves the same level of consideration a football player, motorcycle rider or any other patient receives. We should not be in such a hurry that we don't care how we remove a protective ensemble. The injured firefighter deserves a system, or a procedure, that may be practiced by others and reduce the chance of further injury during

  19. Lesbian firefighters: shifting the boundaries between masculinity and femininity.

    PubMed

    Wright, Tessa

    2008-01-01

    This qualitative study explores the interaction between gender and sexuality, comparing the experiences of lesbian and heterosexual women firefighters in the UK. It finds that female firefighters are constructed in terms of their sexuality. Lesbians may find it easier than heterosexual women to be accepted into the "watch culture," in which "masculinity" is highly prized and fitting in with colleagues is seen as essential for performing the job safely. Lesbians who come out at work may also avoid unwanted sexual attention, which is often problematic for heterosexual women who are stereotyped as being sexually available to male firefighters. While the acceptance of lesbian sexuality is based largely on the adoption of characteristics defined as "masculine," lesbians also provide a challenge to accepted models of "femininity."

  20. The NASA Firefighter's Breathing System Program: A Status Report

    NASA Technical Reports Server (NTRS)

    McLaughlan, Pat B.

    1973-01-01

    The National Aeronautics and Space Administration (NASA), through its Technology Utilization Program, has been making its advanced technology developments available to the public. This has coincided in recent years with a growing demand within the fire service for improved protective equipment. A better breathing system for firefighters was one of the more immediate needs identified by the firefighting organizations. The Johnson Space Center (JSC), based upon their experience in providing life support systems for space flight, was subsequently requested to determine the feasibility of providing an improved breathing system for firefighters. Such a system was determined to be well within the current state of the art, and the Center is well into a development program to provide design verification of this improved protective' equipment. This report - outlines the overall objectives of this program, progress to date, and future planned activities.

  1. Elite firefighter/first responder mindsets and outcome coping efficacy.

    PubMed

    Dowdall-Thomae, Cynthia; Gilkey, John; Larson, Wanda; Arend-Hicks, Rebecca

    2012-01-01

    The present study examined coping strategies used by firefighters, the relationship between appraisals and coping strategies used, and the relationship between transitional coping strategies used and outcome coping efficacy for mental preparedness. Firefighter coping strategies of problem focused coping and seeking social support were found to have positive significant relationships to outcome coping efficacy, after transitioning from one critical incident to a second. The coping strategies of blamed self wishful thinking, and avoidance appear to have a negative significant relationship to outcome coping efficacy. Additionally, the appraisals of challenge and positive reappraisal to meet the challenge appear to have a positive significant relationship to problem focused coping and seeking social support. These findings on outcome coping efficacy may be of help to firefighters for rehabilitative efforts after traumatic incidents when used in the Peer Support Review intervention model.

  2. Stress hormones and vascular function in firefighters during concurrent challenges.

    PubMed

    Webb, Heather E; Garten, Ryan S; McMinn, David R; Beckman, Jamie L; Kamimori, Gary H; Acevedo, Edmund O

    2011-04-01

    The purpose of this study was to examine the effects of concurrent physical and mental challenge on stress hormones and indicators of vascular function in firefighters. Twelve professional firefighters exercised at 60% VO(2max) while participating in a computerized Fire Strategies and Tactics Drill (FSTD-fire strategies condition [FSC]), and again at the same intensity without the mental challenge (EAC). No differences in the amount of work performed between conditions existed, although the FSC resulted in greater perceptions of overall workload. Epinephrine and norepinephrine demonstrated significant interaction effects with elevated levels during the FSC. Cortisol responses were significantly elevated across time and for the FSC. Positive correlations were found between cortisol and interleukin-6, endothelin-1, and thromboxane-B(2), and a negative correlation between interleukin-6 and thromboxane-B(2). These results suggest that concurrent challenges results in exacerbated responses of stress hormones and suggests mechanisms that could contribute to the prevalence of cardiovascular events among firefighters.

  3. Correlates of suicidality in firefighter/EMS personnel.

    PubMed

    Martin, Colleen E; Tran, Jana K; Buser, Sam J

    2017-01-15

    Firefighter and Emergency Medical Services (EMS) personnel experience higher rates of lifetime suicidal ideation and attempts than the general population and other protective service professions. Several correlates of suicidality (alcohol use, depression, posttraumatic stress) have been identified in the literature as applicable to firefighter/EMS populations; however, few studies to date have examined the specific correlates of suicidality (lifetime suicidal ideation and/or attempts) in a firefighter/EMS sample. Participants (N=3036) from a large, urban fire department completed demographic and self-report measures of alcohol dependence, depression, posttraumatic stress disorder (PTSD) symptom severity, and lifetime suicidal ideation and attempts. Participants in this sample performed both firefighter and EMS duties, were predominately male (97%), White (61.6%), and 25-34 years old (32.1%). Through hierarchical linear regressions, depression (β=.22, p<.05) and PTSD symptom severity (β=.21, p<.05) were significantly associated with lifetime suicidal ideation (R(2) =17.5). Depression (β=.15, p<.001), and PTSD symptom severity (β=.07, p<.01) were significantly associated with lifetime suicide attempts (R(2)=5.1). Several limitations are addressed in the current study. The survey was a self-report pre-existing dataset and lifetime suicidal ideation and attempts were measured using sum scores. Additionally, the disproportionately large sample of males and large, urban setting, may not generalize to female firefighters and members of rural community fire departments. The current study highlights the importance of targeting depression and PTSD symptom severity in efforts to reduce suicidality in firefighter/EMS personnel. Published by Elsevier B.V.

  4. Energy cost and energy sources during a simulated firefighting activity.

    PubMed

    Perroni, Fabrizio; Tessitore, Antonio; Cortis, Cristina; Lupo, Corrado; D'artibale, Emanuele; Cignitti, Lamberto; Capranica, Laura

    2010-12-01

    This study aimed to 1) analyze the energy requirement (VO2eq) and the contribution of the aerobic (VO2ex), anaerobic alactic (VO2al), and anaerobic lactic (VO2la-) energy sources of a simulated intervention; 2) ascertain differences in mean VO2 and heart rate (HR) during firefighting tasks; and 3) verify the relationship between time of job completion and the fitness level of firefighters. Twenty Italian firefighters (age = 32 ± 6 yr, VO2peak = 43.1 ± 4.9 mL·kg·min) performed 4 consecutive tasks (i.e., child rescue; 250-m run; find an exit; 250-m run) that required a VO2eq of 406.26 ± 73.91 mL·kg (VO2ex = 86 ± 5%; VO2al = 9 ± 3%; VO2la- = 5 ± 3%). After 30 minutes, the recovery HR (108 ± 15 beats·min) and VO2 (8.86±2.67mL·kg·min) were higher (p < 0.0001) than basal values (HR = 66 ± 8 beats·min; VO2 = 4.57 ± 1.07 mL·kg·min), indicating that passive recovery is insufficient in reducing the cardiovascular and thermoregulatory strain of the previous workload. Differences (p < 0.001) between tasks emerged for mean VO2 and HR, with a lack of significant correlation between the time of job completion and the firefighters' aerobic fitness. These findings indicate that unpredictable working conditions highly challenge expert firefighters who need adequate fitness levels to meet the requirements of their work. Practically, to enhance the fitness level of firefighters, specific interval training programs should include a wide variety of tasks requiring different intensities and decision-making strategies.

  5. Accuracy of the VO2peak prediction equation in firefighters

    PubMed Central

    2014-01-01

    Background A leading contributing factor to firefighter injury and death is lack of fitness. Therefore, the Fire Service Joint Labor Management Wellness-Fitness Initiative (WFI) was established that includes a focus on providing fitness assessments to all fire service personnel. The current fitness assessment includes a submaximal exercise test protocol and associated prediction equation to predict individual VO2peak as a measure of fitness. There is limited information on the accuracy, precision, and sources of error of this prediction equation. This study replicated previous research by validating the accuracy of the WFI VO2peak prediction equation for a group of firefighters and further examining potential sources of error for an individual firefighters’ assessment. Methods The sample consisted of 22 firefighters who completed a maximal exercise test protocol similar to the WFI submaximal protocol, but the test was terminated when firefighters reached a maximal level of exertion (i.e., measured VO2peak). We then calculated the predicted VO2peak based on the WFI prediction equation along with individual firefighters’ body mass index (BMI) and 85% of maximum heart rate. The data were analyzed using paired samples t-tests in SPSS v. 21.0. Results The difference between predicted and measured VO2peak was -0.77 ± 8.35 mL•kg-1•min-1. However, there was a weak, statistically non-significant association between measured VO2peak and predicted VO2peak (R2 = 0.09, F(1,21) = 2.05, p = 0.17). The intraclass correlation coefficient (ICC = 0.215, p > 0.05) and Pearson (r = 0.31, p = 0.17) and Spearman (ρ = 0.28, p = 0.21) correlation coefficients were small. The standard error of the estimate (SEE) was 8.5 mL•kg-1•min-1. Further, both age and baseline fitness level were associated with increased inaccuracy of the prediction equation. Conclusions We provide data on the inaccuracy and sources of error for the WFI VO2peak

  6. Effect of heat on firefighters' work performance and physiology.

    PubMed

    Larsen, Brianna; Snow, Rodney; Aisbett, Brad

    2015-10-01

    Wildland firefighters often perform their duties under both hot and mild ambient temperatures. However, the direct impact of different ambient temperatures on firefighters' work performance has not been quantified. This study compared firefighters' work performance and physiology during simulated wildland firefighting work in hot (HOT; 32°C, 43% RH) and temperate (CON; 19°C, 56% RH) conditions. Firefighters (n=38), matched and allocated to either the CON (n=18) or HOT (n=20) condition, performed simulated self-paced wildland fire suppression tasks (e.g., hose rolling/dragging, raking) in firefighting clothing for six hours, separated by dedicated rest breaks. Task repetitions were counted (and converted to distance or area). Core temperature (Tc), skin temperature (Tsk), and heart rate were recorded continuously throughout the protocol. Urine output was measured before and during the protocol, and urine specific gravity (USG) analysed, to estimate hydration. Ad libitum fluid intake was also recorded. There were no differences in overall work output between conditions for any physical task. Heart rate was higher in the HOT (55±2% HRmax) compared to the CON condition (51±2% HRmax) for the rest periods between bouts, and for the static hose hold task (69±3% HRmax versus 65±3% HRmax). Tc and Tsk were 0.3±0.1°C and 3.1±0.2°C higher in the HOT compared to the CON trial. Both pre- and within- shift fluid intake were increased two-fold in the heat, and participants in the heat recorded lower USG results than their CON counterparts. There was no difference between the CON and HOT conditions in terms of their work performance, and firefighters in both experimental groups increased their work output over the course of the simulated shift. Though significantly hotter, participants in the heat also managed to avoid excessive cardiovascular and thermal strain, likely aided by the frequent rest breaks in the protocol, and through doubling their fluid intake. Therefore

  7. Social support, stress, and suicidal ideation in professional firefighters.

    PubMed

    Carpenter, Grace Stephanie J; Carpenter, Thomas P; Kimbrel, Nathan A; Flynn, Elisa J; Pennington, Michelle L; Cammarata, Claire; Zimering, Rose T; Kamholz, Barbara W; Gulliver, Suzy B

    2015-03-01

    To hypothesize that social support may protect against the effect of firefighter stress on suicidal ideation. Overall, 334 firefighters completed measures of occupational stress, social support, and suicidal ideation. At high levels of social support, no association was observed between occupational stress and suicidal ideation (φ = -.06, ns); however, when social support was low, occupational stress showed a positive association with suicidal ideation (φ = .16, p < .05). The association between occupational stress and suicidal ideation may be reduced by social support. Further research on this topic is warranted.

  8. Personality characteristics and individual factors associated with PTSD in firefighters one month after extended wildfires.

    PubMed

    Psarros, Constantin; Theleritis, Christos; Kokras, Nikolaos; Lyrakos, Dimitris; Koborozos, Angelos; Kakabakou, Olga; Tzanoulinos, Georgios; Katsiki, Panagiota; Bergiannaki, Joanna Despoina

    2017-09-05

    Firefighters participate in activities with intense physical and psychological stress and are constantly at risk to develop various psychopathological reactions. To investigate psychological reactions in firefighters one month after devastating wildfires in Greece, during August 2007, which lead to the devastation of large areas and the death of 43 people among whom three were firefighters. One month after the wildfires, a joint task force of mental health clinicians was organized in order to provide psychological support and to investigate the psychological consequences of wildfires to firefighters. One hundred and two firefighters, living within the fire-devastated area, who were on duty for the whole period of wildfires were interviewed and assessed with the use of several questionnaires and inventories. Post-traumatic stress disorder (PTSD) was detected in 18.6% of firefighters. Multiple logistic regression found that existence of fear of dying during firefighting, insomnia and increased scores in neuroticism, as well as in depression subscale of the SCL-90, were significantly associated with greater likelihood for having PTSD. Additionally those firefighters who worked permanently had 70% lower probability of having PTSD vs. those seasonally employed. Insomnia, depressive symptoms, as well as personality characteristics as neuroticism and the perception of fear of imminent death during firefighting operations may precipitate the development of PTSD in firefighters. Within this context, mental health clinicians should be aware that the early detection of these predisposing factors may facilitate the prevention and mitigation of PTSD in firefighters particularly those who are seasonally employed.

  9. The impact of the World Trade Center attack on FDNY firefighter retirement, disabilities, and pension benefits.

    PubMed

    Niles, J K; Webber, M P; Gustave, J; Zeig-Owens, R; Lee, R; Glass, L; Weiden, M D; Kelly, K J; Prezant, D J

    2011-09-01

    Our goal was to examine the effect of the World Trade Center (WTC) attack and subsequent New York City Fire Department (FDNY) rescue/recovery activities on firefighter retirements. We also analyzed the financial impact associated with the increased number and proportion of service-connected "accidental" disability retirements on the FDNY pension system. A total of 7,763 firefighters retired between 9/11/1994 and 9/10/2008. We compared the total number of retirements and the number and proportion of accidental disability retirements 7 years before and 7 years after the WTC attack. We categorized WTC-related accidental disability retirements by medical cause and worked with the New York City Office of the Actuary to approximate the financial impact by cause. In the 7 years before 9/11 there were 3,261 retirements, 48% (1,571) of which were accidental disability retirements. In the 7 years after 9/11, there were 4,502 retirements, 66% (2,970) were accidental disability retirements, of which 47% (1,402) were associated with WTC-related injuries or illnesses. After 9/11, the increase in accidental disability retirements was, for the most part, due to respiratory-related illnesses. Additional increases were attributed to psychological-related illnesses and musculoskeletal injuries incurred at the WTC site. Pension benefits associated with WTC-related accidental disability retirements have produced an increased financial burden of over $826 million on the FDNY pension system. The WTC attacks affected the health of the FDNY workforce resulting in more post-9/11 retirements than expected, and a larger proportion of these retirees with accidental disability pensions. Copyright © 2011 Wiley-Liss, Inc.

  10. Exploring occupational and health behavioral causes of firefighter obesity: a qualitative study.

    PubMed

    Dobson, Marnie; Choi, BongKyoo; Schnall, Peter L; Wigger, Erin; Garcia-Rivas, Javier; Israel, Leslie; Baker, Dean B

    2013-07-01

    Firefighters, as an occupational group, have one of the highest prevalence rates of obesity. A qualitative study investigated occupational and health behavioral determinants of obesity among firefighters. Four focus groups were conducted with firefighters of every rank as Phase I of the FORWARD study which was designed to assess health behavioral and occupational characteristics related to obesity in firefighters. Analysis revealed five main themes of central importance to firefighters: (1) fire station eating culture; (2) night calls and sleep interruption; (3) supervisor leadership and physical fitness; (4) sedentary work; and (5) age and generational influences. The results showed a strong interrelationship between occupational and health behavioral causes of obesity in firefighters. The relevance of these qualitative findings are discussed along with the implications for future obesity interventions with firefighters. Copyright © 2013 Wiley Periodicals, Inc.

  11. Post-9/11/2001 lung function trajectories by sex and race in World Trade Center-exposed New York City emergency medical service workers.

    PubMed

    Vossbrinck, Madeline; Zeig-Owens, Rachel; Hall, Charles B; Schwartz, Theresa; Moir, William; Webber, Mayris P; Cohen, Hillel W; Nolan, Anna; Weiden, Michael D; Christodoulou, Vasilios; Kelly, Kerry J; Aldrich, Thomas K; Prezant, David J

    2017-03-01

    To determine whether lung function trajectories after 9/11/2001 (9/11) differed by sex or race/ethnicity in World Trade Center-exposed Fire Department of the City of New York emergency medical service (EMS) workers. Serial cross-sectional study of pulmonary function tests (PFTs) taken between 9/11 and 9/10/2015. We used data from routine PFTs (forced expiratory volume in 1 s (FEV1) and FEV1% predicted), conducted at 12-18 month intervals. FEV1 and FEV1% predicted were assessed over time, stratified by sex, and race/ethnicity. We also assessed FEV1 and FEV1% predicted in current, former and never-smokers. Among 1817 EMS workers, 334 (18.4%) were women, 979 (53.9%) self-identified as white and 939 (51.6%) were never-smokers. The median follow-up was 13.1 years (IQR 10.5-13.6), and the median number of PFTs per person was 11 (IQR 7-13). After large declines associated with 9/11, there was no discernible recovery in lung function. In analyses limited to never-smokers, the trajectory of decline in adjusted FEV1 and FEV1% predicted was relatively parallel for men and women in the 3 racial/ethnic groups. Similarly, small differences in FEV1 annual decline between groups were not clinically meaningful. Analyses including ever-smokers were essentially the same. 14 years after 9/11, most EMS workers continued to demonstrate a lack of lung function recovery. The trajectories of lung function decline, however, were parallel by sex and by race/ethnicity. These findings support the use of routine, serial measures of lung function over time in first responders and demonstrate no sex or racial sensitivity to exposure-related lung function decline. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. The communicative construction of safety in wildland firefighting

    Treesearch

    Jody Jahn; Linda L. Putnam; Anne E. Black

    2012-01-01

    This document is a summary of a mixed methods dissertation that examined the communicative construction of safety in wildland firefighting. For the dissertation, I used a two-study mixed methods approach, examining the communicative accomplishment of safety from two perspectives: high reliability organizing (Weick, Sutcliffe, & Obstfeld, 1999), and safety climate (...

  13. Guide to monitoring smoke exposure of wildland firefighters.

    Treesearch

    Tim E. Reinhardt; Roger D. Ottmar; Michael J. Hallett

    1999-01-01

    Fire managers and safety officers concerned with smoke exposure among fire crews can use electronic carbon monoxide (CO) monitors to track and prevent overexposure to smoke. Commonly referred to as dosimeters, these lightweight instruments measure the concentration of CO in the air the firefighter's breathe. This guide outlines the protocol developed for sampling...

  14. Allocation model for air tanker initial attack in firefighting

    Treesearch

    Francis E. Greulich; William G. O' Regan

    1975-01-01

    Timely and appropriate use of air tankers in firefighting can bring high returns, but their misuse can be expensive when measured in operating and other costs. An allocation model has been developed for identifying superior strategies-for air tanker initial attack, and for choosing an optimum set of allocations among airbases. Data are presented for a representative...

  15. Tobacco Use Pattern Among a National Firefighter Cohort

    PubMed Central

    Poston, Walker SC; Haddock, Christopher K.; Jahnke, Sara A.; Day, Rena S.

    2015-01-01

    Introduction: To date, there have been no large-scale, national epidemiological studies of tobacco use patterns among firefighters, particularly with a focus on smokeless tobacco (SLT) and dual use with cigarettes. While rates of firefighters’ smoking are relatively low compared to the general population, SLT use typically is substantially higher than the populations they protect. In the current study, we systemically examine tobacco use, including SLT and dual use, and the health-related profiles of various tobacco use groups in a national sample of career firefighters. Methods: Data are from a national cohort study of career departments (N = 20) comprised of 947 male firefighters. Results: Among 947 participants, 197 (21%) were tobacco users, of which, 34.5% used cigarettes, 53.2% used SLT, and 12.2% used both cigarettes and SLT. Adjusted rates of smoking, SLT use, and dual use were 13.2%, 10.5%, and 12.2%, respectively. Tobacco users of all types were significantly younger and had served fewer years in fire service and were significantly more likely to engage in heavy and binge drinking, as well as more likely to show signs of depressive symptoms compared to nontobacco users. Conclusions: Detailed information on tobacco use pattern will aid in better understanding what factors are contributing to the high rates of SLT and dual use among firefighters in order to guide and develop an appropriate treatment program for the fire service. PMID:25145378

  16. Firefighter Math - a web-based learning tool

    Treesearch

    Dan Jimenez

    2010-01-01

    Firefighter Math is a web based interactive resource that was developed to help prepare wildland fire personnel for math based training courses. The website can also be used as a refresher for fire calculations including slope, flame length, relative humidity, flow rates, unit conversion, etc. The website is designed to start with basic math refresher skills and...

  17. 46 CFR 98.30-37 - Firefighting requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Firefighting requirements. No person may lift a portable tank on or off a vessel, or transfer a product with a flashpoint of less than 300 °F to or from a portable tank unless— (a) Water pressure is maintained on the... a dry chemical type are— (1) Located to protect the deck area 10 feet in any horizontal...

  18. Allocation model for firefighting resources ... a progress report

    Treesearch

    Frederick W. Bratten

    1970-01-01

    A study is underway at the Pacific Southwest Forest and Range Experiment Station to develop computer techniques for planning suppression efforts in large wildfires. A mathematical model for allocation of firefighting resources in a going fire has been developed. Explicit definitions are given for strategic and tactical planning functions. How the model might be used is...

  19. Behind the Brotherhood: Rewards and Challenges for Wives of Firefighters

    ERIC Educational Resources Information Center

    Regehr, Cheryl; Dimitropoulos, Gina; Bright, Elaine; George, Sharon; Henderson, Joscelyn

    2005-01-01

    Support of family is paramount to reducing the impact of highly stressful work on firefighters. Yet the degree of stress encountered by the family members, particularly spouses, resulting from ongoing job demands and exposure to traumatic situations is unclear. This qualitative study examined the effects of emergency service work on spouses of…

  20. Computing arrival times of firefighting resources for initial attack

    Treesearch

    Romain M. Mees

    1978-01-01

    Dispatching of firefighting resources requires instantaneous or precalculated decisions. A FORTRAN computer program has been developed that can provide a list of resources in order of computed arrival time for initial attack on a fire. The program requires an accurate description of the existing road system and a list of all resources available on a planning unit....

  1. Predicting Performance on a Firefighter's Ability Test from Fitness Parameters

    ERIC Educational Resources Information Center

    Michaelides, Marcos A.; Parpa, Koulla M.; Thompson, Jerald; Brown, Barry

    2008-01-01

    The purpose of this project was to identify the relationships between various fitness parameters such as upper body muscular endurance, upper and lower body strength, flexibility, body composition and performance on an ability test (AT) that included simulated firefighting tasks. A second intent was to create a regression model that would predict…

  2. Predicting Performance on a Firefighter's Ability Test from Fitness Parameters

    ERIC Educational Resources Information Center

    Michaelides, Marcos A.; Parpa, Koulla M.; Thompson, Jerald; Brown, Barry

    2008-01-01

    The purpose of this project was to identify the relationships between various fitness parameters such as upper body muscular endurance, upper and lower body strength, flexibility, body composition and performance on an ability test (AT) that included simulated firefighting tasks. A second intent was to create a regression model that would predict…

  3. 46 CFR 98.30-37 - Firefighting requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... CONSTRUCTION, ARRANGEMENT, AND OTHER PROVISIONS FOR CERTAIN DANGEROUS CARGOES IN BULK Portable Tanks § 98.30-37 Firefighting requirements. No person may lift a portable tank on or off a vessel, or transfer a product with a flashpoint of less than 300 °F to or from a portable tank unless— (a) Water pressure is maintained on...

  4. Cold-water immersion and iced-slush ingestion are effective at cooling firefighters following a simulated search and rescue task in a hot environment.

    PubMed

    Walker, Anthony; Driller, Matthew; Brearley, Matt; Argus, Christos; Rattray, Ben

    2014-10-01

    Firefighters are exposed to hot environments, which results in elevated core temperatures. Rapidly reducing core temperatures will likely increase safety as firefighters are redeployed to subsequent operational tasks. This study investigated the effectiveness of cold-water immersion (CWI) and iced-slush ingestion (SLUSH) to cool firefighters post-incident. Seventy-four Australian firefighters (mean ± SD age: 38.9 ± 9.0 years) undertook a simulated search and rescue task in a heat chamber (105 ± 5 °C). Testing involved two 20-min work cycles separated by a 10-min rest period. Ambient temperature during recovery periods was 19.3 ± 2.7 °C. Participants were randomly assigned one of three 15-min cooling protocols: (i) CWI, 15 °C to umbilicus; (ii) SLUSH, 7 g·kg(-1) body weight; or (iii) seated rest (CONT). Core temperature and strength were measured pre- and postsimulation and directly after cooling. Mean temperatures for all groups reached 38.9 ± 0.9 °C at the conclusion of the second work task. Both CWI and SLUSH delivered cooling rates in excess of CONT (0.093 and 0.092 compared with 0.058 °C·min(-1)) and reduced temperatures to baseline measurements within the 15-min cooling period. Grip strength was not negatively impacted by either SLUSH or CONT. CWI and SLUSH provide evidence-based alternatives to passive recovery and forearm immersion protocols currently adopted by many fire services. To maximise the likelihood of adoption, we recommend SLUSH ingestion as a practical and effective cooling strategy for post-incident cooling of firefighters in temperate regions.

  5. Hearing effects from intermittent and continuous noise exposure in a study of Korean factory workers and firefighters.

    PubMed

    Chung, In-Sung; Chu, Isabella M; Cullen, Mark R

    2012-01-27

    conservation program. Further evaluation of hearing loss in workers exposed to irregular or intermittent high noise levels, such as firefighters, is also warranted.

  6. Hearing effects from intermittent and continuous noise exposure in a study of Korean factory workers and firefighters

    PubMed Central

    2012-01-01

    consider implementation of a hearing conservation program. Further evaluation of hearing loss in workers exposed to irregular or intermittent high noise levels, such as firefighters, is also warranted. PMID:22284753

  7. Biodegradability of fluorinated fire-fighting foams in water.

    PubMed

    Bourgeois, A; Bergendahl, J; Rangwala, A

    2015-07-01

    Fluorinated fire-fighting foams may be released into the environment during fire-fighting activities, raising concerns due to the potential environmental and health impacts for some fluorinated organics. The current study investigated (1) the biodegradability of three fluorinated fire-fighting foams, and (2) the applicability of current standard measures used to assess biodegradability of fluorinated fire-fighting foams. The biodegradability of three fluorinated fire-fighting foams was evaluated using a 28-day dissolved organic carbon (DOC) Die-Away Test. It was found that all three materials, diluted in water, achieved 77-96% biodegradability, meeting the criteria for "ready biodegradability". Defluorination of the fluorinated organics in the foam during biodegradation was measured using ion chromatography. It was found that the fluorine liberated was 1-2 orders of magnitude less than the estimated initial amount, indicating incomplete degradation of fluorinated organics, and incomplete CF bond breakage. Published biodegradability data may utilize biochemical oxygen demand (BOD), chemical oxygen demand (COD), and total organic carbon (TOC) metrics to quantify organics. COD and TOC of four fluorinated compounds were measured and compared to the calculated carbon content or theoretical oxygen demand. It was found that the standard dichromate-based COD test did not provide an accurate measure of fluorinated organic content. Thus published biodegradability data using COD for fluorinated organics quantification must be critically evaluated for validity. The TOC measurements correlated to an average of 91% of carbon content for the four fluorinated test substances, and TOC is recommended for use as an analytical parameter in fluorinated organics biodegradability tests. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Lumbar intervertebral disc degeneration and related factors in Korean firefighters

    PubMed Central

    Jang, Tae-Won; Ahn, Yeon-Soon; Byun, Junsu; Lee, Jong-In; Kim, Kun-Hyung; Kim, Youngki; Song, Han-Soo; Lee, Chul-Gab; Kwon, Young-Jun; Yoon, Jin-Ha; Jeong, Kyoungsook

    2016-01-01

    Objectives The job of firefighting can cause lumbar burden and low back pain. This study aimed to identify the association between age and lumbar intervertebral disc degeneration and whether the association differs between field and administrative (non-field) firefighters. Methods Subjects were selected using a stratified random sampling method. Firefighters were stratified by geographic area, gender, age and type of job. First, 25 fire stations were randomly sampled considering regional distribution. Then firefighters were stratified by gender, age and their job and randomly selected among the strata. A questionnaire survey and MRI scans were performed, and then four radiologists used Pfirrmann classification methods to determine the grade of lumbar intervertebral disc degeneration. Results Pfirrmann grade increased with lumbar intervertebral disc level. Analysis of covariance showed that age was significantly associated with lumbar intervertebral disc degeneration (p<0.05). The value of β (parameter estimate) was positive at all lumbar intervertebral disc levels and was higher in the field group than in the administrative group at each level. In logistic regression analysis, type of job was statistically significant only with regard to the L4–5 intervertebral disc (OR 3.498, 95% CI 1.241 to 9.860). Conclusions Lumbar intervertebral disc degeneration is associated with age, and field work such as firefighting, emergency and rescue may accelerate degeneration in the L4–5 intervertebral disc. The effects of field work on lumbar intervertebral disc degeneration were not clear in discs other than at the level L4–5. PMID:27354080

  9. Low fitness is associated with exercise abnormalities among asymptomatic firefighters.

    PubMed

    Baur, D M; Leiba, A; Christophi, C A; Kales, S N

    2012-10-01

    Low cardiorespiratory fitness (CRF) has been repeatedly linked to cardiovascular morbidity and mortality, while higher CRF levels are protective. This relationship is likely to be highly relevant in firefighters, who have increased risk of cardiovascular disease (CVD) mortality during strenuous emergencies, which can require prolonged periods of near-maximal heart rates (HR) and high workloads. Abnormalities during maximal stress testing could mark future CVD risk during strenuous duties. To determine if low CRF among asymptomatic firefighters is associated with higher risk of electrocardiographic (ECG) and autonomic abnormalities during maximal exercise stress testing and recovery. Male career firefighters completed a maximal stress test exercising to volitional exhaustion (mean maximal age-predicted HR achieved 98%, standard deviation (SD) = 6.5). CRF was measured as maximal metabolic equivalents (METS) achieved. Abnormal exercise tests included the following: abnormal HR recovery; chronotropic insufficiency; exaggerated blood pressure response; and ECG abnormalities. The relationship of CRF to stress testing abnormalities was analysed using peak METS categories and peak METS as a continuous variable after adjusting for age, body mass index (BMI) and metabolic syndrome (MetSyn). There were 1149 study participants. CRF was inversely associated with the risk of both ECG and autonomic exercise testing abnormalities before and after adjustment for age, BMI and MetSyn. Firefighters with lower CRF are significantly more prone to exhibit abnormal stress test parameters, which may indicate higher future risk of cardiovascular events. As such, firefighters with low CRF (≤ 12 METS) should receive cardiovascular risk reduction, including efforts to improve their CRF.

  10. Injury risk and noise exposure in firefighter training operations

    PubMed Central

    Neitzel, Richard L.; Long, Rachel; Sun, Kan; Sayler, Stephanie; von Thaden, Terry L.

    2016-01-01

    Introduction Firefighters have high rate of injuries and illnesses, as well as exposures to high levels of noise. This study explored the relationship between noise exposure and injury among firefighters. Methods We recruited firefighters undergoing vehicle extrication and structural collapse emergency response training at a highly realistic training facility. Demographics, health status, body mass index, and history of serious injuries (i.e., injuries requiring first aid treatment, treatment in a medical clinic or office, or treatment at a hospital) were assessed at baseline, and daily activities, injury events, and near-misses were assessed daily using surveys. Participants' noise exposures were monitored for one 24-hour period using noise dosimeters. We used a mixed-effects logistic regression model to estimate the odds of injury events and near-misses associated with noise exposure as an independent variable. Results Of 56 subjects, twenty (36%) reported that they had ever suffered a serious injury during firefighting activities, and nine (16%) reported a serious injury within the past year. We estimated rates of 6.6 lifetime serious injuries per 100 FTE 16.1 serious injuries per 100 FTE within the past year. Our models indicated a significant increase in injury events and near misses among those with higher BMI, and as well as a dose-response relationship between near-misses/injuries and increasing noise levels. Noise levels >90 dBA in the 30 min prior to time of injury or near-miss were associated with substantially increased odds ratios for injury or near-miss. Our models further indicated that perceived job demands were significantly associated with increased risk of injury or near-miss. Conclusion Our results suggest that noise exposures may need to be incorporated into injury prevention programs for firefighters to reduce injuries among this high-risk occupational group. PMID:26712895

  11. The effect of a novel tactical training program on physical fitness and occupational performance in firefighters.

    PubMed

    Pawlak, Ross; Clasey, Jody L; Palmer, Thomas; Symons, Thorburn B; Abel, Mark G

    2015-03-01

    Structural firefighting is a dangerous and physically demanding profession. Thus, it is critical that firefighters exercise regularly to maintain optimal physical fitness levels. However, little is known about optimal training methods for firefighters, and exercise equipment is often not available to on-duty firefighters. Therefore, the purpose of this study was to determine the effect of a novel supervised on-duty physical training program on the physical fitness and occupational performance of structural firefighters. Twenty professional male firefighters were divided into a supervised exercise group (SEG; n = 11) and a control group (CG; n = 9). The SEG participated in a 12-week circuit training intervention. The SEG exercised for 1 hour on 2 d·wk. At baseline and after the intervention, subjects performed a battery of physical fitness tests and a simulated fire ground test (SFGT). At baseline, there were no significant differences (p = 0.822) in the completion rate of the SFGT in the SEG (82%) vs. the CG (78%). After the intervention, a significantly greater proportion of the firefighters in the SEG completed the SFGT compared with the CG (SEG = 100% vs. CG = 56%; p < 0.013). In addition, the SEG demonstrated significant improvements in body mass, fat mass, and body mass index (p ≤ 0.05). The findings of this study indicate that training with firefighter equipment improved occupational performance and anthropometric outcomes in incumbent firefighters. Furthermore, implementing a supervised exercise program using firefighter equipment can be done so in a safe and feasible manner.

  12. Twenty-four-hour work shifts, increased job demands, and elevated blood pressure in professional firefighters.

    PubMed

    Choi, BongKyoo; Schnall, Peter; Dobson, Marnie

    2016-10-01

    To investigate whether working conditions (number of 24-h shifts, number of calls, sedentary work, job strain, effort-reward imbalance, and physical demands) are associated with elevated blood pressure and hypertension among professional firefighters. A total of 330 (321 males and 9 females) firefighters were chosen for this study among the Southern California firefighters who participated in a work and obesity project. Working conditions were measured with a firefighter-specific occupational health questionnaire. Blood pressure was clinically assessed, and hypertension was defined according to the contemporary standard classification. About 11 % of the firefighters had hypertension. Fifty percent of the hypertensive firefighters (mostly mild hypertensive) had uncontrolled high blood pressure. Hypertension was more prevalent in male, older, and high-rank firefighters and firefighter who reported low numbers of daily calls. In male firefighters who were normotensive or hypertensive without taking anti-hypertensive medication, additional 24-h shifts in the past month increased the risk of elevated diastolic blood pressure (DBP) than those who reported a standard work schedule (eight to eleven 24-h shifts). Particularly, firefighters who reported sixteen 24-h shifts had 5.0 mmHg higher DBP (p < 0.01). Body mass index attenuated the association between number of shifts and blood pressure to some extent. Firefighters who reported "increased job demands over the past years" had 3.0 mmHg (p = 0.06) higher systolic blood pressure. Other working conditions were not associated with elevated blood pressure and hypertension. Many additional 24-h shifts and increased job demands were risk factors for elevated blood pressure in male firefighters. Optimal collective and individual workload and improved hypertension management are warranted for enhancing the cardiovascular health of firefighters.

  13. "It Happened in Seconds" Firefighter Burn Prevention Program: Evaluation of a "Train the Trainer" Course.

    PubMed

    Kahn, Steven A; Held, Jenny M; Hollowed, Kathleen A; Woods, Jason; Holmes, James H

    2016-01-01

    Each year, there are approximately 100 firefighter fatalities and tens of thousands of injuries in the United States. 'It Happened in Seconds' is a firefighter burn injury awareness program offered to firefighters nationwide. The course focuses on situational awareness, personal protective equipment, and burn injury prevention. In order to create more instructors, a 'Train the Trainer' instructor course was developed to prepare experienced firefighters and healthcare providers from around the United States to teach firefighters in their respective communities. This study evaluates trainees' perception of the instructor course. Three instructor courses were held in a period between November 2013 and January 2015. Trainees were asked to complete both precourse/postcourse assessments and provide demographics. In both surveys, trainees rated their confidence to instruct firefighters about burn prevention and their awareness about firefighter-specific burn issues using a 5-point Likert Scale (1 = none and 5 = high). The postassessment asked if trainees thought the course should be mandatory for all firefighters. Pretest and post-test scores were compared using a Wilcoxon's signed-rank test. A total of 140 experienced firefighters and healthcare professionals completed the Train the Trainer course. The average age was 40 ± 9 years, and 41 were women and 99 men. The average trainee had 13.6 ± 9 years experience in his or her respective job and 11 ± 9 years experience in burn care. Trainees reported a significant increase in their confidence to instruct firefighters about burn prevention (2.9/5 precourse vs. 4.5/5 postcourse, P < .0001) and in their current awareness of firefighter-specific burn issues (3.2 precourse vs. 4.4 postcourse, P < .0001). In the postcourse assessment, 139 of 140 respondents agreed that the 'It Happened in Seconds' course should be mandatory for all firefighters. This study showed that experienced firefighters and healthcare professionals

  14. Resilience buffers the impact of traumatic events on the development of PTSD symptoms in firefighters.

    PubMed

    Lee, Jong-Sun; Ahn, Yeon-Soon; Jeong, Kyoung-Sook; Chae, Jeong-Ho; Choi, Kyeong-Sook

    2014-06-01

    Resilience is considered to be a powerful protective factor in buffering the detrimental impact of traumatic stress on the development of posttraumatic stress disorder (PTSD). However, there is a striking lack of research concerning the development of a model of resilience, especially one including both risk and protective factors. The aim of this study was to investigate the possible mediators and moderators influencing the relationship between traumatic stress and PTSD using a moderated mediation analysis. Study participants included 552 Korean firefighters from four large cities. The subjects completed a series of self-report measures including the Life Event Checklist, the Perceived Stress Scale, the Occupational Stress Scale, the Impact of Event Scale-Revised, and the Connor-Davidson Resilience Scale. Traumatic stress had both a direct and an indirect, via perceived stress, impact on the development of PTSD symptoms. Additionally, the mediation of the association between traumatic stress and PTSD symptoms via perceived stress was moderated by individual resilience. In particular, under the same level of traumatic stress, firefighters with high levels of resilience (scores ≥75, upper 25th percentile or ≥90, upper 10th percentile) were protected from both the direct and indirect impacts of traumatic stress relative to those with lower levels of individual resilience. The current findings provide a comprehensive picture of individuals who should be considered at high risk for the development of PTSD symptoms following traumatic stress and identify the factors that should be targeted by efforts to prevent PTSD. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Selected hormonal and immunological responses to strenuous live-fire firefighting drills.

    PubMed

    Smith, D L; Petruzzello, S J; Chludzinski, M A; Reed, J J; Woods, J A

    2005-01-01

    This study investigated the effects of strenuous live-fire firefighting drills and a 90 min recovery period on selected hormonal, immunological and psychological variables. Apparently healthy, male, professional firefighters (n = 11) performed three trials of standardized firefighting tasks in a live-fire training structure. There was significant leukocytosis immediately post firefighting activity that persisted following recovery, although there was a variable response among the leukocyte subsets. Most notable was the decrease in number and percentage of lymphocytes following 90 min of recovery. Plasma levels of ACTH and cortisol were significantly elevated post firefighting activity and cortisol remained elevated following 90 min of recovery. Elevated cortisol immediately following activity was related to reduced feelings of energy. These data demonstrate the magnitude of the physiological and psychological disruption following strenuous firefighting activity and suggest that immune function may be altered following such activity. This is a finding that may have practical consequences for this group of first responders.

  16. Firefighter burn injuries: predictable patterns influenced by turnout gear.

    PubMed

    Kahn, Steven A; Patel, Jignesh H; Lentz, Christopher W; Bell, Derek E

    2012-01-01

    Approximately 100 firefighters suffer fatal injuries annually and tens of thousands receive nonfatal injuries. Many of these injuries require medical attention and restricted activity but may be preventable. This study was designed to elucidate etiology, circumstances, and patterns of firefighter burn injury so that further prevention strategies can be designed. In particular, modification of protective equipment, or turnout gear, is one potential strategy to prevent burn injury. An Institutional Review Board-approved retrospective review was conducted with records of firefighters treated for burn injury from 2005 to 2009. Data collected included age, gender, TBSA, burn depth, anatomic location, total hospital days per patient, etiology, and circumstances of injury. Circumstances of injury were stratified into the following categories: removal/dislodging of equipment, failure of equipment to protect, training errors, and when excessive external temperatures caused patient sweat to boil under the gear. Over the 4-year period, 20 firefighters were treated for burn injury. Mean age was 38.9 ± 8.9 years and 19 of 20 patients were male. Mean burn size was 1.1 ± 2.7% TBSA. Eighteen patients suffered second-degree burns, while two patients suffered first-degree burns. Mean length of hospitalization was 2.45 days. Scald burns were responsible for injury to 13 firefighters (65%). Flame burns caused injury to four patients (20%). Only three patients received contact burns (15%). The face was the site most commonly burned, representing 29% of injuries. The hand/wrist and ears were the next largest groups, with 23 and 16% of the injuries, respectively. Other areas burned included the neck (10%), arm (6.5%), leg (6.5%), knees (3%), shoulders (3%), and head (3%). Finally, the circumstance of injury was evaluated for each patient. Misuse and noncontiguous areas of protective equipment accounted for 14 of the 20 injuries (70%). These burns were caused when hot steam

  17. Firefighter noise exposure during training activities and general equipment use.

    PubMed

    Root, Kyle S; Schwennker, Catherine; Autenrieth, Daniel; Sandfort, Delvin R; Lipsey, Tiffany; Brazile, William J

    2013-01-01

    Multiple noise measurements were taken on 6 types of fire station equipment and 15 types of emergency response vehicle-related equipment used by firefighters during routine and emergency operations at 10 fire stations. Five of the six types of fire station equipment, when measured at a distance of one meter and ear level, emitted noise equal to or greater than 85 dBA, including lawn maintenance equipment, snow blowers, compressors, and emergency alarms. Thirteen of 15 types of equipment located on the fire engines emitted noise levels equal to or greater than 85 dBA, including fans, saws, alarms, and extrication equipment. In addition, noise measurements were taken during fire engine operations, including the idling vehicle, vehicle sirens, and water pumps. Results indicated that idling fire-engine noise levels were below 85 dBA; however, during water pump and siren use, noise levels exceeded 85 dBA, in some instances, at different locations around the trucks where firefighters would be stationed during emergency operations. To determine if the duration and use of fire fighting equipment was sufficient to result in overexposures to noise during routine training activities, 93 firefighter personal noise dosimetry samples were taken during 10 firefighter training activities. Two training activities per sampling day were monitored during each sampling event, for a mean exposure time of 70 min per day. The noise dosimetry samples were grouped based on job description to compare noise exposures between the different categories of job tasks commonly associated with fire fighting. The three job categories were interior, exterior, and engineering. Mean personal dosimetry results indicated that the average noise exposure was 78 dBA during the training activities that lasted 70 min on average. There was no significant difference in noise exposure between each of the three job categories. Although firefighters routinely use equipment and emergency response vehicles that

  18. Simulated Firefighting Task Performance and Physiology Under Very Hot Conditions

    PubMed Central

    Larsen, Brianna; Snow, Rod; Williams-Bell, Michael; Aisbett, Brad

    2015-01-01

    Purpose: To assess the impact of very hot (45°C) conditions on the performance of, and physiological responses to, a simulated firefighting manual-handling task compared to the same work in a temperate environment (18°C). Methods: Ten male volunteer firefighters performed a 3-h protocol in both 18°C (CON) and 45°C (VH). Participants intermittently performed 12 × 1-min bouts of raking, 6 × 8-min bouts of low-intensity stepping, and 6 × 20-min rest periods. The area cleared during the raking task determined work performance. Core temperature, skin temperature, and heart rate were measured continuously. Participants also periodically rated their perceived exertion (RPE) and thermal sensation. Firefighters consumed water ad libitum. Urine specific gravity (USG) and changes in body mass determined hydration status. Results: Firefighters raked 19% less debris during the VH condition. Core and skin temperature were 0.99 ± 0.20 and 5.45 ± 0.53°C higher, respectively, during the VH trial, and heart rate was 14–36 beats.min−1 higher in the VH trial. Firefighters consumed 2950 ± 1034 mL of water in the VH condition, compared to 1290 ± 525 in the CON trial. Sweat losses were higher in the VH (1886 ± 474 mL) compared to the CON trial (462 ± 392 mL), though both groups were hydrated upon protocol completion (USG < 1.020). Participants' average RPE was higher in the VH (15.6 ± 0.9) compared to the CON trial (12.6 ± 0.9). Similarly, the firefighers' thermal sensation scores were significantly higher in the VH (6.4 ± 0.5) compared to the CON trial (4.4 ± 0.4). Conclusions: Despite the decreased work output and aggressive fluid replacement observed in the VH trial, firefighters' experienced increases in thermal stress, and exertion. Fire agencies should prioritize the health and safety of fire personnel in very hot temperatures, and consider the impact of reduced productivity on fire suppression efforts. PMID:26617527

  19. Laboratory or Field Tests for Evaluating Firefighters' Work Capacity?

    PubMed Central

    Lindberg, Ann-Sofie; Oksa, Juha; Malm, Christer

    2014-01-01

    Muscle strength is important for firefighters work capacity. Laboratory tests used for measurements of muscle strength, however, are complicated, expensive and time consuming. The aims of the present study were to investigate correlations between physical capacity within commonly occurring and physically demanding firefighting work tasks and both laboratory and field tests in full time (N = 8) and part-time (N = 10) male firefighters and civilian men (N = 8) and women (N = 12), and also to give recommendations as to which field tests might be useful for evaluating firefighters' physical work capacity. Laboratory tests of isokinetic maximal (IM) and endurance (IE) muscle power and dynamic balance, field tests including maximal and endurance muscle performance, and simulated firefighting work tasks were performed. Correlations with work capacity were analyzed with Spearman's rank correlation coefficient (rs). The highest significant (p<0.01) correlations with laboratory and field tests were for Cutting: IE trunk extension (rs = 0.72) and maximal hand grip strength (rs = 0.67), for Stairs: IE shoulder flexion (rs = −0.81) and barbell shoulder press (rs = −0.77), for Pulling: IE shoulder extension (rs = −0.82) and bench press (rs = −0.85), for Demolition: IE knee extension (rs = 0.75) and bench press (rs = 0.83), for Rescue: IE shoulder flexion (rs = −0.83) and bench press (rs = −0.82), and for the Terrain work task: IE trunk flexion (rs = −0.58) and upright barbell row (rs = −0.70). In conclusion, field tests may be used instead of laboratory tests. Maximal hand grip strength, bench press, chin ups, dips, upright barbell row, standing broad jump, and barbell shoulder press were strongly correlated (rs≥0.7) with work capacity and are therefore recommended for evaluating firefighters work capacity. PMID:24614596

  20. Seasonal heat acclimatization in wildland firefighters.

    PubMed

    Lui, Brianna; Cuddy, John S; Hailes, Walter S; Ruby, Brent C

    2014-10-01

    The purpose of this study was to determine changes in physiological markers of heat acclimatization across a 4-month wildland fire season. Wildland firefighters (WLFF) (n=12) and non-WLFF (n=14) were assessed pre- and post-season for body mass, percent body fat, and peak VO₂. Both groups completed a 60-min heat stress trial (walking at 50% of peak VO₂) in a climate controlled chamber (43.3 °C, 33% RH) pre and post-fire season (May through September). During the trials, core (Tc) and skin (Tsk) temperatures, heart rate (HR), physiological strain index (PSI), and rating of perceived exertion (RPE) were measured. There were no differences pre or post-season between the WLFF and non-WLFF groups in body mass, percent body fat, or peak V.O2. During the 73 days where the WLFF were involved in direct wildland fire suppression, daily high temperature for the WLFF was higher compared to the non-WLFF, 30.6 ± 5.4 °C and 26.9 ± 6.1 °C, respectively, p<0.05. Tc was lower at post-season compared to pre-season (p<0.05) for the WLFF at 30, 45, and 60 min (pre 30, 45, and 60: 37.9 ± 0.3, 38.3 ± 0.3 and 38.5 ± 0.3 °C, respectively; post 30, 45, and 60: 37.8 ± 0.3, 38.1 ± 0.3 and 38.2 ± 0.4 °C, respectively). For WLFF, PSI was lower (p<0.05) at 15, 30, 45, and 60 min at post-season compared to pre-season (4.2 ± 0.7, 5.6 ± 0.9, 6.5 ± 0.9, and 7.1 ± 1.1 for 15, 30, 45, and 60 min pre-season, respectively; 3.6 ± 0.8, 4.9 ± 1.0, 5.7 ± 1.2, 6.3 ± 1.3 for 15, 30, 45, and 60 min post-season, respectively). For WLFF, RPE was lower during the post-season trial at 30, 45, and 60 min (pre 30, 45, and 60: 11.7 ± 1.4, 12.3 ± 1.2, and 13.5 ± 1.4, respectively; post 30, 45, and 60: 10.7 ± 1.2, 11.3 ± 1.3, and 11.9 ± 1.5, respectively), p<0.05. There were no differences between pre and post-season for the non-WLFF for Tc and PSI, but RPE was lower at 15 min during the pre-season trial. WLFFs demonstrated significant decreases in Tc, PSI, and RPE during controlled heat

  1. Field Study Evaluation of an Experimental Physical Fitness Program for USAF Firefighters

    DTIC Science & Technology

    1991-05-01

    injury rates are among the highest of all occupational, heart attack remains the leading cause of death for firefighters on duty. G. SCOPE Although...Reference 12). And, although firefighter’s injury rates are among the highest of all occupational (References 20, 21, 22), heart attack remains the...cardiovascular health and lessening the risk of a disabling heart attack ; thus, the individual firefighter would be the primary beneficiary of this

  2. 33 CFR 149.401 - What are the general requirements for firefighting and fire protection equipment?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: DESIGN, CONSTRUCTION, AND EQUIPMENT Firefighting and Fire Protection Equipment § 149.401 What are the...

  3. Core temperature and heart rate response to repeated bouts of firefighting activities.

    PubMed

    Horn, Gavin P; Blevins, Sue; Fernhall, Bo; Smith, Denise L

    2013-01-01

    During live-fire firefighting operations and training evolutions, firefighters often consume multiple cylinders of air and continue to wear their personal protective equipment even after fire suppression activities have ceased. However, most studies have only reported core temperature changes during short-term firefighting activities and have shown a very modest increase in core temperature. Therefore, the purpose of this study is to evaluate core temperature and heart rate (HR) during repeated bouts of firefighting activity over ∼3 h. The results of this study show that core temperatures increase by an average of 1.9°C--to a larger magnitude than previously reported--and continue to increase during subsequent work cycles (38.4 vs. 38.7) even after long breaks of more than 30 min. The rate of core temperature increase during work continues to increase later in the training exercise (from 0.036 to 0.048°C/min), increasing the risk for exertional heat stress particularly if long-duration firefighting activity is required at these later times. To date, core temperature and HR changes during firefighting have been reported for short-term studies, which may significantly underestimate the physiological burden of typical firefighting activities. Firefighter core temperatures are shown to increase to a larger magnitude than previously observed and the rate of rise in core temperature increases during subsequent firefighting activities.

  4. Firefighting instructors' exposures to polycyclic aromatic hydrocarbons during live fire training scenarios.

    PubMed

    Kirk, Katherine M; Logan, Michael B

    2015-01-01

    Cumulative exposures of firefighting instructors to toxic contaminants generated from live-fire training potentially far exceed firefighter exposures arising from operational fires. This study measured the atmospheric concentrations of polycyclic aromatic hydrocarbons (PAHs) outside and inside the structural firefighting ensembles worn by instructors during five live fire training evolutions. In addition, the contamination of ensembles by deposition of PAHs was characterized. Concentrations of polycyclic aromatic hydrocarbons outside the instructors' structural firefighting ensembles during the training evolutions ranged from 430 μg/m(3) to 2700 μg/m(3), and inside the structural firefighting ensembles from 32 μg/m(3) to 355 μg/m(3). Naphthalene, phenanthrene and acenaphthylene dominated the PAHs generated in the live fire evolutions, but benzo[a]pyrene was the greatest contributor to the toxicity of the PAH mixture both inside and outside the structural firefighting ensembles. Deposition of PAHs onto the structural firefighting ensembles was measured at between 69 and 290 ng/cm(2), with phenanthrene, fluoranthene, pyrene, and benzo[a]anthracene detected on all samples. These findings suggest that firefighting instructor exposures to PAHs during a single live-fire training evolution are comparable with exposures occurring in industrial settings over a full shift. Further research is required to investigate the importance of various potential routes of exposure to PAHs as a result of ingress and deposition of PAHs in/on structural firefighting ensembles.

  5. ACUTE CARDIOVASCULAR EFFECTS OF FIREFIGHTING AND ACTIVE COOLING DURING REHABILITATION

    PubMed Central

    Burgess, Jefferey L.; Duncan, Michael D.; Hu, Chengcheng; Littau, Sally R.; Caseman, Delayne; Kurzius-Spencer, Margaret; Davis-Gorman, Grace; McDonagh, Paul F.

    2012-01-01

    Objectives To determine the cardiovascular and hemostatic effects of fire suppression and post-exposure active cooling. Methods Forty-four firefighters were evaluated prior to and after a 12 minute live-fire drill. Next, 50 firefighters undergoing the same drill were randomized to post-fire forearm immersion in 10°C water or standard rehabilitation. Results In the first study, heart rate and core body temperature increased and serum C-reactive protein decreased but there were no significant changes in fibrinogen, sE-selectin or sL-selectin. The second study demonstrated an increase in blood coagulability, leukocyte count, factors VIII and X, cortisol and glucose, and a decrease in plasminogen and sP-selectin. Active cooling reduced mean core temperature, heart rate and leukocyte count. Conclusions Live-fire exposure increased core temperature, heart rate, coagulability and leukocyte count; all except coagulability were reduced by active cooling. PMID:23090161

  6. Doffing procedures for firefighters' contaminated turnout gear: Documentation for videotape

    SciTech Connect

    Not Available

    1992-07-01

    This report summarizes the doffing procedures and provides a copy of the videotape script, which includes a fire brigade returning to a mock decontamination area after dealing with a simulated fire. The report also provides background information explaining why the videotape was made, how the project was accomplished, and what the procedures are intended to accomplish. Overall, the video gives step-by-step instructions for the removal of contaminated turnout gear and indicates how firefighters and radiation protection personnel can work together cooperatively. These new doffing procedures were developed with the advice and participation of actual nuclear power plant firefighting personnel at the Seabrook Station of New Hampshire Yankee utility and may be adapted to enhance any existing in-plant procedures. The video includes comments from members of the fire brigade, an equipment review, and a discussion of the doffing area arrangement.

  7. Exploring Physical Health in a Sample of Firefighters.

    PubMed

    Lovejoy, Stacy; Gillespie, Gordon L; Christianson, Jane

    2015-06-01

    Firefighters' work responsibilities involve strenuous physical activity and exposure to extremely stressful situations. The purpose of this research study was to describe the physical activity, stress, and culture promoting or inhibiting a healthy work environment. A descriptive qualitative study design was used with a convenience sample of firefighters from an urban Midwestern public fire service. Respondents participated in focus groups from which data were audio recorded, transcribed verbatim, and analyzed using Colaizzi's phenomenological method. Themes derived from the data were Stressors Affecting Physical Health, Barriers to Physical Health, Facilitators of Physical Health, and Motivators for Physical Health. Future research is needed to test interventions based on the study findings. © 2015 The Author(s).

  8. [Preliminary analysis of smoking habit in firefighters of Wielkopolska region].

    PubMed

    Witt, Magdalena; Romańczukiewicz, Joanna

    2006-01-01

    Professional performance of firefighters causes high level of stress. This results in certain activities meant to lower a stress level, some of which are harmful to individuals health per se--smoking is a classical example here. This work was aimed at assessment of prevalence and style of smoking in the group of 69 professional firefighters of Wielkopolska region. Parameters studied were: prevalence, awareness of health-hazard, extent of nicotin addiction, motivation to quit with habit. Motivation to start smoking and further development of smoking habit as well as influence of environment was also studied. Since smoking presents a medical and social problem in this group of professionals, educative measures aimed at reduction of stress level and bad habit fighting should be undertaken.

  9. Exposure-response relationships for select cancer and non-cancer health outcomes in a cohort of U.S. firefighters from San Francisco, Chicago and Philadelphia (1950-2009).

    PubMed

    Daniels, Robert D; Bertke, Stephen; Dahm, Matthew M; Yiin, James H; Kubale, Travis L; Hales, Thomas R; Baris, Dalsu; Zahm, Shelia H; Beaumont, James J; Waters, Kathleen M; Pinkerton, Lynne E

    2015-10-01

    To examine exposure-response relationships between surrogates of firefighting exposure and select outcomes among previously studied US career firefighters. Eight cancer and four non-cancer outcomes were examined using conditional logistic regression. Incidence density sampling was used to match each case to 200 controls on attained age. Days accrued in firefighting assignments (exposed-days), run totals (fire-runs) and run times (fire-hours) were used as exposure surrogates. HRs comparing 75th and 25th centiles of lagged cumulative exposures were calculated using loglinear, linear, log-quadratic, power and restricted cubic spline general relative risk models. Piecewise constant models were used to examine risk differences by time since exposure, age at exposure and calendar period. Among 19,309 male firefighters eligible for the study, there were 1333 cancer deaths and 2609 cancer incidence cases. Significant positive associations between fire-hours and lung cancer mortality and incidence were evident. A similar relation between leukaemia mortality and fire-runs was also found. The lung cancer associations were nearly linear in cumulative exposure, while the association with leukaemia mortality was attenuated at higher exposure levels and greater for recent exposures. Significant negative associations were evident for the exposure surrogates and colorectal and prostate cancers, suggesting a healthy worker survivor effect possibly enhanced by medical screening. Lung cancer and leukaemia mortality risks were modestly increasing with firefighter exposures. These findings add to evidence of a causal association between firefighting and cancer. Nevertheless, small effects merit cautious interpretation. We plan to continue to follow the occurrence of disease and injury in this cohort. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  10. Service War Test Evaluation of Structural/Proximity Firefighters Gloves

    DTIC Science & Technology

    1991-06-05

    banana clip to pin down the injection seat release. It was felt that the thumb and finger lengths were too long and bulky. For structural firefighting...show any of the following surface or fabric failures ? Cracking No ------------- Yes (location)--------- Flaking or peeling No ------------- Yes...Gloves, NCTRF, February 1987), it was noted that a composite as light as a 4.0 oz/yd 2 Kevlar shell (aluminized by the Gentex process); PTFE moisture

  11. Characteristics of Workplace Injuries among Nineteen Thousand Korean Firefighters

    PubMed Central

    2016-01-01

    To determine the actual firefighter injury statistics in Korea, we conducted a survey on the nature of on-duty injuries among all male firefighters in Korea. We distributed questionnaires to all Korean male firefighters via email, and data from the 19,119 workers that responded were used for data analysis. The job types were categorized into fire suppression, emergency medical service (EMS) and officers. As estimated of age standardized injury prevalence per one thousand workers, 354 fire extinguishing personnel, 533 EMS workers, and 228 officers experienced one or more injuries during the previous 12 months. The odds ratio (95% confidence interval) of injuries was 1.86 (1.61–2.15) for fire suppression and 2.93 (2.51–3.42) for EMS personnel compared to officers after adjusting for age, marital status, smoking habit and career period. Age standardized absence days from work due to injuries per one thousand workers were 1,120, 1,337, and 676 for fire suppression, EMS and officers, respectively. Car accident (24.5%) was the most common cause and wound (42.3%) was the most common type of injuries. Our nationwide representative study showed that fire suppression and EMS workers are at greater risk of on-duty injuries compared to officers. We observed different injury characteristics compared to those reported in other countries. PMID:27550481

  12. Addressing the challenges of thermal imaging for firefighting applications

    NASA Astrophysics Data System (ADS)

    Kostrzewa, Joseph; Meyer, William H.; Poe, George; Terre, William A.; Salapow, Thomas M.; Raimondi, John

    2003-09-01

    By providing visibility through smoke and absolute darkness, thermal imaging has the potential to radically improve the effectiveness and safety of the modern firefighter. Some of the roles of thermal imaging are assisting in detection of victims; navigating through dark, smoke-filled structures; detecting indications of imminent flash-over/roll-over; identifying and attacking the seat and extension of a fire; and surveying for lingering hot spots after a fire is nearly extinguished. In many respects, thermal imaging is ideally suited for these functions. However, firefighting applications present the infrared community some unique and challenging design constraints, not the least of which is an operating environment that is in some ways more harsh than most aerospace applications. While many previous papers have described the benefits of thermal imaging for firefighters, this paper describes several specific engineering challenges of this application. These include large ambient temperature range, rapidly changing scene dynamics, extreme demands on AGC, and large dynamic range requirements. This paper describes these and other challenges in detail and explains how they were addressed and overcome in the design of Evolution 5000, a state-of-the-art thermal imager designed and manufactured by Mine Safety Appliances (MSA) using Indigo System"s Omega miniature uncooled camera core.

  13. Characteristics of Workplace Injuries among Nineteen Thousand Korean Firefighters.

    PubMed

    Yoon, Jin Ha; Kim, Yeong Kwang; Kim, Kyoo Sang; Ahn, Yeon Soon

    2016-10-01

    To determine the actual firefighter injury statistics in Korea, we conducted a survey on the nature of on-duty injuries among all male firefighters in Korea. We distributed questionnaires to all Korean male firefighters via email, and data from the 19,119 workers that responded were used for data analysis. The job types were categorized into fire suppression, emergency medical service (EMS) and officers. As estimated of age standardized injury prevalence per one thousand workers, 354 fire extinguishing personnel, 533 EMS workers, and 228 officers experienced one or more injuries during the previous 12 months. The odds ratio (95% confidence interval) of injuries was 1.86 (1.61-2.15) for fire suppression and 2.93 (2.51-3.42) for EMS personnel compared to officers after adjusting for age, marital status, smoking habit and career period. Age standardized absence days from work due to injuries per one thousand workers were 1,120, 1,337, and 676 for fire suppression, EMS and officers, respectively. Car accident (24.5%) was the most common cause and wound (42.3%) was the most common type of injuries. Our nationwide representative study showed that fire suppression and EMS workers are at greater risk of on-duty injuries compared to officers. We observed different injury characteristics compared to those reported in other countries.

  14. Accuracy of peak VO2 assessments in career firefighters

    PubMed Central

    2011-01-01

    Background Sudden cardiac death is the leading cause of on-duty death in United States firefighters. Accurately assessing cardiopulmonary capacity is critical to preventing, or reducing, cardiovascular events in this population. Methods A total of 83 male firefighters performed Wellness-Fitness Initiative (WFI) maximal exercise treadmill tests and direct peak VO2 assessments to volitional fatigue. Of the 83, 63 completed WFI sub-maximal exercise treadmill tests for comparison to directly measured peak VO2 and historical estimations. Results Maximal heart rates were overestimated by the traditional 220-age equation by about 5 beats per minute (p < .001). Peak VO2 was overestimated by the WFI maximal exercise treadmill and the historical WFI sub-maximal estimation by ~ 1MET and ~ 2 METs, respectively (p < 0.001). The revised 2008 WFI sub-maximal treadmill estimation was found to accurately estimate peak VO2 when compared to directly measured peak VO2. Conclusion Accurate assessment of cardiopulmonary capacity is critical in determining appropriate duty assignments, and identification of potential cardiovascular problems, for firefighters. Estimation of cardiopulmonary fitness improves using the revised 2008 WFI sub-maximal equation. PMID:21943154

  15. Responding to Terrorist Incidents in Your Community: Flammable-Liquid Fire Fighting Techniques for Municipal and Rural Firefighters

    SciTech Connect

    Denise Baclawski

    2010-03-08

    The University of Nevada, Reno Fire Science Academy (FSA) applied for grant funding to develop and deliver programs for municipal, rural, and volunteer firefighters. The FSA specializes in preparing responders for a variety of emergency events, including flammable liquid fires resulting from accidents, intentional acts, or natural disasters. Live fire training on full scale burnable props is the hallmark of FSA training, allowing responders to practice critical skills in a realistic, yet safe environment. Unfortunately, flammable liquid live fire training is often not accessible to municipal, rural, or volunteer firefighters due to limited department training budgets, even though most department personnel will be exposed to flammable liquid fire incidents during the course of their careers. In response to this training need, the FSA developed a course during the first year of the grant (Year One), Responding to Terrorist Incidents in Your Community: Flammable-Liquid Fire Fighting Techniques for Municipal and Rural Firefighters. During the three years of the grant, a total of 2,029 emergency responders received this training. In Year Three, two new courses, a train-the-trainer for Responding to Terrorist Incidents in Your Community and Management of Large-Scale Disasters for Public Officials were developed and pilot tested during the Real-World Disaster Management Conference held at the FSA in June of 2007. Two research projects were conducted during Years Two and Three. The first, conducted over a two year period, evaluated student surveys regarding the value of the flammable liquids training received. The second was a needs assessment conducted for rural Nevada. Both projects provided important feedback and a basis for curricula development and improvements.

  16. Validation of the Korean version of the Connor-Davidson Resilience Scale-2 in firefighters and rescue workers.

    PubMed

    Jeong, Hyeonseok S; Kang, Ilhyang; Namgung, Eun; Im, Jooyeon Jamie; Jeon, Yujin; Son, Jihee; Yu, Siyoung; Kim, Sungeun; Yoon, Sujung; Lyoo, In Kyoon; Chung, Yong-An; Lim, Jae-Ho; Kim, Jieun E

    2015-05-01

    Resilience has been considered as a protective factor against stress. Evaluating resilience in firefighters and rescue workers, who are frequently exposed to traumatic events, is important and relevant. This study examined the psychometric properties of the Korean version of the Connor-Davidson Resilience Scale-2 (CD-RISC2). Two-hundred twenty-two current professional firefighters and rescue workers were assessed by standardized, semi-structured clinical interviews and self-report questionnaires. Internal consistency, correlation with the CD-RISC, convergent validity, divergent validity, and predictive validity of posttraumatic stress disorder (PTSD) symptom severity were analyzed. The CD-RISC2 demonstrated good internal consistency (α=0.75), item-total correlation (r=0.89-0.90), and convergent and divergent validity. The total score of the CD-RISC2 showed significant correlations with the subtotal of the remaining 23 CD-RISC items (r=0.77, p<0.001) and with the score of each CD-RISC item (r=0.15-0.66, all p<0.05). The magnitude of the relationship between the number of traumatic experiences and PTSD symptom severity was greater in the low resilience group than in the high resilience group (p for interaction=0.002). The likelihood-ratio test confirmed that the model predicting PTSD symptom severity based on the CD-RISC2 total score was not improved by the inclusion of subtotal scores of the remaining 23 CD-RISC items (χ(2)=0.31, p=0.58). These results suggest that the CD-RISC2 would be a valuable tool in evaluating resilience quickly and efficiently in firefighters and rescue workers. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Preliminary Studies for a Drilling Robot Firefighter.

    DTIC Science & Technology

    1987-09-01

    NAME OF PERFORMING ORGANIZArION 6a OFFICE SIMBOL 7a. NAME OF MONTORING ORGANIZATION (If dapplble) Naval Postgraduate School Code 69Sm Naval Surface...Weapons Ctr Code R402 Sc ADDRESS(City. State. and ZIPCod*) 10 SOURCE Of FViNOIN6 NUMBERS White Oak PROGRAM PRO,ECT TASK OC IT.,o ELEMENT NO NO NO...Sept. 01 Ś SL.,PL’ENTARY NOTATION COSA’t CODES ’S SUBAECT TERMS (Continue on reverse of neceladry dna uientry by bio(e Aumoerb FID GROUP SUB-GROUP

  18. Impact of Work Task-Related Acute Occupational Smoke Exposures on Select Proinflammatory Immune Parameters in Wildland Firefighters

    EPA Science Inventory

    Objective: A repeated measures study was used to assess the effect of work tasks on select proinflammatory biomarkers in firefighters working at prescribed burns. Methods: Ten firefighters and two volunteers were monitored for particulate matter and carbon monoxide on workdays, ...

  19. PCA and multidimensional visualization techniques united to aid in the bioindication of elements from transplanted Sphagnum palustre moss exposed in the Gdańsk City area.

    PubMed

    Astel, Aleksander; Astel, Karolina; Biziuk, Marek

    2008-01-01

    During the last decades, a technique for assessing atmospheric deposition of heavy elements was developed based on the principle that samples of moss are able to accumulate elements and airborne particles from rain, melting snow and dry deposition. Despite a broad interest in bioindication there are still ongoing works aimed at the preparation of a standard procedure allowing for a comparison of research carried out in various areas. This is why the comparison of living and dry moss of the same species and growth site seems to be interesting, logical and promising. A most reliable approach seems to be the application of bioindication connected with multivariate statistics and efficient visualization techniques in the interpretation of monitoring data. The aim of this study was: (i) to present cumulative properties of transplanted Sphagnum palustre moss with differentiation into dry and living biomaterial; (ii) to determine and geographically locate types of pollution sources responsible for a structure of the monitoring data set; (iii) to visualize geographical distribution of analytes in the Gdańsk metropolitan area and to identify the high-risk areas which can be targeted for environmental hazards and public health. A six month air pollution study based on Sphagnum palustre bioindication is presented and a simplified procedure of the experiment is given. The study area was located at the mouth of the Vistula River on the Baltic Sea, in Gdańsk City (Poland). Sphagnum palustre was selected for research because of its extraordinary morphological properties and its ease in being raised. The capability of dry and living moss to accumulate elements characteristic for anthropogenic and natural sources was shown by application of Principal Component Analysis. The high-risk areas and pollution profiles are detected and visualized using surface maps based on Kriging algorithm. The original selection of elements included all those that could be reliably determined by

  20. Human factors in firefighting: ergonomic-, cardiopulmonary-, and psychogenic stress-related issues.

    PubMed

    Guidotti, T L

    1992-01-01

    There are many issues in firefighting that involve human factors and cardiopulmonary conditioning. Population-based mortality and disability surveillance studies suggest a relatively small but significant excess of disability but not mortality from nonmalignant cardiovascular disease for firefighters. More targeted cohort and case-control studies do not support such an excess and instead suggest a strong healthy worker effect. Pulmonary function among firefighters has been extensively studied, with contradictory findings. Extreme exposures and long-term exposure in combination with cigarette smoking may be risk factors for respiratory disorders and accelerated decline in airflow. It appears likely that individual firefighters who show early signs of illness are often selectively transferred out of active firefighting positions. Despite exposure to substances such as carbon monoxide that may predispose to cardiovascular mortality and morbidity, excesses are not consistently shown in mortality studies. Clinical studies of individual firefighters do suggest an elevated risk for myocardial ischemia. The ergonomic demands of firefighting are extreme at peak activity because of high energy costs for activities such as climbing aerial ladders, the positive heat balance from endogenous and absorbed environmental heat, and encumbrance by bulky but necessary protective equipment. The psychological stresses of firefighting include long periods of relative inactivity punctuated by highly stressful alarms and extremely stressful situations such as rescues, as reflected in physiological and biochemical indicators. Firefighters are at risk for depression and post-traumatic stress disorder, although morale overall is generally much higher than in comparable occupations. Women firefighter candidates as a group perform less well on selection test simulating the demands of active firefighting, but some individual women perform very well.

  1. Seasonality and Coronary Heart Disease Deaths in United States Firefighters

    PubMed Central

    Mbanu, Ibeawuchi; Wellenius, Gregory A.; Mittleman, Murray A.; Peeples, Lynne; Stallings, Leonard A.; Kales, Stefanos N.

    2013-01-01

    United States firefighters have a high on-duty fatality rate and coronary heart disease is the leading cause. Seasonality affects the incidence of cardiovascular events in the general population, but its effects on firefighters are unknown. We statistically examined the seasonal and annual variation of all on-duty coronary heart disease deaths among US firefighters between 1994 and 2004 using the chi-square distribution and Poisson regression model of the monthly fatality counts. We also examined the effect of ambient temperature (apparent as well as wind chill temperature) on coronary heart disease fatalities during the study span using a time-stratified, case-crossover study design. When grouped by season, we observed the distribution of the 449 coronary heart disease fatalities to show a relative peak in winter (32%) and relative nadir in spring (21%). This pattern was significantly different (p=0.005) from the expected distribution under the null hypothesis where season has no effect. The pattern persisted in additional analyses, stratifying the deaths by the type of duty in which the firefighters were engaged at the time of their deaths. In the Poisson regression model of the monthly fatality counts, the overall goodness-of-fit between the actual and predicted case counts was excellent ( χ42 = 16.63; p = 0.002). Two distinct peaks were detected, one in January-February and the other in August-September. Overall, temperature was not associated with increased risk of on-duty death. After allowing for different effects of temperature in mild/hot versus cold periods, a 1°C increase was not protective in cold weather, nor did it increase the risk of death in warmer weather. The findings of this study reveal statistical evidence for excess coronary heart disease deaths among firefighters during winter; however, the temporal pattern coronary heart disease deaths was not linked to temperature variation. We also found the seasonal pattern to be independent of duty

  2. Relationship between burnout and PTSD symptoms in firefighters: the moderating effects of a sense of calling to firefighting.

    PubMed

    Jo, Insung; Lee, Songhee; Sung, Gyhye; Kim, Minkyoung; Lee, Sanghyuk; Park, Jooeon; Lee, Kangsoo

    2017-10-03

    Firefighting has been reported to lead to burnout and posttraumatic stress disorder (PTSD). However, burnout and PTSD symptoms may vary depending on personal characteristics, such as having a sense of calling. This study examined the role of calling in the association between burnout and PTSD symptoms. We hypothesized that burnout would be associated with more severe PTSD symptoms and calling would buffer the relationship between burnout and PTSD symptoms. The Korean version of the Maslach Burnout Inventory-General Survey, Sense of Calling Subscale of the Professionalism Scale, and the Impact of Event Scale-Revised-Korean version were used to measure burnout, calling, and PTSD symptoms. Data from 109 of 127 firefighters from Gyeonggi-do, South Korea were analyzed using hierarchical linear regression. Burnout was a significant predictor of PTSD symptoms. Furthermore, the interaction term between burnout and calling accounted for a significant variance in PTSD symptoms. Higher burnout was associated with severe PTSD symptoms, but this relationship differed by the level of calling. The increase in PTSD symptoms due to increased burnout in the high calling group was relatively higher than in the low and average calling groups. Calling, though perceived as a positive variable, can be hazardous to exhausted people. A sense of calling as part of one's job identity should not be encouraged until personal circumstances and characteristics, such burnout symptoms, are evaluated. Identifying context and variables associated with PTSD for interventions with firefighters and persons in other dangerous occupations should aid in their recovery from trauma exposure.

  3. 33 CFR 149.404 - Can I use firefighting equipment that has no Coast Guard standards?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... that has no Coast Guard standards? 149.404 Section 149.404 Navigation and Navigable Waters COAST GUARD... firefighting equipment that has no Coast Guard standards? A deepwater port may use firefighting equipment for which there is no Coast Guard standard as supplemental equipment, pursuant to § 149.403, if the...

  4. 33 CFR 149.404 - Can I use firefighting equipment that has no Coast Guard standards?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... that has no Coast Guard standards? 149.404 Section 149.404 Navigation and Navigable Waters COAST GUARD... firefighting equipment that has no Coast Guard standards? A deepwater port may use firefighting equipment for which there is no Coast Guard standard as supplemental equipment, pursuant to § 149.403, if the...

  5. 33 CFR 149.404 - Can I use firefighting equipment that has no Coast Guard standards?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... that has no Coast Guard standards? 149.404 Section 149.404 Navigation and Navigable Waters COAST GUARD... firefighting equipment that has no Coast Guard standards? A deepwater port may use firefighting equipment for which there is no Coast Guard standard as supplemental equipment, pursuant to § 149.403, if the...

  6. 33 CFR 149.404 - Can I use firefighting equipment that has no Coast Guard standards?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... that has no Coast Guard standards? 149.404 Section 149.404 Navigation and Navigable Waters COAST GUARD... firefighting equipment that has no Coast Guard standards? A deepwater port may use firefighting equipment for which there is no Coast Guard standard as supplemental equipment, pursuant to § 149.403 of this part, if...

  7. 33 CFR 149.404 - Can I use firefighting equipment that has no Coast Guard standards?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... that has no Coast Guard standards? 149.404 Section 149.404 Navigation and Navigable Waters COAST GUARD... firefighting equipment that has no Coast Guard standards? A deepwater port may use firefighting equipment for which there is no Coast Guard standard as supplemental equipment, pursuant to § 149.403 of this part, if...

  8. 46 CFR 35.01-35 - Repairs and alterations to firefighting equipment-TB/ALL.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 1 2011-10-01 2011-10-01 false Repairs and alterations to firefighting equipment-TB/ALL. 35.01-35 Section 35.01-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Special Operating Requirements § 35.01-35 Repairs and alterations to firefighting equipment—TB/ALL...

  9. 46 CFR 35.01-35 - Repairs and alterations to firefighting equipment-TB/ALL.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Repairs and alterations to firefighting equipment-TB/ALL. 35.01-35 Section 35.01-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS Special Operating Requirements § 35.01-35 Repairs and alterations to firefighting equipment—TB/ALL...

  10. The Relationship between Physical Activity and Thermal Protective Clothing on Functional Balance in Firefighters

    ERIC Educational Resources Information Center

    Kong, Pui W.; Suyama, Joe; Cham, Rakie; Hostler, David

    2012-01-01

    We investigated the relationship between baseline physical training and the use of firefighting thermal protective clothing (TPC) with breathing apparatus on functional balance. Twenty-three male firefighters performed a functional balance test under four gear/clothing conditions. Participants were divided into groups by physical training status,…

  11. 24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Eligible firefighter/emergency medical technicians. 291.530 Section 291.530 Housing and Urban Development Regulations Relating to Housing... SINGLE FAMILY PROPERTY Good Neighbor Next Door Sales Program § 291.530 Eligible firefighter/emergency...

  12. 33 CFR 155.4030 - Required salvage and marine firefighting services to list in response plans.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... firefighting services to list in response plans. (a) You must identify, in the geographical-specific appendices....1035(e)(6)(ii), 155.1040(e)(5)(ii), and 155.5035(e)(6)(ii) must also be listed, in the geographical... firefighting systems 4 12 18 1 Heavy lift services are not required to have definite hours for a response time...

  13. 33 CFR 155.4030 - Required salvage and marine firefighting services to list in response plans.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... firefighting services to list in response plans. (a) You must identify, in the geographical-specific appendices....1035(e)(6)(ii) and 155.1040(e)(5)(ii), must also be listed, in the geographical-specific appendices of... firefighting systems 4 12 18 1 Heavy lift services are not required to have definite hours for a response time...

  14. The Relationship between Physical Activity and Thermal Protective Clothing on Functional Balance in Firefighters

    ERIC Educational Resources Information Center

    Kong, Pui W.; Suyama, Joe; Cham, Rakie; Hostler, David

    2012-01-01

    We investigated the relationship between baseline physical training and the use of firefighting thermal protective clothing (TPC) with breathing apparatus on functional balance. Twenty-three male firefighters performed a functional balance test under four gear/clothing conditions. Participants were divided into groups by physical training status,…

  15. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Surface firefighting, evacuation, and rescue... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface..., evacuation, and rescue procedures for the surface portions of their operations. These procedures shall...

  16. 46 CFR 167.45-30 - Use of approved fire-fighting equipment.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Use of approved fire-fighting equipment. 167.45-30 Section 167.45-30 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS... approved fire-fighting equipment. Portable fire extinguishers or fire-extinguishing systems which...

  17. 46 CFR 167.45-30 - Use of approved fire-fighting equipment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Use of approved fire-fighting equipment. 167.45-30 Section 167.45-30 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS... approved fire-fighting equipment. Portable fire extinguishers or fire-extinguishing systems which...

  18. 46 CFR 167.45-30 - Use of approved fire-fighting equipment.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Use of approved fire-fighting equipment. 167.45-30 Section 167.45-30 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS... approved fire-fighting equipment. Portable fire extinguishers or fire-extinguishing systems which...

  19. 46 CFR 167.45-30 - Use of approved fire-fighting equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Use of approved fire-fighting equipment. 167.45-30 Section 167.45-30 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS... approved fire-fighting equipment. Portable fire extinguishers or fire-extinguishing systems which...

  20. 46 CFR 167.45-30 - Use of approved fire-fighting equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Use of approved fire-fighting equipment. 167.45-30 Section 167.45-30 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS... approved fire-fighting equipment. Portable fire extinguishers or fire-extinguishing systems which...

  1. 33 CFR 155.4040 - Response times for each salvage and marine firefighting service.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... and marine firefighting service. 155.4040 Section 155.4040 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4040 Response times for each salvage and...

  2. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface... coordinated in advance with available firefighting organizations. (b) Fire alarm procedures or systems shall be established to promptly warn every person who could be endangered by a fire. (c) Fire alarm...

  3. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface... coordinated in advance with available firefighting organizations. (b) Fire alarm procedures or systems shall be established to promptly warn every person who could be endangered by a fire. (c) Fire alarm...

  4. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface... coordinated in advance with available firefighting organizations. (b) Fire alarm procedures or systems shall be established to promptly warn every person who could be endangered by a fire. (c) Fire alarm...

  5. 30 CFR 57.4330 - Surface firefighting, evacuation, and rescue procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... NONMETAL MINES Fire Prevention and Control Firefighting Procedures/alarms/drills § 57.4330 Surface... coordinated in advance with available firefighting organizations. (b) Fire alarm procedures or systems shall be established to promptly warn every person who could be endangered by a fire. (c) Fire alarm...

  6. Physiological, Perceptual and Psychological Responses of Career versus Volunteer Firefighters to Live-fire Training Drills.

    PubMed

    Petruzzello, Steven J; Poh, Paula Y S; Greenlee, Tina A; Goldstein, Eric; Horn, Gavin P; Smith, Denise L

    2016-10-01

    A primary objective of the present study was to examine the effect of short-term live-fire firefighting activities on key physiological, perceptual and psychological variables and whether occupational status influenced these responses. It was also of interest to examine whether individual difference factors differentiated the occupational status groups and if so, whether such individual difference factors influenced perceptual and psychological responses to firefighting activities. Male firefighters (n = 52 career, n = 53 volunteer firefighters) participated in 18 min of simulated firefighting activity in a training structure that contained live fires. Measures of heart rate (HR) and Tcore were obtained before and after firefighting activities along with perceptions of thermal sensations, exertion, respiratory distress and affect. Firefighting activities resulted in significant elevations in HR and Tcore , whereas thermal sensations, respiratory distress, exertion and affect all showed significant and sizable changes reflecting greater distress and dysphoria. Occupational status and individual difference factors accounted for some of this negative change. The findings replicate and extend previous work by demonstrating the influence of occupational status and individual difference factors in the psychological responses to firefighting activity. Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.

  7. Multidimensional, Threshold Effects of Social Support in Firefighters: Is More Support Invariably Better?

    ERIC Educational Resources Information Center

    Varvel, Shiloh Jordan; He, Yuhong; Shannon, Jennifer K.; Tager, David; Bledman, Rashanta A.; Chaichanasakul, Adipat; Mendoza, Monique M.; Mallinckrodt, Brent

    2007-01-01

    This study examined the relationship between social support (Social Provisions Scale) and stress (Perceived Stress Scale) in a sample of male firefighters in a midwestern community (N=53). The authors assessed 5 types of perceived support from 2 sources: peer firefighters and supervisors. Results indicate that reassurance of worth and social…

  8. Firefighters United for Safety, Ethics, and Ecology (FUSEE): Torchbearers for a new fire management paradigm

    Treesearch

    Timothy Ingalsbee; Joseph Fox; Patrick Withen

    2007-01-01

    Firefighters United for Safety, Ethics, and Ecology (FUSEE) is a nonprofit organization promoting safe, ethical, ecological wildland fire management. FUSEE believes firefighter and community safety are ultimately interdependent with ethical public service, wildlands protection, and ecological restoration of fire-adapted ecosystems. Our members include current, former,...

  9. The Frequency, Severity, and Economic Consequences of Musculoskeletal Injuries to Firefighters in California.

    PubMed

    Seabury, Seth A; McLaren, Christopher F

    2012-01-01

    The most common work-related injuries among firefighters are musculoskeletal disorders (MSDs). The strict physical demands of the job and limited modified work opportunities suggest that MSDs are potentially more disruptive and costly to firefighters than to others. The importance of understanding the frequency and severity of firefighter MSDs has become heightened due to changes to the California workers' compensation landscape since 2004, including the reduction of permanent-disability ratings that occurred due to the adoption of a new disability rating system and new rules for apportioning disability with respect to job-related causation, the adoption of treatment guidelines to provide utilization review in workers' compensation medical care, and the imposition of caps on the number of times injured workers can be reimbursed for use of chiropractic care and physical therapy. Each of these could have a potentially disadvantageous and disproportionate impact on firefighters with MSDs. This article describes the average frequency and severity of work-related MSDs experienced by California firefighters; examines the impact of work-related MSDs on the firefighters' earnings and employment several years after injury; evaluates the reforms' impact on the ratings of firefighters with permanently disabling MSDs; and assesses whether reforms to the medical delivery system affected the employment outcomes of firefighters with MSDs.

  10. Firefighter willingness to participate in a stem cell clinical trial for burns: A mixed methods study.

    PubMed

    Horch, Jenny D; Carr, Eloise C J; Harasym, Patricia; Burnett, Lindsay; Biernaskie, Jeff; Gabriel, Vincent

    2016-12-01

    Adult stem cells represent a potentially renewable and autologous source of cells to regenerate skin and improve wound healing. Firefighters are at risk of sustaining a burn and potentially benefiting from a split thickness skin graft (STSG). This mixed methods study examined firefighter willingness to participate in a future stem cell clinical trial, outcome priorities and factors associated with this decision.

  11. 24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... medical technicians. A person qualifies as a firefighter/emergency medical technician for the purposes of the GNND Sales Program if the person is employed full-time as a firefighter or emergency medical technician by a fire department or emergency medical services responder unit of the federal government,...

  12. 24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... medical technicians. A person qualifies as a firefighter/emergency medical technician for the purposes of the GNND Sales Program if the person is employed full-time as a firefighter or emergency medical technician by a fire department or emergency medical services responder unit of the federal government,...

  13. 24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... medical technicians. A person qualifies as a firefighter/emergency medical technician for the purposes of the GNND Sales Program if the person is employed full-time as a firefighter or emergency medical technician by a fire department or emergency medical services responder unit of the federal government,...

  14. 24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... medical technicians. A person qualifies as a firefighter/emergency medical technician for the purposes of the GNND Sales Program if the person is employed full-time as a firefighter or emergency medical technician by a fire department or emergency medical services responder unit of the federal government,...

  15. Wildland firefighter safety zones: A review of past science and summary of future needs

    Treesearch

    B. W. Butler

    2014-01-01

    Current wildland firefighter safety zone guidelines are based on studies that assume flat terrain, radiant heating, finite flame width, constant flame temperature and high flame emissivity. Firefighter entrapments and injuries occur across a broad range of vegetation, terrain and atmospheric conditions generally when they are within two flame heights of the fire....

  16. 5 CFR 842.405 - Air traffic controllers, firefighters, law enforcement officers, and nuclear materials couriers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Air traffic controllers, firefighters... RETIREMENT SYSTEM-BASIC ANNUITY Computations § 842.405 Air traffic controllers, firefighters, law enforcement officers, and nuclear materials couriers. The annuity of an air traffic controller retiring under § 842.207...

  17. Source, profile, and carcinogenic risk assessment for cohorts occupationally exposed to dust-bound PAHs in Lahore and Rawalpindi cities (Punjab province, Pakistan).

    PubMed

    Kamal, Atif; Malik, Riffat Naseem; Martellini, Tania; Cincinelli, Alessandra

    2015-07-01

    In this study, the occurrence and concentrations of PAHs in dust samples, which were collected from the traffic police cabins/working spots, located on the main busy roads of Lahore (TP-L) and Rawalpindi (TP-R) cities (Punjab province, Pakistan) and from the public transport vehicles in the same cities (named as AM-L and AM-R, respectively) were determined. The mean and median concentrations of ∑PAHs were observed in the following descending order: AM-L (1340 and 774 ng g(-1) d.w., respectively), TP-L (866 and 854 ng g(-1) d.w.), TP-R (504 and 379 ng g(-1) d.w.), and AM-R (393 and 290 ng g(-1) d.w. Source apportionment of the soil/dust-bound PAHs was also performed. In all the sampling areas, the diagnostic ratios, principal component analysis (PCA) followed by multiple linear regression (MLR) analysis indicated signatures of mixed sources of PAHs (including vehicular exhaust emission, gasoline/diesel, and coal/wood combustion). Estimated results of incremental lifetime cancer risk (ILCR) indicated that the traffic policemen and drivers, especially those in the urban area of Lahore, were at high risk of cancer via routes of dust ingestion and dermal contact. The results of this research could be very useful for the local Government in order to control the exposure and promote actions to alleviate PAH contamination and to manage health both at work places in the big cities of Pakistan.

  18. Sleep Problems, Depression, Substance Use, Social Bonding, and Quality of Life in Professional Firefighters

    PubMed Central

    Carey, Mary G; Al-Zaiti, Salah S; Dean, Grace E; Sessanna, Loralee; Finnell, Deborah S

    2011-01-01

    Little attention has been given to factors contributing to firefighters' psychosomatic well-being. Objective The purpose of this descriptive study was to examine such contributing factors in a sample of professional firefighters. Methods Measures assessing sleep, depression, substance use, social bonding, and quality of life were examined in 112 firefighters. Results Overall, many firefighters reported sleep deprivation (59%), binge drinking behavior (58%), poor mental well-being (21%), current nicotine use (20%), hazardous drinking behavior (14%), depression (11%), poor physical well-being (8%), caffeine overuse (5%), or poor social bonding (4%). Conclusions Small-to-medium correlations were identified between sleep deprivation, depression, physical/mental well-being, and drinking behaviors. High-risk behaviors that impact psychosomatic well-being are prevalent in professional firefighters, which require environmental and individual-based health promotion interventions. The inter-correlation relationships between such behaviors, therefore, need to be explored in further details. PMID:21785370

  19. Preventing fire-related occupational deaths: residential sprinklers save civilians, property, and firefighters.

    PubMed

    Pollack, Keshia M; Frattaroli, Shannon; Somers, Scott

    2015-02-01

    Residential fires are an important public health problem, with proven strategies to prevent death and injury. Residential sprinkler systems are one such strategy. While the benefits of this technology tend to center on civilian lives and property, there are also benefits for firefighters. The purpose of this article is to describe these benefits and discuss residential sprinkler systems as a strategy to reduce the risk of firefighter injury and death. Because of the benefits for firefighter safety, firefighters' knowledge about fire prevention, and their authority on this topic, firefighters are an essential stakeholder for raising awareness among the public and policymakers about the existence of and benefits associated with residential sprinkler systems. © 2015 SAGE Publications.

  20. The sleep architecture of Australian volunteer firefighters during a multi-day simulated wildfire suppression: Impact of sleep restriction and temperature.

    PubMed

    Cvirn, Michael A; Dorrian, Jillian; Smith, Bradley P; Jay, Sarah M; Vincent, Grace E; Ferguson, Sally A

    2017-02-01

    Wildland firefighting exposes personnel to combinations of occupational and environmental stressors that include physical activity, heat and sleep restriction. However, the effects of these stressors on sleep have rarely been studied in the laboratory, and direct comparisons to field scenarios remain problematic. The aim of this study was to examine firefighters' sleep during a three-day, four-night simulated wildfire suppression that included sleep restriction and physical activity circuits representative of firefighting wildfire suppression tasks in varied temperatures. Sixty-one volunteer firefighters (37.5±14.5 years of age, mean±SD) were assigned to one of three conditions: control (n=25; 8h sleep opportunities and 18-20°C), awake (n=25; 4h sleep opportunities and 18-20°C) or awake/hot (n=11; 4h sleep opportunities and 33-35°C during the day and 23-25°C during the night). Results demonstrated that amounts of N1, N2 and R sleep, TST, SOL and WASO declined, whilst sleep efficiency increased significantly in the awake and awake/hot conditions compared to the control condition. Results also demonstrated that SWS sleep remained relatively stable in the awake and awake/hot conditions compared to control values. Most importantly, no significant differences were found for any of the sleep measures between the awake and awake/hot conditions. Thus, working in hot daytime temperatures in combination with sleep restriction during the night did not affect patterns of sleep compared to working in temperate conditions in combination with sleep restriction during the night. However, the effects on sleep of high (>25°C) night-time temperatures with sleep restriction in addition to physical activity remains to be studied. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Assessment of Benzo(a)pyrene-equivalent Carcinogenicity and Mutagenicity of Residential Indoor versus Outdoor Polycyclic Aromatic Hydrocarbons Exposing Young Children in New York City

    PubMed Central

    Jung, Kyung Hwa; Yan, Beizhan; Chillrud, Steven N.; Perera, Frederica P.; Whyatt, Robin; Camann, David; Kinney, Patrick L.; Miller, Rachel L.

    2010-01-01

    The application of benzo(a)pyrene (BaP)-toxic equivalent factor to polycyclic aromatic hydrocarbons (PAH) concentrations can provide a more accurate risk assessment from environmental exposure to PAH. We hypothesized that BaP-equivalent toxicity determined following residential air monitoring among young urban children may vary by season. Residential indoor and outdoor air levels of PAH measured over two-weeks in a cohort of 5–6 year old children (n = 260) in New York City were normalized to the cancer and mutagen potency equivalent factor of BaP (BaP = 1). Data are presented as carcinogenic equivalents (BaP-TEQ) and mutagenic equivalents (BaP-MEQ) for the sum of 8 PAH (Σ8PAH; MW ≥ 228) and individual PAH and compared across heating versus nonheating seasons. Results show that heating compared to nonheating season was associated significantly with higher (BaP-TEQ)Σ8PAH and (BaP-MEQ)Σ8PAH both indoors and outdoors (p < 0.001). Outdoor (BaP-TEQ)Σ8PAH and (BaP-MEQ)Σ8PAH were significantly higher than the corresponding indoor measures during the heating season (p < 0.01). These findings suggest that at levels encountered in New York City air, especially during the heating season, residential exposure to PAH may pose an increased risk of cancer and mutation. PMID:20622999

  2. Very Long (> 48 hours) Shifts and Cardiovascular Strain in Firefighters: a Theoretical Framework

    PubMed Central

    2014-01-01

    Shift work and overtime have been implicated as important work-related risk factors for cardiovascular disease (CVD). Many firefighters who contractually work on a 24-hr work schedule, often do overtime (additional 24-hr shifts) which can result in working multiple, consecutive 24-hr shifts. Very little research has been conducted on firefighters at work that examines the impact of performing consecutive 24-hr shifts on cardiovascular physiology. Also, there have been no standard field methods for assessing in firefighters the cardiovascular changes that result from 24-hr shifts, what we call “cardiovascular strain”. The objective of this study, as the first step toward elucidating the role of very long (> 48 hrs) shifts in the development of CVD in firefighters, is to develop and describe a theoretical framework for studying cardiovascular strain in firefighters on very long shifts (i.e., > 2 consecutive 24-hr shifts). The developed theoretical framework was built on an extensive literature review, our recently completed studies with firefighters in Southern California, e-mail and discussions with several firefighters on their experiences of consecutive shifts, and our recently conducted feasibility study in a small group of firefighters of several ambulatory cardiovascular strain biomarkers (heart rate, heart rate variability, blood pressure, salivary cortisol, and salivary C-reactive protein). The theoretical framework developed in this study will facilitate future field studies on consecutive 24-hr shifts and cardiovascular health in firefighters. Also it will increase our understanding of the mechanisms by which shift work or long work hours can affect CVD, particularly through CVD biological risk factors, and thereby inform policy about sustainable work and rest schedules for firefighters. PMID:24602344

  3. Very Long (> 48 hours) Shifts and Cardiovascular Strain in Firefighters: a Theoretical Framework.

    PubMed

    Choi, Bongkyoo; Schnall, Peter L; Dobson, Marnie; Garcia-Rivas, Javier; Kim, Hyoungryoul; Zaldivar, Frank; Israel, Leslie; Baker, Dean

    2014-03-06

    Shift work and overtime have been implicated as important work-related risk factors for cardiovascular disease (CVD). Many firefighters who contractually work on a 24-hr work schedule, often do overtime (additional 24-hr shifts) which can result in working multiple, consecutive 24-hr shifts. Very little research has been conducted on firefighters at work that examines the impact of performing consecutive 24-hr shifts on cardiovascular physiology. Also, there have been no standard field methods for assessing in firefighters the cardiovascular changes that result from 24-hr shifts, what we call "cardiovascular strain". The objective of this study, as the first step toward elucidating the role of very long (> 48 hrs) shifts in the development of CVD in firefighters, is to develop and describe a theoretical framework for studying cardiovascular strain in firefighters on very long shifts (i.e., > 2 consecutive 24-hr shifts). The developed theoretical framework was built on an extensive literature review, our recently completed studies with firefighters in Southern California, e-mail and discussions with several firefighters on their experiences of consecutive shifts, and our recently conducted feasibility study in a small group of firefighters of several ambulatory cardiovascular strain biomarkers (heart rate, heart rate variability, blood pressure, salivary cortisol, and salivary C-reactive protein). The theoretical framework developed in this study will facilitate future field studies on consecutive 24-hr shifts and cardiovascular health in firefighters. Also it will increase our understanding of the mechanisms by which shift work or long work hours can affect CVD, particularly through CVD biological risk factors, and thereby inform policy about sustainable work and rest schedules for firefighters.

  4. Randomized, Prospective Study of the Impact of a Sleep Health Program on Firefighter Injury and Disability.

    PubMed

    Sullivan, Jason P; O'Brien, Conor S; Barger, Laura K; Rajaratnam, Shantha M W; Czeisler, Charles A; Lockley, Steven W

    2017-01-01

    Firefighters' schedules include extended shifts and long work weeks which cause sleep deficiency and circadian rhythm disruption. Many firefighters also suffer from undiagnosed sleep disorders, exacerbating fatigue. We tested the hypothesis that a workplace-based Sleep Health Program (SHP) incorporating sleep health education and sleep disorders screening would improve firefighter health and safety compared to standard practice. Prospective station-level randomized, field-based intervention. US fire department. 1189 firefighters. Sleep health education, questionnaire-based sleep disorders screening, and sleep clinic referrals for respondents who screened positive for a sleep disorder. Firefighters were randomized by station. Using departmental records, in an intention-to-treat analysis, firefighters assigned to intervention stations which participated in education sessions and had the opportunity to complete sleep disorders screening reported 46% fewer disability days than those assigned to control stations (1.4 ± 5.9 vs. 2.6 ± 8.5 days/firefighter, respectively; p = .003). There were no significant differences in departmental injury or motor vehicle crash rates between the groups. In post hoc analysis accounting for intervention exposure, firefighters who attended education sessions were 24% less likely to file at least one injury report during the study than those who did not attend, regardless of randomization (OR [95% CI] 0.76 [0.60, 0.98]; χ2 = 4.56; p = .033). There were no significant changes pre- versus post-study in self-reported sleep or sleepiness in those who participated in the intervention. A firefighter workplace-based SHP providing sleep health education and sleep disorders screening opportunity can reduce injuries and work loss due to disability in firefighters.

  5. Mexico City normal weight children exposed to high concentrations of ambient PM2.5 show high blood leptin and endothelin-1, vitamin D deficiency, and food reward hormone dysregulation versus low pollution controls. Relevance for obesity and Alzheimer disease.

    PubMed

    Calderón-Garcidueñas, Lilian; Franco-Lira, Maricela; D'Angiulli, Amedeo; Rodríguez-Díaz, Joel; Blaurock-Busch, Eleonore; Busch, Yvette; Chao, Chih-kai; Thompson, Charles; Mukherjee, Partha S; Torres-Jardón, Ricardo; Perry, George

    2015-07-01

    Millions of Mexico, US and across the world children are overweight and obese. Exposure to fossil-fuel combustion sources increases the risk for obesity and diabetes, while long-term exposure to fine particulate matter (PM2.5) and ozone (O3) above US EPA standards is associated with increased risk of Alzheimer's disease (AD). Mexico City Metropolitan Area children are chronically exposed to PM2.5 and O3 concentrations above the standards and exhibit systemic, brain and intrathecal inflammation, cognitive deficits, and Alzheimer disease neuropathology. We investigated adipokines, food reward hormones, endothelial dysfunction, vitamin D and apolipoprotein E (APOE) relationships in 80 healthy, normal weight 11.1±3.2 year olds matched by age, gender, BMI and SES, low (n: 26) versus high (n:54) PM2.5 exposures. Mexico City children had higher leptin and endothelin-1 (p<0.01 and p<0.000), and decreases in glucagon-like peptide-1 (GLP 1), ghrelin, and glucagon (<0.02) versus controls. BMI and leptin relationships were significantly different in low versus high PM2.5 exposed children. Mexico City APOE 4 versus 3 children had higher glucose (p=0.009). Serum 25-hydroxyvitamin D<30 ng/mL was documented in 87% of Mexico City children. Leptin is strongly positively associated to PM 2.5 cumulative exposures. Residing in a high PM2.5 and O3 environment is associated with 12h fasting hyperleptinemia, altered appetite-regulating peptides, vitamin D deficiency, and increases in ET-1 in clinically healthy children. These changes could signal the future trajectory of urban children towards the development of insulin resistance, obesity, type II diabetes, premature cardiovascular disease, addiction-like behavior, cognitive impairment and Alzheimer's disease. Increased efforts should be made to decrease pediatric PM2.5 exposures, to deliver health interventions prior to the development of obesity and to identify and mitigate environmental factors influencing obesity and Alzheimer

  6. Field Tests for Evaluating the Aerobic Work Capacity of Firefighters

    PubMed Central

    Lindberg, Ann-Sofie; Oksa, Juha; Gavhed, Désirée; Malm, Christer

    2013-01-01

    Working as a firefighter is physically strenuous, and a high level of physical fitness increases a firefighter’s ability to cope with the physical stress of their profession. Direct measurements of aerobic capacity, however, are often complicated, time consuming, and expensive. The first aim of the present study was to evaluate the correlations between direct (laboratory) and indirect (field) aerobic capacity tests with common and physically demanding firefighting tasks. The second aim was to give recommendations as to which field tests may be the most useful for evaluating firefighters’ aerobic work capacity. A total of 38 subjects (26 men and 12 women) were included. Two aerobic capacity tests, six field tests, and seven firefighting tasks were performed. Lactate threshold and onset of blood lactate accumulation were found to be correlated to the performance of one work task (rs = −0.65 and −0.63, p<0.01, respectively). Absolute (mL·min−1) and relative (mL·kg−1·min−1) maximal aerobic capacity was correlated to all but one of the work tasks (rs = −0.79 to 0.55 and −0.74 to 0.47, p<0.01, respectively). Aerobic capacity is important for firefighters’ work performance, and we have concluded that the time to row 500 m, the time to run 3000 m relative to body weight (s·kg−1), and the percent of maximal heart rate achieved during treadmill walking are the most valid field tests for evaluating a firefighter’s aerobic work capacity. PMID:23844153

  7. Physical and psychological determinants of injury in Ontario forest firefighters.

    PubMed

    Gordon, H; Larivière, M

    2014-12-01

    Forest firefighters are faced with multiple physical and psychological challenges as a result of their duties. Little is known about the determinants of injury among these workers. The Ontario Ministry of Natural Resources (OMNR) Aviation, Forest Fire and Emergency Services (AFFES) records detailed information on two mutually exclusive types of workplace injury: First aid (self-reported) and Workplace Safety Insurance Board (WSIB, i.e. received medical attention). To identify the contributions of physical and psychological factors on the likelihood of injury among forest firefighters. Participants were male and female forest firefighters aged between 18 and 65. Data were collected using two self-administered instruments: The NEO Personality Inventory and the Job Stress Survey. Secondary data were collected from the OMNR AFFES and data were analysed by way of multivariate statistical procedures. There were 252 participants. Those who were older, had a history of injury, had high scores for the personality construct of Neuroticism or low scores for the Openness construct were significantly more likely to incur a first aid injury, while those with high experience levels were significantly less likely to incur injury (P < 0.05). High job stress was the only significant predictor of WSIB injury (P < 0.05). First aid and WSIB injuries in the OMNR AFFES were quite distinct phenomena and different factors need consideration in their prediction. It is recommended that managers and decision-makers in this field consider factors such as job stress, personality and the prior occurrence of injuries in their assessment of risk. © The Author 2014. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Measures of health, fitness, and functional movement among firefighter recruits.

    PubMed

    Cornell, David J; Gnacinski, Stacy L; Zamzow, Aaron; Mims, Jason; Ebersole, Kyle T

    2017-06-01

    The purpose of this study was to examine the associations between various health and fitness measures and Functional Movement Screen™ (FMS™) scores among 78 firefighter recruits. Relationships between FMS™ scores and age, body mass index (BMI), sit and reach (S&R) distance, estimated maximal aerobic capacity (V˙O2max), estimated one-repetition maximum squat (1RM-Squatmax), and plank endurance (%Plankmax) were examined. Total FMS™ scores were significantly correlated with BMI (r = -0.231, p = 0.042), estimated 1RM-Squatmax (r = 0.302, p = 0.007), and %Plankmax (r = 0.320, p = 0.004). Multiple regression analyses indicated that this combination of predictors significantly predicted (F(3, 74) = 5.043, p = 0.003) Total FMS™ score outcomes and accounted for 17% of the total variance (R(2) = 0.170). In addition, logistic regression analyses indicated that estimated 1RM-Squatmax also significantly predicted (χ(2) = 6.662, df = 1, p = 0.010) FMS™ group membership (≤14 or ≥15). These results suggest that the health and fitness measures of obesity (BMI), bilateral lower extremity strength (estimated 1RM-Squatmax), and core muscular endurance (%Plankmax) are significantly associated with functional movement patterns among firefighter recruits. Consequently, injury prevention programs implemented among firefighter recruits should target these aspects of health and fitness.

  9. Factor structure and external correlates of posttraumatic stress disorder symptoms among African American firefighters

    PubMed Central

    Arbona, Consuelo; Fan, Weihua; Noor, Nausheen

    2016-01-01

    This study compared the relative goodness of fit of three well-established factorial models of posttraumatic stress disorder (PTSD) symptoms among 477 African American male firefighters in a large city in the US. The compared models were the two four-factor emotional numbing and dysphoria models and a five-factor dysphoric arousal model. The study also examined the convergent and discriminant validity of PTSD symptom clusters in relation to depression and alcohol dependence symptoms. Both the emotional numbing and dysphoric arousal PTSD models provided a superior fit to the data compared to the dysphoria model. Findings also indicated a good fit for factor models that included PTSD, depression, and alcohol dependence latent factors, which provides support for the specificity of PTSD symptom clusters. Depression symptoms were more strongly correlated with PTSD symptom clusters than alcohol dependence. In the dysphoric arousal model, depression and alcohol dependence were equally related to the emotional numbing and dysphoric arousal clusters; however, both depression and alcohol dependence were more highly correlated with dysphoric arousal than with anxious arousal. Even though the emotional numbing and dysphoric arousal models demonstrated a superior fit to the data, the four-factor dysphoria model may provide a more parsimonious representation of PTSD’s latent structure than the five-factor dysphoric arousal model. In conclusion, this study extends support for the well-established PTSD symptom factor models among African Americans, a population with whom these models had not been examined earlier. PMID:27563263

  10. High Resolution 12-lead Electrocardiograms of On-Duty Professional Firefighters: A Pilot Feasibility Study

    PubMed Central

    Carey, Mary G.; Thevenin, Bernard J.-M.

    2010-01-01

    Background Cardiovascular deaths among on-duty firefighters are high; double that of police officers and quadruple that of first responders. The aim of this pilot study was to establish the feasibility of obtaining high resolutions ECGs of on-duty firefighters useful for detecting ECG predictors for cardiac events. Methods Twenty-eight professional firefighters (age, 46 ± 6 years) wore a 12-lead ECG Holter for 24 hours (16 hours while on-duty and 8 hours post-duty). All activities including fire and medical calls were monitored. Results On average the recordings were 92% analyzable. All were in sinus with a heart rate of 80 ±11bpm (35–188 range). The average rr50 over the 24-hour Holter study was 6.2 ±6% (range: 1–23%) and rms-SD was 81 ± 55 (range: 24–209). Using the QRS/Tsimple formula, the average spatial QRS-T angle was 104 ±17 degrees (range 78–132 degrees). Nonsustained ventricular tachycardia occurred irrespectively of activity or time of day in three (11%) firefighters, which was significantly higher than in comparable normal populations (p<0.05). Conclusions This preliminary work demonstrates that it is feasible to obtain high resolution ECGs during firefighting activities and further points to the high prevalence of arrhythmias among firefighters. The strategy of continuous field monitoring of firefighters could provide new insight into the association between their specific professional lifestyle and high cardiac risks. PMID:21206348

  11. [Exposure to carbon monoxide in wildland firefighters during wildfires suppression].

    PubMed

    Carballo Leyenda, Belén; Rodríguez-Marroyo, José A; López-Satué, Jorge; Avila Ordás, Concepción; Pernía Cubillo, Raúl; Villa Vicente, José Gerardo

    2010-01-01

    Health and occupational performance in wildland firefighters are mainly impaired for the carbon monoxide inhalation. Therefore, the aim of this study was to analyze the personal exposure to carbon monoxide in wildland firefighters during wildfires suppression. Carbon monoxide exposure was monitorized in 44 subjects during 58 real wildfires. Moreover, we analyzed the time weighted average exposure for an 8h shift (VA-ED). The wildfires were classified according to the work done (direct attack, indirect attack and mixed attack) and the current fuel (grass, bush, understory and mixed). The mean exposure to carbon monoxide was of 18,4 ± 1,7 ppm, what supposed a VA-ED of 7,0 ± 1,0 ppm. The highest exposures to carbon monoxide were found during the mixed attack (20,4 ± 2,3 ppm) and direct attack (17,5 ± 2,7 ppm). We only obtained significant differences (p < 0.05) between bush (19,8 ± 2,2) and understory (17,2 ± 3,9) and grass (12,0 ± 5,6). Exposures to carbon monoxide were influenced for the work done during the wildfires suppression and the type of fuel involved. Mean values obtained in this study were within safety limits described by different Spanish (INSHT) and international (NIOSH, OSHA) occupational safety and health agencies.

  12. Risk assessment of soils identified on firefighter turnout gear.

    PubMed

    Easter, Elizabeth; Lander, Deborah; Huston, Tabitha

    2016-09-01

    The purpose of this research was to identify the composition of soils on firefighter turnout gear and to determine the dermal exposure risks associated with the soils. Nine used Nomex hoods from the Philadelphia fire department were analyzed for the presence of trace metals and seven sets of used turnout gear were analyzed for semi-volatile organics. Turnout gear samples were removed from areas of the gear known to have high levels of dermal absorption including the collar, armpit, wrist, and crotch areas, from either the outer shell or thermal liner layers. The following compounds were detected: polycyclic aromatic hydrocarbons (PAHs), phthalate plasticizers, and polybrominated diphenyl ether flame retardants (PBDEs). A screening risk assessment was conducted by converting the measured concentrations to an estimated dermally absorbed dose based on estimates for the permeation coefficient (Kp) and an assumed firefighting exposure scenario. Benzo(a) pyrene had the highest dermal exposure risk based on carcinogenic effects and PBDE-99 had the highest dermal exposure risk based on non-carcinogenic effects. For the metals, arsenic had the highest dermal exposure risk for the use hoods.

  13. Arterial stiffness, oxidative stress, and smoke exposure in wildland firefighters.

    PubMed

    Gaughan, Denise M; Siegel, Paul D; Hughes, Michael D; Chang, Chiung-Yu; Law, Brandon F; Campbell, Corey R; Richards, Jennifer C; Kales, Stefanos F; Chertok, Marcia; Kobzik, Lester; Nguyen, Phuong-son; O'Donnell, Carl R; Kiefer, Max; Wagner, Gregory R; Christiani, David C

    2014-07-01

    To assess the association between exposure, oxidative stress, symptoms, and cardiorespiratory function in wildland firefighters. We studied two Interagency Hotshot Crews with questionnaires, pulse wave analysis for arterial stiffness, spirometry, urinary 8-iso-prostaglandin F2α (8-isoprostane) and 8-hydroxy-2'-deoxyguanosine (8-OHdG), and the smoke exposure marker (urinary levoglucosan). Arterial stiffness was assessed by examining levels of the aortic augmentation index, expressed as a percentage. An oxidative stress score comprising the average of z-scores created for 8-OHdG and 8-isoprostane was calculated. Mean augmentation index % was higher for participants with higher oxidative stress scores after adjusting for smoking status. Specifically for every one unit increase in oxidative stress score the augmentation index % increased 10.5% (95% CI: 2.5, 18.5%). Higher mean lower respiratory symptom score was associated with lower percent predicted forced expiratory volume in one second/forced vital capacity. Biomarkers of oxidative stress may serve as indicators of arterial stiffness in wildland firefighters. © 2014 Wiley Periodicals, Inc.

  14. Arterial Stiffness, Oxidative Stress, and Smoke Exposure in Wildland Firefighters

    PubMed Central

    Gaughan, Denise M.; Siegel, Paul D.; Hughes, Michael D.; Chang, Chiung-Yu; Law, Brandon F.; Campbell, Corey R.; Richards, Jennifer C.; Kales, Stefanos F.; Chertok, Marcia; Kobzik, Lester; Nguyen, Phuongson; O’Donnell, Carl R.; Kiefer, Max; Wagner, Gregory R.; Christiani, David C.

    2015-01-01

    Objectives To assess the association between exposure, oxidative stress, symptoms, and cardiorespiratory function in wildland firefighters. Methods We studied two Interagency Hotshot Crews with questionnaires, pulse wave analysis for arterial stiffness, spirometry, urinary 8-iso-prostaglandin F2α (8-isoprostane) and 8-hydroxy-2′-deoxyguanosine (8-OHdG), and the smoke exposure marker (urinary levoglucosan). Arterial stiffness was assessed by examining levels of the aortic augmentation index, expressed as a percentage. An oxidative stress score comprising the average of z-scores created for 8-OHdG and 8-isoprostane was calculated. Results Mean augmentation index % was higher for participants with higher oxidative stress scores after adjusting for smoking status. Specifically for every one unit increase in oxidative stress score the augmentation index % increased 10.5% (95% CI: 2.5, 18.5%). Higher mean lower respiratory symptom score was associated with lower percent predicted forced expiratory volume in one second/forced vital capacity. Conclusions Biomarkers of oxidative stress may serve as indicators of arterial stiffness in wildland firefighters. PMID:24909863

  15. Relationships between strength and endurance parameters and air depletion rates in professional firefighters.

    PubMed

    Windisch, Stephanie; Seiberl, Wolfgang; Schwirtz, Ansgar; Hahn, Daniel

    2017-03-17

    The aim of this study was to quantify the physical demands of a simulated firefighting circuit and to establish the relationship between job performance and endurance and strength fitness measurements. On four separate days 41 professional firefighters (39 ± 9 yr, 179.6 ± 2.3 cm, 84.4 ± 9.2 kg, BMI 26.1 ± 2.8 kg/m(2)) performed treadmill testing, fitness testing (strength, balance and flexibility) and a simulated firefighting exercise. The firefighting exercise included ladder climbing (20 m), treadmill walking (200 m), pulling a wire rope hoist (15 times) and crawling an orientation section (50 m). Firefighting performance during the simulated exercise was evaluated by a simple time-strain-air depletion model (TSA) taking the sum of z-transformed parameters of time to finish the exercise, strain in terms of mean heart rate, and air depletion from the breathing apparatus. Multiple regression analysis based on the TSA-model served for the identification of the physiological determinants most relevant for professional firefighting. Three main factors with great influence on firefighting performance were identified (70.1% of total explained variance): VO2peak, the time firefighter exercised below their individual ventilatory threshold and mean breathing frequency. Based on the identified main factors influencing firefighting performance we recommend a periodic preventive health screening for incumbents to monitor peak VO2 and individual ventilatory threshold.

  16. Obesity and injury-related absenteeism in a population-based firefighter cohort.

    PubMed

    Poston, Walker S C; Jitnarin, Nattinee; Haddock, C Keith; Jahnke, Sara A; Tuley, Brianne C

    2011-10-01

    A consistent relationship has been demonstrated between obesity and absenteeism in the workplace. However, most studies have focused on primarily sedentary occupational groups. Firefighting is a physically demanding profession that involves significant potential for exposure to dangerous situations and strenuous work. No studies to date have evaluated the impact of obesity on risk for absenteeism among firefighters. We examined the cross-sectional association between BMI and obesity and injury-related absenteeism. BMI, body fat percentage (BF%), waist circumference (WC), injury, and injury-related absenteeism were assessed in 478 career male firefighters. One hundred and fifteen firefighters reported an injury in the previous year and the number of days absent from work due to their injury. BMI was an independent predictor of absenteeism due to injury even after adjustment for confounding variables. Firefighters meeting the definition of class II and III obesity had nearly five times (odds ratio (OR) = 4.89; 95% confidence interval (CI) = 3.63-6.58) the number missed work days due to injury when compared to their normal weight counterparts and their elevated risk was greater than firefighters with class I obesity (OR = 2.71; 95% CI = 2.01-3.65) or those who were overweight (OR = 2.55; 95% CI = 1.90-3.41). The attributable per capita costs of class II and III obesity-related absenteeism over the last year were $1,682.90 per firefighter, $254.00 per firefighter for class I obesity, and $74.41 per firefighter for overweight. Our findings suggest that class II and III obesity were associated with substantial attributable costs to employers and our cost estimates probably underestimate the actual financial burden.

  17. Relationships between strength and endurance parameters and air depletion rates in professional firefighters

    PubMed Central

    Windisch, Stephanie; Seiberl, Wolfgang; Schwirtz, Ansgar; Hahn, Daniel

    2017-01-01

    The aim of this study was to quantify the physical demands of a simulated firefighting circuit and to establish the relationship between job performance and endurance and strength fitness measurements. On four separate days 41 professional firefighters (39 ± 9 yr, 179.6 ± 2.3 cm, 84.4 ± 9.2 kg, BMI 26.1 ± 2.8 kg/m2) performed treadmill testing, fitness testing (strength, balance and flexibility) and a simulated firefighting exercise. The firefighting exercise included ladder climbing (20 m), treadmill walking (200 m), pulling a wire rope hoist (15 times) and crawling an orientation section (50 m). Firefighting performance during the simulated exercise was evaluated by a simple time-strain-air depletion model (TSA) taking the sum of z-transformed parameters of time to finish the exercise, strain in terms of mean heart rate, and air depletion from the breathing apparatus. Multiple regression analysis based on the TSA-model served for the identification of the physiological determinants most relevant for professional firefighting. Three main factors with great influence on firefighting performance were identified (70.1% of total explained variance): VO2peak, the time firefighter exercised below their individual ventilatory threshold and mean breathing frequency. Based on the identified main factors influencing firefighting performance we recommend a periodic preventive health screening for incumbents to monitor peak VO2 and individual ventilatory threshold. PMID:28303944

  18. Mental health conditions, individual and job characteristics and sleep disturbances among firefighters.

    PubMed

    Vargas de Barros, Víviam; Martins, Leonardo Fernandes; Saitz, Richard; Bastos, Ronaldo Rocha; Ronzani, Telmo Mota

    2013-03-01

    This study aimed to assess the associations between mental health conditions, individual and job characteristics and sleep disturbances among firefighters. Of 303 participants, 51.2% reported sleep disturbances. Psychological distress and psychosomatic disturbances were significantly associated with sleep disturbances. Suicidal ideation, unhealthy alcohol use and time as a firefighter were also associated with sleep disturbances but at a borderline level of significance (0.05 < p < .085). These findings may be related to the psychological and physical hazards of firefighting and indicate the importance of research on associated professions.

  19. Resilience as a mediator in emotional social support's relationship with occupational psychology health in firefighters.

    PubMed

    Bernabé, Miguel; Botia, José Manuel

    2016-08-01

    This study's objective is to examine the relationship between emotional demands and emotional social support at work, and the impact of resilience on health. A cross-sectional study of 156 firefighters was conducted. Descriptive analyses of the study's variables were performed, along with structural equation analysis and hierarchical regression analysis. The results suggest statistically significant relationships among the study's variables. Social support from one's boss and intense emotional demands were found to have an interaction effect on firefighters' resilience. The findings confirm the mediating role of resilience and the relationship with emotional social support from the boss on firefighters' occupational health. © The Author(s) 2015.

  20. Measured pulmonary and systemic markers of inflammation and oxidative stress following wildland firefighter simulations

    PubMed Central

    Ferguson, Matthew D.; Semmens, Erin O.; Dumke, Charles; Quindry, John C.; Ward, Tony J.

    2016-01-01

    Objective A controlled human exposure study was conducted to investigate the impact of inhalational exposures to wood smoke PM2.5 on measured concentrations of airway and systemic inflammatory biomarkers. Methods Mimicking wildland firefighter activities, 10 participants were exposed to three doses of wood smoke PM2.5 (filtered-air, 250 µg/m3, and 500 µg/m3) while exercising on a treadmill. Exhaled breath condensate (EBC) and blood plasma samples were obtained pre-, immediately post-, and 1-hour post-exposure. 8-isoprostane, pH, and myeloperoxidase were measured in EBC while H2O2, surfactant protein D, and pentraxin-3 (PTX3) were measured in both EBC and plasma. Results Only pH, 8-isoprostane, and PTX3 displayed significant changes when comparing pre- and post- exposures. Conclusions Markers of inflammation and oxidative stress, including PTX3, pH, and 8-isoprostane in EBC and/or plasma, are sensitive to wood smoke inhalation, with further investigations warranted. PMID:27058482

  1. Measured Pulmonary and Systemic Markers of Inflammation and Oxidative Stress Following Wildland Firefighter Simulations.

    PubMed

    Ferguson, Matthew D; Semmens, Erin O; Dumke, Charles; Quindry, John C; Ward, Tony J

    2016-04-01

    A controlled human exposure study was conducted to investigate the impact of inhalational exposures to wood smoke PM2.5 on measured concentrations of airway and systemic inflammatory biomarkers. Mimicking wildland firefighter activities, 10 participants were exposed to three doses of wood smoke PM2.5 (filtered-air, 250 μg/m, and 500 μg/m) while exercising on a treadmill. Exhaled breath condensate (EBC) and blood plasma samples were obtained pre-, immediately post-, and 1-hour postexposure. 8-isoprostane, pH, and myeloperoxidase were measured in EBC, while H2O2, surfactant protein D, and pentraxin-3 (PTX3) were measured in both EBC and plasma. Only pH, 8-isoprostane, and PTX3 displayed significant changes when comparing pre- and postexposures. Markers of inflammation and oxidative stress, including PTX3, pH, and 8-isoprostane in EBC and/or plasma, are sensitive to wood smoke inhalation, with further investigations warranted.

  2. The impact of sleep restriction while performing simulated physical firefighting work on cortisol and heart rate responses.

    PubMed

    Wolkow, Alexander; Aisbett, Brad; Reynolds, John; Ferguson, Sally A; Main, Luana C

    2016-04-01

    Physical work and sleep restriction are two stressors faced by firefighters, yet the combined impact these demands have on firefighters' acute stress responses is poorly understood. The purpose of the present study was to assess the effect firefighting work and sleep restriction have on firefighters' acute cortisol and heart rate (HR) responses during a simulated 3-day and 2-night fire-ground deployment. Firefighters completed multiple days of simulated physical work separated by either an 8-h (control condition; n = 18) or 4-h sleep opportunity (sleep restriction condition; n = 17). Salivary cortisol was sampled every 2 h, and HR was measured continuously each day. On day 2 and day 3 of the deployment, the sleep restriction condition exhibited a significantly higher daily area under the curve cortisol level and an elevated cortisol profile in the afternoon and evening when compared with the control condition. Firefighters' HR decreased across the simulation, but there were no significant differences found between conditions. Findings highlight the protective role an 8-h sleep opportunity between shifts of firefighting work has on preserving normal cortisol levels when compared to a 4-h sleep opportunity which resulted in elevated afternoon and evening cortisol. Given the adverse health outcomes associated with chronically high cortisol, especially later in the day, future research should examine how prolonged exposure to firefighting work (including restricted sleep) affects firefighters' cortisol levels long term. Furthermore, monitoring cortisol levels post-deployment will determine the minimum recovery time firefighters need to safely return to the fire-ground.

  3. Cerebrospinal Fluid Biomarkers in Highly Exposed PM2.5 Urbanites: The Risk of Alzheimer's and Parkinson's Diseases in Young Mexico City Residents.

    PubMed

    Calderón-Garcidueñas, Lilian; Avila-Ramírez, José; Calderón-Garcidueñas, Ana; González-Heredia, Tonatiuh; Acuña-Ayala, Hilda; Chao, Chih-Kai; Thompson, Charles; Ruiz-Ramos, Rubén; Cortés-González, Victor; Martínez-Martínez, Luz; García-Pérez, Mario Alberto; Reis, Jacques; Mukherjee, Partha S; Torres-Jardón, Ricardo; Lachmann, Ingolf

    2016-09-06

    Exposure to fine particulate matter (PM2.5) and ozone (O3) above US EPA standards is associated with Alzheimer's disease (AD) risk, while Mn toxicity induces parkinsonism. Mexico City Metropolitan Area (MCMA) children have pre- and postnatal sustained and high exposures to PM2.5, O3, polycyclic aromatic hydrocarbons, and metals. Young MCMA residents exhibit frontal tau hyperphosphorylation and amyloid-β (Aβ)1 - 42 diffuse plaques, and aggregated and hyperphosphorylated α-synuclein in olfactory nerves and key brainstem nuclei. We measured total prion protein (TPrP), total tau (T-tau), tau phosphorylated at threonine 181 (P-Tau), Aβ1-42, α-synuclein (t-α-syn and d-α-synuclein), BDNF, insulin, leptin, and/or inflammatory mediators, in 129 normal CSF samples from MCMA and clean air controls. Aβ1-42 and BDNF concentrations were significantly lower in MCMA children versus controls (p = 0.005 and 0.02, respectively). TPrP increased with cumulative PM2.5 up to 5 μg/m3 and then decreased, regardless of cumulative value or age (R2 = 0.56). TPrP strongly correlated with T-Tau and P-Tau, while d-α-synuclein showed a significant correlation with TNFα, IL10, and IL6 in MCMA children. Total synuclein showed an increment in childhood years related to cumulated PM2.5, followed by a decrease after age 12 years (R2 = 0.47), while d-α-synuclein exhibited a tendency to increase with cumulated PM2.5 (R2 = 0.30). CSF Aβ1-42, BDNF, α-synuclein, and TPrP changes are evolving in young MCMA urbanites historically showing underperformance in cognitive processes, odor identification deficits, downregulation of frontal cellular PrP, and neuropathological AD and PD hallmarks. Neuroprotection of young MCMA residents ought to be a public health priority.

  4. Analysis of Firetruck Crashes and Associated Firefighter Injuries in the United States

    PubMed Central

    Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C.

    2012-01-01

    Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes. PMID:23169118

  5. Monitoring of firefighters exposure to smoke during fire experiments in Portugal.

    PubMed

    Miranda, Ana Isabel; Martins, Vera; Cascão, Pedro; Amorim, Jorge Humberto; Valente, Joana; Tavares, Richard; Borrego, Carlos; Tchepel, Oxana; Ferreira, António Jorge; Cordeiro, Carlos Robalo; Viegas, Domingos Xavier; Ribeiro, Luís Mário; Pita, Luís Paulo

    2010-10-01

    Forest fires represent a serious threat to public security in Europe due to the large burned area. Moreover, smoke pollution due to forest fire events is an important public health issue for the communities directly affected, and particularly for the personnel involved in firefighting operations. Aiming to contribute to the scientific knowledge concerning firefighters exposure to forest fires smoke, data of individual exposure to carbon monoxide, nitrogen dioxide, volatile organic compounds, and particulate matter were obtained during experimental field fires for a group of 10 firefighters equipped with portable "in continuum" measuring devices. Measured values are very high exceeding the Occupational Exposure Standard limits, in particular for peak limit thresholds. These are the first measurements and analysis of firefighter's individual exposure to toxic gases and particles in fire smoke experiments in Europe. However, they already indicate that urgent measures to avoid these levels of exposure are needed.

  6. Fire and Ice - Safety, Comfort, and Getting the Firefighters' Job Done

    NASA Technical Reports Server (NTRS)

    Foley, Tico; Butzer, Melissa

    1999-01-01

    Daily life for firefighters consists of working with life-threatening hazards in hostile environments. A major hazard is excessive ambient heat. New hazards have arisen from protective gear that was intended to increase survival time of firefighters while finding and rescuing victims. The insulation is so good now that a firefighter's metabolic heat buildup cannot escape. This forces body core temperatures to life threatening levels in about 20 minutes of moderate activity. Using NASA space suit technology, Oceaneering Space Systems developed a liquid cooling garment prototype that will remove up to 250 watts of metabolic heat. After testing and certification as an approved accessory for firefighter use, this garment will be available for use by any individual encapsulated in protective clothing. This demonstration will present a high surface area circulated liquid cooling garment displayed on a mannequin and available for attendees to try on to experience the effects of active cooling.

  7. Analysis of firetruck crashes and associated firefighter injuries in the United States.

    PubMed

    Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C

    2012-01-01

    Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes.

  8. Correlates of team effectiveness: An exploratory study of firefighter's operations during emergency situations.

    PubMed

    Jouanne, Elise; Charron, Camilo; Chauvin, Christine; Morel, Gaël

    2017-05-01

    This paper examines elements contributing to the effectiveness of firefighting teams carrying out typical tasks. Fourteen firefighter crews were filmed during nineteen real operations and answered questionnaires relating to psychosocial dimensions. Results have shown that "enriched closed-loops" of communication, positive emotional interactions and a "gamma" type of adaptation are positively related to team effectiveness. Conversely, open and incomplete loops of communication, negative emotional interactions, "beta" and "alpha" types of adaptation are negatively related to team effectiveness. Furthermore, there is a mediated link between organisational trust and motivation on the one hand and team effectiveness on the other. These findings highlight the necessity to consider both cognitive and psychosocial variables to account for team effectiveness in the firefighting profession. They also emphasize the need to expand firefighter training to the "non-technical" aspects of the competence.

  9. Posttraumatic Symptoms and Posttraumatic Growth of Israeli Firefighters, at One Month following the Carmel Fire Disaster

    PubMed Central

    Leykin, Dmitry; Lahad, Mooli; Bonneh, Nira

    2013-01-01

    Wildfire disasters are potentially traumatic events which directly and indirectly affect both citizens and first responders. The study of posttraumatic growth is scarcely found in the context of firefighters and only few studies have addressed this construct. In the current study, posttraumatic symptoms and posttraumatic growth were investigated among Israeli firefighters (N = 65), approximately one month after the Carmel Fire Disaster. Eight firefighters (12.3%) were found to be above the cut-off score for probable PTSD, with intrusion symptoms as the most frequent finding compared to avoidance and hyper-arousal symptoms. Posttraumatic growth (PTG) was evident to a small but considerable degree; noticeable changes were found regarding personal strength and appreciation of life. Results also revealed significant linear and quadratic relationships between PTSD and PTG. Results are discussed in light of past research on psychological responses among firefighters and first responders. PMID:24286064

  10. US Coast Guard lightweight fire-fighting module

    NASA Technical Reports Server (NTRS)

    1980-01-01

    The U.S. Coast Guard Fire-fighting Module developed for the purpose of fighting fires in harbors and on ships is described. The module can be lifted by a dockside crane or helicopter and placed on the deck of a patrol boat or cutter for transportation to the scene of the fire. At the fire the module can be set up and put in operation by a crew of two in approximately fifteen minutes. Once in operation the module will deliver water to two fire nozzles at a pressure of 150 psi and a flow rate of 2000 gpm. Sufficient fuel is carried in the module for three hours of continuous operation. A record of the development of the fire fighting module is also presented.

  11. Climate change and wildland firefighter health and safety.

    PubMed

    Withen, Patrick

    2015-02-01

    The author examines how climate change is impacting wildland firefighters. Climate change has made wildland fires more frequent and more intense. The increase in frequency and intensity of fires has pushed the number of fatalities and injuries higher in recent decades. The most common hazards on fires follow the trend of fire in general in that these hazards become more frequent and intense. Burnovers, heat exhaustion, tree hazards, and many other common fire hazards are more likely. The fire suppression agencies are making every effort to improve health and safety on fires by improving communication, weather forecasting, mapping, fire shelters, decision making and more. Despite these efforts, wildfires are becoming ever more hazardous because of climate change and the increasing frequency and intensity of wildfires.

  12. Evaluation of two cooling systems under a firefighter coverall.

    PubMed

    Teunissen, Lennart P J; Wang, Li-Chu; Chou, Shih-Nung; Huang, Chin-Hsien; Jou, Gwo-Tsuen; Daanen, Hein A M

    2014-11-01

    Firemen often suffer from heat strain. This study investigated two chest cooling systems for use under a firefighting suit. In nine male subjects, a vest with water soaked cooling pads and a vest with water perfused tubes were compared to a control condition. Subjects performed 30 min walking and 10 min recovery in hot conditions, while physiological and perceptual parameters were measured. No differences were observed in heart rate and rectal temperature, but scapular skin temperature and fluid loss were lower using the perfused vest. Thermal sensation was cooler for the perfused vest than for the other conditions, while the cool pad vest felt initially cooler than control. However, comfort and RPE scores were similar. We conclude that the cooling effect of both tested systems, mainly providing a (temporally) cooler thermal sensation, was limited and did not meet the expectations. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  13. Firefighter's compressed air breathing system pressure vessel development program

    NASA Technical Reports Server (NTRS)

    Beck, E. J.

    1974-01-01

    The research to design, fabricate, test, and deliver a pressure vessel for the main component in an improved high-performance firefighter's breathing system is reported. The principal physical and performance characteristics of the vessel which were required are: (1) maximum weight of 9.0 lb; (2) maximum operating pressure of 4500 psig (charge pressure of 4000 psig); (3) minimum contained volume of 280 in. 3; (4) proof pressure of 6750 psig; (5) minimum burst pressure of 9000 psig following operational and service life; and (6) a minimum service life of 15 years. The vessel developed to fulfill the requirements described was completely sucessful, i.e., every category of performence was satisfied. The average weight of the vessel was found to be about 8.3 lb, well below the 9.0 lb specification requirement.

  14. Effect of firefighter masks on monocular and binocular peripheral vision.

    PubMed

    Samo, Daniel G; Bahk, Jane K; Gerkin, Richard D

    2003-04-01

    Peripheral vision can impact essential job functions of firefighters and other workers who use Self-Contained Breathing Apparatus and other full face masks. It is important for physicians to know how these masks alter peripheral vision. Also, one must understand the effect of monocular vision on peripheral vision. Using the Goldman Perimeter Machine we measured peripheral vision in the monocular and binocular state, with and without two different types of masks. The results show that monocularity causes an average loss of 23 degrees in the nasal meridian. The use of the masks did not affect this difference. Also, the masks caused an average loss of 28 degrees of peripheral vision in the inferior meridian. How these losses affect the ability of the users of the masks to perform their essential job functions still needs to be researched.

  15. Life-saving uncooled IR camera for use in firefighting applications

    NASA Astrophysics Data System (ADS)

    Bennett, Mel V.; Matthews, Iain

    1996-06-01

    A recent description by a firefighter on the experience of entering a building that is on fire was to liken it to being blindfolded, then being lead to a maze and told there is a victim at the center which you have to recover. In simple terms, firefighters are totally blind and what they need are 'eyes' that can see in the dark and through dense smoke. The development of lightweight thermal cameras using uncooled IR staring arrays and a helmet mounted display has now given the firefighter the 'eyes' in such situations which means less time to achieve a rescue and enhanced personal safety for the firefighter. This paper gives details on the development of the uncooled array camera and how it's been configured to withstand the extreme temperature conditions encountered during a firefighting environment. Also, how the camera and display system have been designed to provide the firefighter with a helmet mounted configuration to enable total 'hands free' operation. This is followed by a description of the special tests required to prove that the complete system can survive in a fire environment and finally a short video which demonstrates how the system performs in real life situations.

  16. Selected physiological and psychological responses to live-fire drills in different configurations of firefighting gear.

    PubMed

    Smith, D L; Petruzzello, S J

    1998-08-01

    The purpose of this study was to examine selected physiological and psychological responses to strenuous live-fire drills in different configurations of protective firefighting gear. Career firefighters (n = 10) performed three sets of firefighting drills in a training structure that contained live fires in two different configurations of firefighting gear. On separate days subjects wore: (a) the NFPA 1500 (1987) standard configuration, and (b) a hip-boot configuration of the firefighting gear. Physiological and psychological measurements were recorded pre-activity and at the end of each trial. Repeated measures ANOVA revealed a strong trend for performance time to be greater in the 1500 gear than in the hip-boot gear. There was a significant Time x Gear interaction for tympanic membrane temperature, with temperature being greater in the 1500 gear. Perceptions of effort and thermal sensations were also greater in the 1500 gear than in the hip-boot configuration of the gear. There was little difference in mean performance on cognitive function measures between the two gear configurations, but there was greater variability in performance in the 1500 gear. These data suggest that performing strenuous firefighting drills in the current NFPA 1500 standard configuration results in longer performance time, greater thermal strain, and greater perception of effort and thermal sensation.

  17. Thermal response to firefighting activities in residential structure fires: impact of job assignment and suppression tactic.

    PubMed

    Horn, Gavin P; Kesler, Richard M; Kerber, Steve; Fent, Kenneth W; Schroeder, Tad J; Scott, William S; Fehling, Patricia C; Fernhall, Bo; Smith, Denise L

    2017-07-31

    Firefighters' thermal burden is generally attributed to high heat loads from the fire and metabolic heat generation, which may vary between job assignments and suppression tactic employed. Utilising a full-sized residential structure, firefighters were deployed in six job assignments utilising two attack tactics (1. Water applied from the interior, or 2. Exterior water application before transitioning to the interior). Environmental temperatures decreased after water application, but more rapidly with transitional attack. Local ambient temperatures for inside operation firefighters were higher than other positions (average ~10-30 °C). Rapid elevations in skin temperature were found for all job assignments other than outside command. Neck skin temperatures for inside attack firefighters were ~0.5 °C lower when the transitional tactic was employed. Significantly higher core temperatures were measured for the outside ventilation and overhaul positions than the inside positions (~0.6-0.9 °C). Firefighters working at all fireground positions must be monitored and relieved based on intensity and duration. Practitioner Summary: Testing was done to characterise the thermal burden experienced by firefighters in different job assignments who responded to controlled residential fires (with typical furnishings) using two tactics. Ambient, skin and core temperatures varied based on job assignment and tactic employed, with rapid elevations in core temperature in many roles.

  18. Development of role-related minimum cardiorespiratory fitness standards for firefighters and commanders.

    PubMed

    Siddall, A G; Stevenson, R D M; Turner, P F J; Stokes, K A; Bilzon, J L J

    2016-10-01

    A minimum cardiorespiratory fitness standard was derived for firefighters following a metabolic demands analysis. Design and minimal acceptable performance of generic firefighting task simulations (i.e. hose running, casualty evacuation, stair climb, equipment carry, wild-land fire) were endorsed by a panel of operationally experienced experts. Sixty-two UK firefighters completed these tasks wearing a standard protective firefighting ensemble while being monitored for peak steady-state metabolic demand and cardiovascular strain. Four tasks, endorsed as valid operational simulations by ≥90% of participants (excluding wild-land fire; 84%), were deemed to be a sufficiently valid and reliable basis for a fitness standard. These tasks elicited an average peak steady-state metabolic cost of 38.1 ± 7.8 ml kg(-1) min(-1). It is estimated that healthy adults can sustain the total duration of these tasks (~16 min) at ≤90% maximum oxygen uptake and a cardiorespiratory fitness standard of ≥42.3 ml kg(-1) min(-1) would be required to sustain work. Practitioner Summary: A cardiorespiratory fitness standard for firefighters of ≥42.3 ml kg(-1) min(-1) was derived from monitoring minimum acceptable performance of essential tasks. This study supports the implementation of a routine assessment of this fitness standard for all UK operational firefighters, to ensure safe physical preparedness for occupational performance.

  19. Exploring Occupational and Behavioral Risk Factors for Obesity in Firefighters: A Theoretical Framework and Study Design

    PubMed Central

    Schnall, Peter; Dobson, Marnie; Israel, Leslie; Landsbergis, Paul; Galassetti, Pietro; Pontello, Andria; Kojaku, Stacey; Baker, Dean

    2011-01-01

    Firefighters and police officers have the third highest prevalence of obesity among 41 male occupational groups in the United States (US). However, few studies have examined the relationship of firefighter working conditions and health behaviors with obesity. This paper presents a theoretical framework describing the relationship between working conditions, health behaviors, and obesity in firefighters. In addition, the paper describes a detailed study plan for exploring the role of occupational and behavioral risk factors in the development of obesity in firefighters enrolled in the Orange County Fire Authority Wellness Fitness Program. The study plan will be described with emphasis on its methodological merits: adopting a participatory action research approach, developing a firefighter-specific work and health questionnaire, conducting both a cross-sectional epidemiological study using the questionnaire and a sub-study to assess the validity of the questionnaire with dietary intake and physical activity measures, and evaluating the strengths and weaknesses of the body mass index as an obesity measure in comparison to skinfold-based percent body fat. The study plan based on a theoretical framework can be an essential first step for establishing effective intervention programs for obesity among professional and voluntary firefighters. PMID:22953214

  20. Glycogen levels in wildland firefighters during wildfire suppression.

    PubMed

    Cuddy, John S; Slivka, Dustin R; Tucker, Tyler J; Hailes, Walter S; Ruby, Brent C

    2011-03-01

    The purpose of this project was to determine the effects of wildfire suppression on muscle glycogen utilization in wildland firefighters (WLFFs). Wildland firefighters (n = 11) participated in the study. Muscle biopsies were obtained from the vastus lateralis pre- and post-work shift. Activity patterns were measured using an Actical activity monitor positioned on the chest. Food was consumed ad libitum and recorded using a food log and interview. Differences were analyzed using paired samples t-tests and relationships were assessed using Pearson r correlation coefficients. A significance level of p < .05 was set. Body weight was similar pre- to post-work shift (85.9 ± 9.1 and 85.6 ± 8.8 kg, respectively). Muscle glycogen decreased from pre- to post-work shift, 101 ± 7 to 80 ± 5 mmol/kg wet wt, p < .05. Average activity counts were 175 ± 60 counts/min. Mean percent of time spent in each intensity category included: sedentary (74 ± 7%), light (21 ± 5%), and moderate/vigorous (5 ± 2%). There was a significant relationship between minutes completing vigorous activity and glycogen utilization (r = -.76, p < .05), and between minutes spent completing vigorous activity and pre-shift glycogen content (r = .79, p < .05). Kilocalorie intake during the work shift was 9.2 ± 2.9 MJ/d (2195 ± 699 kcal/d). This study demonstrates the variety of self-selected nutritional and activity habits of WLFFs, and emphasizes the relationships between moderate/vigorous activity and muscle glycogen. The current data suggest that the food provided was adequate to maintain muscle glycogen levels pre- to post-work shift. Copyright © 2011 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  1. Core temperature monitoring of firefighters during hazardous materials training sessions.

    PubMed

    Menze, R; McMullen, M J; White, L J; Dougherty, J M

    1996-01-01

    To determine core temperature (Tc) elevations in hazardous materials (HazMat) technicians wearing level-A fully encapsulated, chemically resistive suits (FECRSs) during training scenarios. Cross-sectional, observational feasibility study with Institutional Review Board approval. HazMat training scenarios held during the summer of 1994. Weather conditions included both rainy and sunny days, with a mean ambient temperature of 75.8 degrees F (24.3 degrees C) (range 69-83 degrees F [20.6-28.3 degrees C). Nine male firefighters participating in training scenarios in the Midwestern United States. Each volunteer swallowed a capsule containing a Tc sensor developed by the National Aeronautics and Space Administration. The capsule continuously monitored Tc and stored data in an ambulatory recorder worn under the level-A FECRS during training. Mean age of the volunteers was 34 years, mean weight was 92.6 kg, and average baseline Tc was 36.7 degrees C (97.1 degrees F) (range 35.3-38.2 degrees C [95.5-100 degrees F]). Time in the FECRS averaged 25.4 minutes (range 14-35 minutes). All subjects demonstrated increased Tc while in the suit; the mean Tc increase was 0.8 degree C (1.4 degrees F) (range 0.2-1.3 degrees C [0.4-2.3 degrees F]). The Tc continued to increase during wet decontamination procedures and after suit removal. Mean heat storage values (delta Tcx LBMx 3.47 kJ) were calculated, and found to be moderately elevated to 3.6 kJ/kg (range 2.1-4.6 kJ/kg). These observations support the validity and significance of implementing prophylactic measures for firefighters using protective clothing. Simple protective measures include enforced time limitations, hydration, and efforts to minimize heat buildup by avoiding both direct sunlight and unnecessary time encapsulated in the suit.

  2. Excretion of arsenic (As) in urine of children, 7-11 years, exposed to elevated levels of As in the city water supply in Hermosillo, Sonora, México.

    PubMed

    Wyatt, C J; Lopez Quiroga, V; Olivas Acosta, R T; Olivia Méndez, R

    1998-07-01

    Arsenic (As) is a common element in the environment with many industrial uses, but it also can be a contaminant in drinking water and present serious health concerns. Earlier studies on the quality of drinking water in the city of Hermosillo, Sonora, México, showed high levels of As (> 0.05 ppm) in water from wells located in the northern part of the city. Additionally a high positive correlation between the levels of Fluoride (F) and As in the same wells was found. Therefore, the objective of this study was to determine the excretion of As in children, 7-11 years of age, that had been exposed to elevated levels of As in their drinking water. Twenty-four-hour urine samples and a water sample taken directly in the home were collected from school age children living in two different areas with known high levels of As in their drinking water. A control group with normal levels of As in their water was also included. As was determined by an atomic absorption-hydride generator, verified with the use of NBS certified standards (SRM 1643a and SRM 2670). None of the water samples exceeded the limit established for drinking water; however, there was a significant difference between the intake of As and the As in drinking water among the three areas of the study. Average As in water was 0.009 +/- 0.002 and 0.030 +/- 0.011 micrograms/ml between the control and high areas. Intake (in micrograms/day) was 15 +/- 3 and 54 +/- 18. In the group consuming water with high levels of As, 65% of the children exceeded the recommended dose of < 1 micrograms/kg/day (EPA, 1988). Several children in this study also had high levels of As in their urine. Even though As levels in the drinking water are within the norms, it appears that children exposed to high levels of As in their drinking water may have a health risk.

  3. Comparison of coronary calcium in firefighters with abnormal stress test findings and in asymptomatic nonfirefighters with abnormal stress test findings.

    PubMed

    Pillutla, Priya; Li, Dong; Ahmadi, Naser; Budoff, Matthew J

    2012-02-15

    Firefighters are known to have an elevated rate of sudden cardiac death compared to the general population. It is unclear whether this finding is related to underlying cardiovascular risk factors or whether firefighting inherently carries additional risk. Our objective was to determine whether Los Angeles county firefighters have higher coronary artery calcium (CAC) scores and increased atherosclerosis as determined using 64-slice cardiac, multidetector computed tomography. A total of 647 asymptomatic firefighters evaluated as a part of a wellness protocol were referred for cardiac multidetector computed tomography to evaluate abnormal exercise treadmill test findings. They were matched by age and cardiovascular risk factors, with 2,533 asymptomatic subjects undergoing cardiac computed tomography because of abnormal electrocardiographic or exercise treadmill test findings. CAC and the prevalence of obstructive coronary artery disease by vessel were derived. Finally, the predictors of CAC were analyzed using regression analysis. Of the firefighters, 49% had detectable CAC compared to 43% of controls (p = 0.015). Although the lesions were most prevalent in the left anterior descending artery in both groups, more firefighters had any left anterior descending artery stenosis compared to the controls (p <0.0001). The firefighters also had more left main coronary artery lesions than did the controls (p <0.0001). The firefighters had significantly greater CAC scores than did with the controls (p <0.001). Furthermore, the firefighters had significantly greater mean CAC scores (66 ± 8 in firefighters vs 33 ± 4 for controls, p <0.001). Firefighter status was independently associated with a 41-point increase in the CAC score (p <0.001). In conclusion, asymptomatic firefighters had more atherosclerosis and CAC than the matched controls. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Nationwide firefighter survey: the prevalence of lower back pain and its related psychological factors among Korean firefighters.

    PubMed

    Kim, Min Gi; Seo, Ju-Il; Kim, KyooSang; Ahn, Yeon-Soon

    2016-09-02

    The main objective of this study was to assess the prevalence of lower back pain (LBP) and clarify the effect of work-related psychological factors on LBP. Nationwide survey data collected from male Korean firefighters (FIFS) were used. To identify the risk factors (work-related psychological factors such as job stress and depression) affecting LBP, the χ(2) test and multivariate logistic regression analyses were conducted. The prevalence of LBP was 19.3% and was highest in the emergency medical service (31.8%) part of FF job types. Within job stress, an uncomfortable physical environment, high mental job demand and organizational injustice were associated with LBP. However, inadequate social support inversely associated with LBP. Depression and high-risk alcohol drinking were related to LBP. LBP was closely related to job stress, depression and alcohol intake. Proper interventions of psychological factors should therefore be addressed to control LBP in FIFS.

  5. High work output combined with high ambient temperatures caused heat exhaustion in a wildland firefighter despite high fluid intake.

    PubMed

    Cuddy, John S; Ruby, Brent C

    2011-06-01

    The purpose of this case study is to examine the physiological/behavioral factors leading up to heat exhaustion in a male wildland firefighter during wildland fire suppression. The participant (24 years old, 173 cm, 70 kg, and 3 years firefighting experience) experienced heat exhaustion following 7 hours of high ambient temperatures and arduous work on the fire line during the month of August. At the time of the heat-related incident (HRI), core temperature was 40.1 °C (104.2 °F) and skin temperature was 34.4 °C (93.9 °F). His work output averaged 1067 counts·min(-1) (arbitrary units for measuring activity) for the 7 hours prior to the HRI, a very high rate of work over an extended time period during wildfire suppression. In the 2.5 hours leading up to the heat incident, he was exposed to a mean ambient temperature of 44.6 °C (112.3 °F), with a maximum temperature of 59.7 °C (139.5 °F). He consumed an average of 840 mL·h(-1) in the 7 hours leading up to the incident and took an average of 24 ± 11 drinks·h(-1) (total of 170 drinks). The combined effects of a high work rate and high ambient temperatures resulted in an elevated core temperature and a higher volume and frequency of drinking than typically seen in this population, ultimately ending in heat exhaustion and removal from the fire line. The data demonstrate that heat-related incidents can occur even with aggressive fluid intake during wildland fire suppression.

  6. Creation of a retrospective job-exposure matrix using surrogate measures of exposure for a cohort of US career firefighters from San Francisco, Chicago and Philadelphia.

    PubMed

    Dahm, Matthew M; Bertke, Stephen; Allee, Steve; Daniels, Robert D

    2015-09-01

    To construct a cohort-specific job-exposure matrix (JEM) using surrogate metrics of exposure for a cancer study on career firefighters from the Chicago, Philadelphia and San Francisco Fire Departments. Departmental work history records, along with data on historical annual fire-runs and hours, were collected from 1950 to 2009 and coded into separate databases. These data were used to create a JEM based on standardised job titles and fire apparatus assignments using several surrogate exposure metrics to estimate firefighters' exposure to the combustion byproducts of fire. The metrics included duration of exposure (cumulative time with a standardised exposed job title and assignment), fire-runs (cumulative events of potential fire exposure) and time at fire (cumulative hours of potential fire exposure). The JEM consisted of 2298 unique job titles alongside 16,174 fire apparatus assignments from the three departments, which were collapsed into 15 standardised job titles and 15 standardised job assignments. Correlations were found between fire-runs and time at fires (Pearson coefficient=0.92), duration of exposure and time at fires (Pearson coefficient=0.85), and duration of exposure and fire-runs (Pearson coefficient=0.82). Total misclassification rates were found to be between 16-30% when using duration of employment as an exposure surrogate, which has been traditionally used in most epidemiological studies, compared with using the duration of exposure surrogate metric. The constructed JEM successfully differentiated firefighters based on gradient levels of potential exposure to the combustion byproducts of fire using multiple surrogate exposure metrics. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Spirometry and impulse oscillometry (IOS) for detection of respiratory abnormalities in metropolitan firefighters.

    PubMed

    Schermer, Tjard; Malbon, Winifred; Newbury, Wendy; Holton, Christine; Smith, Michael; Morgan, Michael; Crockett, Alan

    2010-08-01

    As firefighters are at increased risk of adverse health effects, periodic examination of their respiratory health is important. The objective of this study was to establish whether the use of impulse oscillometry (IOS) reveals respiratory abnormalities in metropolitan firefighters that go undetected during routine respiratory health screening by spirometry and assessment of respiratory symptoms. This was a cross-sectional analysis of spirometry, IOS and questionnaire data from 488 male firefighters. Abnormal spirometry was defined as FEV(1), FEV(1)/FVC and/or FEF(50) below the lower limit of normal. Abnormal IOS was defined as resistance at 5 Hz (R5), frequency dependence of resistance (DeltaR5-R20) and/or reactance area (AX) above the upper limit of normal. Respiratory symptoms, smoking history, exposures and medical history were assessed. Data were analysed using logistic and linear regression models. The mean age of the firefighters was 43.8 (SD 8.4) years. There were 123 (25%) former smokers and 50 (10%) current smokers. Abnormal spirometry was detected in 12%, abnormal IOS in 9% and respiratory symptoms in 20% of firefighters. Current smoking was associated with all IOS parameters (OR for R5 = 3.1, OR for DeltaR5-R20 = 7.7, OR for AX = 4.3), and with FEF(50) (OR = 9.1), chronic productive cough (OR = 4.0) and breathlessness (OR = 5.4) (P < 0.05 for all). Exposure during firefighting duties was associated with chronic productive cough (OR = 2.6), but not with spirometry or IOS parameters. Interaction terms in the linear regression models indicated associations between smoking and DeltaR5-R20, and also between smoking and AX, in the lowest and second lowest quartiles of spirometry parameters. Application of IOS for the assessment of respiratory health in firefighters identified airways dysfunction in some individuals, even when spirometry values were within the normal range and there were no respiratory symptoms.

  8. Undulation training for development of hierarchical fitness and improved firefighter job performance.

    PubMed

    Peterson, Mark D; Dodd, Daniel J; Alvar, Brent A; Rhea, Matthew R; Favre, Mike

    2008-09-01

    Firefighters routinely encounter physical demands that contribute to countless musculoskeletal injuries. Seemingly, a progressive prescription for fitness would offer superior protection against intrinsic job risks. The purpose of this study was to investigate the influence of two resistance training interventions on fitness adaptations among firefighters, and to assess the degree of transfer to job-specific tasks. Firefighter trainees were recruited for participation in this experimental study. Two distinct, periodized training models-undulation training (UT; n = 7) and standard training control (STCo; n = 7)-were used to determine the differential affects for muscular fitness and transference to firefighter performance batteries. Specific tests were administered to evaluate 1) upper- and lower-body muscular strength, 2) lower-body power output, 3) sprint speed and jumping ability, 4) anthropometry, and 5) firefighter Grinder performance (i.e., firefighter-specific job tests). The 9-week UT experimental treatment prescription was characterized by daily "nonlinear" fluctuations in training to preferentially elicit specific and distinct muscular fitness components, whereas the STCo treatment conformed to a traditional model, in which each fitness component was systematically targeted during a specified mesocycle. For both treatments, nearly all fitness and performance measures significantly increased from baseline (p < 0.05), with a trend in favor of UT. Further, the UT group experienced significantly greater improvements (p < 0.05) in Grinder performance over the STCo group. Calculation of effect sizes identified meaningful differences in the magnitude of changes in outcomes (effect size > 0.50) in favor of UT for measures of thigh circumference, vertical jump, 1RM squat, Grinder performance, and peak power output. These findings suggest a potentially greater stimulus for multidimensional muscular fitness development with UT, over a periodized STCo. This study

  9. Wood smoke exposure induces a pulmonary and systemic inflammatory response in firefighters.

    PubMed

    Swiston, J R; Davidson, W; Attridge, S; Li, G T; Brauer, M; van Eeden, S F

    2008-07-01

    Epidemiological studies report an association between exposure to biomass smoke and cardiopulmonary morbidity. The mechanisms for this association are unclear. The aim of the present study was to characterise the acute pulmonary and systemic inflammatory effects of exposure to forest fire smoke. Seasonal forest firefighters (n = 52) were recruited before and/or after a day of fire-fighting. Exposure was assessed by questionnaires and measurement of carbon monoxide levels (used to estimate respirable particulate matter exposure). The pulmonary response was assessed by questionnaires, spirometry and sputum induction. Peripheral blood cell counts and inflammatory cytokines were measured to define the systemic response. Estimated respirable particulate matter exposure was high (peak levels >2 mg x m(-3)) during fire-fighting activities. Respiratory symptoms were reported by 65% of the firefighters. The percentage sputum granulocytes increased significantly from 6.5 to 10.9% following fire-fighting shifts, with concurrent increases in circulating white blood cells (5.55x10(9) to 7.06x10(9) cells x L(-1)) and band cells (0.11x10(9) to 0.16x10(9) cells x L(-1)). Serum interleukin (IL)-6, IL-8 and monocyte chemotactic protein-1 levels significantly increased following fire-fighting. There were no changes in band cells, IL-6, and IL-8 following strenuous physical exertion without fire-fighting. There was a significant association between changes in sputum macrophages containing phagocytosed particles and circulating band cells. In conclusion, acute exposure to air pollution from forest fire smoke elicits inflammation within the lungs, as well as a systemic inflammatory response.

  10. Association Between Leisure Time Physical Activity, Cardiopulmonary Fitness, Cardiovascular Risk Factors, and Cardiovascular Workload at Work in Firefighters

    PubMed Central

    Yu, Clare C.W.; Au, Chun T.; Lee, Frank Y.F.; So, Raymond C.H.; Wong, John P.S.; Mak, Gary Y.K.; Chien, Eric P.; McManus, Alison M.

    2015-01-01

    Background Overweight, obesity, and cardiovascular disease risk factors are prevalent among firefighters in some developed countries. It is unclear whether physical activity and cardiopulmonary fitness reduce cardiovascular disease risk and the cardiovascular workload at work in firefighters. The present study investigated the relationship between leisure-time physical activity, cardiopulmonary fitness, cardiovascular disease risk factors, and cardiovascular workload at work in firefighters in Hong Kong. Methods Male firefighters (n = 387) were randomly selected from serving firefighters in Hong Kong (n = 5,370) for the assessment of cardiovascular disease risk factors (obesity, hypertension, diabetes mellitus, dyslipidemia, smoking, known cardiovascular diseases). One-third (Target Group) were randomly selected for the assessment of off-duty leisure-time physical activity using the short version of the International Physical Activity Questionnaire. Maximal oxygen uptake was assessed, as well as cardiovascular workload using heart rate monitoring for each firefighter for four “normal” 24-hour working shifts and during real-situation simulated scenarios. Results Overall, 33.9% of the firefighters had at least two cardiovascular disease risk factors. In the Target Group, firefighters who had higher leisure-time physical activity had a lower resting heart rate and a lower average working heart rate, and spent a smaller proportion of time working at a moderate-intensity cardiovascular workload. Firefighters who had moderate aerobic fitness and high leisure-time physical activity had a lower peak working heart rate during the mountain rescue scenario compared with firefighters who had low leisure-time physical activities. Conclusion Leisure-time physical activity conferred significant benefits during job tasks of moderate cardiovascular workload in firefighters in Hong Kong. PMID:26929827

  11. Mitigation and prevention of exertional heat stress in firefighters: a review of cooling strategies for structural firefighting and hazardous materials responders.

    PubMed

    McEntire, Serina J; Suyama, Joe; Hostler, David

    2013-01-01

    Most duties performed by firefighters require the use of personal protective equipment, which inhibits normal thermoregulation during exertion, creating an uncompensable heat stress. Structured rest periods are required to correct the effects of uncompensable heat stress and ensure that firefighter safety is maintained and that operations can be continued until their conclusion. While considerable work has been done to optimize firefighter cooling during fireground operations, there is little consensus on when or how cooling should be deployed. A systematic review of cooling techniques and practices among firefighters and hazardous materials operators was conducted to describe the state of the science and provide recommendations for deploying resources for fireground rehab (i.e., structured rest periods during an incident). Five electronic databases were searched using a selected combination of key words. One hundred forty publications were found in the initial search, with 27 meeting all the inclusion criteria. Two independent reviewers performed a qualitative assessment of each article based on nine specific questions. From the selected literature, the efficacy of multiple cooling strategies was compared during exertion and immediately following exertion under varying environmental conditions. When considering the literature available for cooling firefighters and hazardous materials technicians during emergency incident rehabilitation, widespread use of cooling devices does not appear to be warranted if ambient temperature and humidity approximate room temperature and protective garments can be removed. When emergency incident rehabilitation must be conducted in hot or humid conditions, active cooling devices are needed. Hand/forearm immersion is likely the best modality for cooling during rehab under hot, humid conditions; however, this therapy has a number of limitations. Cooling during work thus far has been limited primarily to cooling vests and liquid- or

  12. Injuries and illnesses among New York City Fire Department rescue workers after responding to the World Trade Center attacks.

    PubMed

    2002-09-11

    Within minutes of the terrorist attacks on September 11, 2001, the Fire Department of New York City (FDNY) operated a continuous rescue/recovery effort at the World Trade Center (WTC) site. Medical officers of FDNY Bureau of Health Services (FDNY-BHS) responded to provide emergency medical services (see box). The collapse of the WTC towers and several adjacent structures resulted in a vast, physically dangerous disaster zone. The height of the WTC towers produced extraordinary forces during their collapse, pulverizing considerable portions of the buildings' structural components and exposing first responders and civilians to substantial amounts of airborne particulate matter. Fires burned continuously under the debris until mid-December 2001. Because of ongoing fire activity and the large numbers of civilians and rescue workers who were killed during the attacks, approximately 11,000 FDNY firefighters and many emergency medical service (EMS) personnel worked on or directly adjacent to the rubble and incurred substantial exposures (Figure). This report describes morbidity and mortality in FDNY rescue workers during the 11-month period after the WTC attacks and documents a substantial increase in respiratory and stress-related illness compared with the time period before the WTC attacks. These findings demonstrate the need to provide acute and long-term medical monitoring, treatment, and counseling to FDNY rescue workers exposed to this disaster and to solve supply, compliance, and supervision problems so that respiratory protection can be rapidly provided at future disasters.

  13. Common Sleep Disorders Increase Risk of Motor Vehicle Crashes and Adverse Health Outcomes in Firefighters

    PubMed Central

    Barger, Laura K.; Rajaratnam, Shantha M.W.; Wang, Wei; O'Brien, Conor S.; Sullivan, Jason P.; Qadri, Salim; Lockley, Steven W.; Czeisler, Charles A.

    2015-01-01

    Study Objectives: Heart attacks and motor vehicle crashes are the leading causes of death in US firefighters. Given that sleep disorders are an independent risk factor for both of these, we examined the prevalence of common sleep disorders in a national sample of firefighters and their association with adverse health and safety outcomes. Methods: Firefighters (n = 6,933) from 66 US fire departments were assessed for common sleep disorders using validated screening tools, as available. Firefighters were also surveyed about health and safety, and documentation was collected for reported motor vehicle crashes. Results: A total of 37.2% of firefighters screened positive for any sleep disorder including obstructive sleep apnea (OSA), 28.4%; insomnia, 6.0%; shift work disorder, 9.1%; and restless legs syndrome, 3.4%. Compared with those who did not screen positive, firefighters who screened positive for a sleep disorder were more likely to report a motor vehicle crash (adjusted odds ratio 2.00, 95% CI 1.29–3.12, p = 0.0021) and were more likely to self-report falling asleep while driving (2.41, 2.06–2.82, p < 0.0001). Firefighters who screened positive for a sleep disorder were more likely to report having cardiovascular disease (2.37, 1.54–3.66, p < 0.0001), diabetes (1.91, 1.31–2.81, p = 0.0009), depression (3.10, 2.49–3.85, p < 0.0001), and anxiety (3.81, 2.87–5.05, p < 0.0001), and to report poorer health status (p < 0.0001) than those who did not screen positive. Adverse health and safety associations persisted when OSA and non-OSA sleep disorders were examined separately. Conclusions: Sleep disorders are prevalent in firefighters and are associated with increased risk of adverse health and safety outcomes. Future research is needed to assess the efficacy of occupational sleep disorders prevention, screening, and treatment programs in fire departments to reduce these safety and health risks. Citation: Barger LK, Rajaratnam SM, Wang W, O'Brien CS

  14. The Impact of Sleep Restriction and Simulated Physical Firefighting Work on Acute Inflammatory Stress Responses.

    PubMed

    Wolkow, Alexander; Ferguson, Sally A; Vincent, Grace E; Larsen, Brianna; Aisbett, Brad; Main, Luana C

    2015-01-01

    This study investigated the effect restricted sleep has on wildland firefighters' acute cytokine levels during 3 days and 2 nights of simulated physical wildfire suppression work. Firefighters completed multiple days of physical firefighting work separated by either an 8-h (Control condition; n = 18) or 4-h (Sleep restriction condition; n = 17) sleep opportunity each night. Blood samples were collected 4 times a day (i.e., 06:15, 11:30, 18:15, 21:30) from which plasma cytokine levels (IL-6, IL-8, IL-1β, TNF-α, IL-4, IL-10) were measured. The primary findings for cytokine levels revealed a fixed effect for condition that showed higher IL-8 levels among firefighters who received an 8-h sleep each night. An interaction effect demonstrated differing increases in IL-6 over successive days of work for the SR and CON conditions. Fixed effects for time indicated that IL-6 and IL-4 levels increased, while IL-1β, TNF-α and IL-8 levels decreased. There were no significant effects for IL-10 observed. Findings demonstrate increased IL-8 levels among firefighters who received an 8-h sleep when compared to those who had a restricted 4-h sleep. Firefighters' IL-6 levels increased in both conditions which may indicate that a 4-h sleep restriction duration and/or period (i.e., 2 nights) was not a significant enough stressor to affect this cytokine. Considering the immunomodulatory properties of IL-6 and IL-4 that inhibit pro-inflammatory cytokines, the rise in IL-6 and IL-4, independent of increases in IL-1β and TNF-α, could indicate a non-damaging response to the stress of simulated physical firefighting work. However, given the link between chronically elevated cytokine levels and several diseases, further research is needed to determine if firefighters' IL-8 and IL-6 levels are elevated following repeated firefighting deployments across a fire season and over multiple fire seasons.

  15. Association between resiliency and posttraumatic growth in firefighters: the role of stress appraisal

    PubMed Central

    Ogińska-Bulik, Nina; Kobylarczyk, Magdalena

    2016-01-01

    The purpose of this study was to establish the relation between resiliency and the level of positive changes, comprising posttraumatic growth in a group of firefighters experiencing job-related traumatic events and the mediating role of stress appraisal in this relation. The study was performed on a group of 100 firefighters from firefighting and rescue brigades, out of which 75 admitted to experiencing a traumatic event. Firefighters covered by the study were on average 31.51 years old (SD = 6.34). A Polish version of Posttraumatic Growth Inventory, the Resiliency Assessment Scale and Stress Appraisal Questionnaire were used in the study. The results have shown that 22.7% of firefighters displayed low, 58.6% average and 18.7% high intensity of positive changes resulting from a traumatic event. Resiliency poorly correlates with posttraumatic growth expressed in changes in self-perception, and strongly correlates with stress appraisal, negatively correlates with threat and harm/loss and positively correlates with challenge. Appraisal of stress as a threat and challenge appeared to be mediators of the relationship between resiliency and posttraumatic growth. PMID:26651530

  16. Association between resiliency and posttraumatic growth in firefighters: the role of stress appraisal.

    PubMed

    Ogińska-Bulik, Nina; Kobylarczyk, Magdalena

    2016-01-01

    The purpose of this study was to establish the relation between resiliency and the level of positive changes, comprising posttraumatic growth in a group of firefighters experiencing job-related traumatic events and the mediating role of stress appraisal in this relation. The study was performed on a group of 100 firefighters from firefighting and rescue brigades, out of which 75 admitted to experiencing a traumatic event. Firefighters covered by the study were on average 31.51 years old (SD = 6.34). A Polish version of Posttraumatic Growth Inventory, the Resiliency Assessment Scale and Stress Appraisal Questionnaire were used in the study. The results have shown that 22.7% of firefighters displayed low, 58.6% average and 18.7% high intensity of positive changes resulting from a traumatic event. Resiliency poorly correlates with posttraumatic growth expressed in changes in self-perception, and strongly correlates with stress appraisal, negatively correlates with threat and harm/loss and positively correlates with challenge. Appraisal of stress as a threat and challenge appeared to be mediators of the relationship between resiliency and posttraumatic growth.

  17. Repeat work bouts increase thermal strain for Australian firefighters working in the heat

    PubMed Central

    Walker, Anthony; Argus, Christos; Driller, Matthew; Rattray, Ben

    2015-01-01

    Background: Firefighters regularly re-enter fire scenes during long duration emergency events with limited rest between work bouts. It is unclear whether this practice is impacting on the safety of firefighters. Objectives:To evaluate the effects of multiple work bouts on firefighter physiology, strength, and cognitive performance when working in the heat. Methods: Seventy-seven urban firefighters completed two 20-minute simulated search and rescue tasks in a heat chamber (105 ± 5°C), separated by a 10-minute passive recovery. Core and skin temperature, rate of perceived exertion (RPE), thermal sensation (TS), grip strength, and cognitive changes between simulations were evaluated. Results: Significant increases in core temperature and perceptual responses along with declines in strength were observed following the second simulation. No differences for other measures were observed. Conclusions: A significant increase in thermal strain was observed when firefighters re-entered a hot working environment. We recommend that longer recovery periods or active cooling methods be employed prior to re-entry. PMID:25849044

  18. Exposures to environmental phenols in Southern California firefighters and findings of elevated urinary benzophenone-3 levels.

    PubMed

    Waldman, Jed M; Gavin, Qi; Anderson, Meredith; Hoover, Sara; Alvaran, Josephine; Ip, Ho Sai Simon; Fenster, Laura; Wu, Nerissa T; Krowech, Gail; Plummer, Laurel; Israel, Leslie; Das, Rupali; She, Jianwen

    2016-03-01

    Firefighters are at increased risk for exposure to toxic chemicals compared to the general population, but few studies of this occupational group have included biomonitoring. We measured selected phenolic chemicals in urine collected from 101 Southern California firefighters. The analytes included bisphenol A (BPA), triclosan, benzophenone-3 (BP-3), and parabens, which are common ingredients in a range of consumer products. BP-3, BPA, triclosan, and methyl paraben were detected in almost all study subjects (94-100%). The BP-3 geometric mean for firefighters was approximately five times higher than for a comparable National Health and Nutrition Examination Survey (NHANES) subgroup. Demographic and exposure data were collected from medical records and via a questionnaire, and covariates were examined to assess associations with BP-3 levels. BP-3 levels were elevated across all firefighter age groups, with the highest levels observed in the 35 to 39year old group. Body fat percentage had a significant inverse association with BP-3 concentrations. Our results indicate pervasive exposure to BP-3, BPA, triclosan, and methyl paraben in this population of firefighters, consistent with studies of other populations. Further research is needed to investigate possible explanations for the higher observed BP-3 levels, such as occupational or California-specific exposures.

  19. Urinary levoglucosan as a biomarker for woodsmoke exposure in wildland firefighters.

    PubMed

    Naeher, Luke P; Barr, Dana Boyd; Adetona, Olorunfemi; Simpson, Christopher D

    2013-01-01

    Levoglucosan, a sugar anhydride and a combustion breakdown product of cellulose is a dominant organic constituent of particles in woodsmoke. After exposure, levoglucosan is excreted unmetabolized in urine. Urinary levoglucosan was assessed as a biomarker of occupational woodsmoke exposure among wildland firefighters. Urine samples were collected from wildland firefighters before and after their work-shifts on days when they worked at prescribed burns. A total of 97 pairs of pre- and post-shift urine samples were collected from 19 firefighters over 10 prescribed burn shifts. The urine samples were analyzed to determine whether there was an increase in the concentration of levoglucosan from pre- to post-shift after the firefighters had worked at the prescribed burns. Overall, there was an increase in both the urinary volume-based and creatinine corrected levoglucosan concentrations from pre- to post-shift (P < 0.05). However, the direction of change in the concentrations was not consistent. There were increases in urinary levoglucosan concentration from pre- to post-shift in 63% of the person-day samples, and in only 58% of the person-day samples for the creatinine corrected concentrations. Although there was an overall increase in urinary concentrations of levoglucosan, results suggest that other sources apart from woodsmoke affected the urinary levels of this biomarker in wildland firefighters. Therefore, urinary levoglucosan may not be effective as a biomarker of woodsmoke exposure in this setting.

  20. Impact of Different Personal Protective Clothing on Wildland Firefighters' Physiological Strain

    PubMed Central

    Carballo-Leyenda, Belén; Villa, José G.; López-Satué, Jorge; Rodríguez-Marroyo, Jose A.

    2017-01-01

    Wildfire firefighting is an extremely demanding occupation performed under hot environment. The use of personal protective clothing (PPC) is needed to protect subjects from the thermal exposure. However, the additional use of PPC may increase the wildland firefighters' physiological strain, and consequently limit their performance. The aim of this study was to analyze the effect of four different PPC on the physiological strain of wildland firefighters under moderate conditions (30°C and 30% RH). Eight active and healthy wildland firefighters performed a submaximal walking test wearing a traditional short sports gear and 4 different PPC. The materials combination (viscose, Nomex, Kevlar, P-140 and fire resistant cotton) used during the PPC manufacturing process was different. During all tests, to simulate a real scenario subjects wore a backpack pump (20 kg). Heart rate, respiratory gas exchange, gastrointestinal temperature, blood lactate concentration, perceived exertion and temperature and humidity underneath the PPC were recorded throughout tests. Additionally, parameters of heat balance were estimated. Wearing a PPC did not cause a significant increase in the subjects' physiological response. The gastrointestinal temperature increment, the relative humidity of the microclimate underneath the PPC, the sweat residue in PPC, the sweat efficiency, the dry heat exchange and the total clothing insulation were significantly affected according to the PPC fabric composition. These results suggest that the PPC composition affect the moisture management. This might be taken into account to increase the wildland firefighters' protection in real situations, when they have to work close to the flames. PMID:28894421

  1. Response to thermal and physical strain during flashover training in Croatian firefighters.

    PubMed

    Ljubičić, Anita; Varnai, Veda M; Petrinec, Branko; Macan, Jelena

    2014-05-01

    Flashover training (FOT) for firefighters is a simulation of the flashover phenomenon under controlled conditions. This study assessed arterial blood pressure (BP) and its response to thermal and physical strain during FOT in 48 professional and 18 volunteer firefighters. A high prevalence of obesity (27%), basal hypertensive (53%) and prehypertensive (33%) BP values was found. FOT induced mild hyperthermia and physical strain (average increase of 1.1 °C in tympanic temperature and 61% of the maximal heart beat predicted for age). Compared to professional firefighters, FOT in the volunteers induced a higher increase in pulse (P = 0.050) and tympanic temperature (P = 0.025). Systolic BP did not vary significantly, and diastolic BP slightly decreased in both groups. Results confirm that FOT induced only physiological cardiovascular responses to thermal and physical strain in firefighters. High prevalence of obesity and elevated BP values indicate the need for better physical fitness and BP control among firefighters. Copyright © 2013 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  2. Fatigue risk management by volunteer fire-fighters: Use of informal strategies to augment formal policy.

    PubMed

    Dawson, Drew; Mayger, Katherine; Thomas, Matthew J W; Thompson, Kirrilly

    2015-11-01

    An increasing number and intensity of catastrophic fire events in Australia has led to increasing demands on a mainly volunteer fire-fighting workforce. Despite the increasing likelihood of fatigue in the emergency services environment, there is not yet a systematic, unified approach to fatigue management in fire agencies across Australia. Accordingly, the aim of this study was to identify informal strategies used in volunteer fire-fighting and examine how these strategies are transmitted across the workforce. Thirty experienced Australian volunteer fire-fighters were interviewed in August 2010. The study identified informal fatigue-management behaviours at the individual, team and brigade level that have evolved in fire-fighting environments and are regularly implemented. However, their purpose was not explicitly recognized as such. This apparent paradox - that fatigue proofing behaviours exist but that they are not openly understood as such - may well resolve a potential conflict between a culture of indefatigability in the emergency services sector and the frequent need to operate safely while fatigued. However, formal controls require fire-fighters and their organisations to acknowledge and accept their vulnerability. This suggests two important areas in which to improve formal fatigue risk management in the emergency services sector: (1) identifying and formalising tacit or informal fatigue coping strategies as legitimate elements of the fatigue risk management system; and (2) developing culturally appropriate techniques for systematically communicating fatigue levels to self and others.

  3. Repeat work bouts increase thermal strain for Australian firefighters working in the heat.

    PubMed

    Walker, Anthony; Argus, Christos; Driller, Matthew; Rattray, Ben

    2015-01-01

    Firefighters regularly re-enter fire scenes during long duration emergency events with limited rest between work bouts. It is unclear whether this practice is impacting on the safety of firefighters. To evaluate the effects of multiple work bouts on firefighter physiology, strength, and cognitive performance when working in the heat. Seventy-seven urban firefighters completed two 20-minute simulated search and rescue tasks in a heat chamber (105 ± 5°C), separated by a 10-minute passive recovery. Core and skin temperature, rate of perceived exertion (RPE), thermal sensation (TS), grip strength, and cognitive changes between simulations were evaluated. Significant increases in core temperature and perceptual responses along with declines in strength were observed following the second simulation. No differences for other measures were observed. A significant increase in thermal strain was observed when firefighters re-entered a hot working environment. We recommend that longer recovery periods or active cooling methods be employed prior to re-entry.

  4. Coronary calcium scanning independently detects coronary artery disease in asymptomatic firefighters: a prospective study.

    PubMed

    Santora, Lawrence J; Pillutla, Priya; Norris, Teresa; Santora, Rina; Brandt, Richard; Jenkins, Mark; Robinson, Mary; Santora, Nicole; Budoff, Matthew J

    2013-01-01

    Sudden cardiac death is the leading cause of death among firefighters in the United States. Fire departments commonly maintain physical examination protocols, often with exercise stress testing, to detect risk of coronary heart disease. We sought to determine whether coronary calcium detected by electron beam computed tomography (EBCT) adds incremental risk stratification beyond the traditional risk factors in asymptomatic community-based firefighters. Three hundred ninety nine asymptomatic firefighters underwent a coronary calcium scan on a GE/Imatron C-150 Ultrafast EBCT scanner, using standardized imaging protocols. Framingham risk factor data were obtained on each patient by using a questionnaire. Agatston scores were derived and compared with national database of Agatston scores for asymptomatic populations on the basis of age and sex, allowing determination of a calcium percentile for each score. Coronary calcium was found only in men >34 years of age. Of the 53% who had positive scans (Agatston score > 0), 87% had higher than average Agatston scores compared with a national database (P < 0.01). Agatston score above the 75th percentile was found in 57% of firefighters. No correlation was observed between traditional risk factors and those with and without coronary calcium. Firefighters have a high burden of calcified coronary atherosclerosis, greater than anticipated on the basis of age and coronary risk factors. Copyright © 2013 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

  5. Perceptual and physiological heat strain: examination in firefighters in laboratory- and field-based studies.

    PubMed

    Petruzzello, S J; Gapin, J I; Snook, E; Smith, D L

    2009-06-01

    Firefighting demands performing heavy muscular work under adverse and potentially dangerous conditions. Although the physiological and psychological responses to simulated firefighting activities have been described, the heat strain has not been characterised using standardised indices of exercise-heat strain. The purpose of the study is to describe the physiological and perceptual strain associated with working in personal protective equipment and performing simulated firefighting activities in a hot environment using recently developed strain indices (Physiological Strain Index (PhSI); Perceptual Strain Index (PeSI)). Data from two previously published studies (Smith et al. 1995, 2001) - one a laboratory-based study and one a field-based study - were re-analysed incorporating the strain indices. The laboratory study involved walking on a treadmill for 15 min while wearing three different clothing and equipment configurations. The field study involved three trials of standardised firefighting tasks in a live-fire training structure (mean trial length = 5.76 min). Heart rate, rectal temperature, thermal sensations and ratings of perceived exertion were collected in each study. PhSI and PeSI values were calculated using the formulae developed by Moran et al. (1998b) and Tikuisis et al. (2002), respectively. PhSI and PeSI increased significantly over time in both studies. Even relatively brief bouts of exercise while wearing heavy impermeable clothing or simulated firefighting activity in the heat results in moderate to high levels of heat strain as assessed by PhSI and PeSI.

  6. Worksite back and core exercise in firefighters: Effect on development of lumbar multifidus muscle size.

    PubMed

    Mayer, John M; Nuzzo, James L

    2015-01-01

    Firefighting is a dangerous occupation with a high incidence of low back pain and injury. Abnormal back muscle function and morphology has been linked to low back pain and poor physical performance. The effect of exercise training on back muscle size and symmetry has not been investigated in firefighters. The purpose of this study was to assess the effect of worksite exercise training for eliciting lumbar multifidus muscle hypertrophy in firefighters. A cluster randomized controlled trial was conducted with healthy, career firefighters (n=64) from a medium-sized fire department. Participants were randomized by fire station to exercise training (n=36) (supervised back and core exercise performed on duty, 2X/week, 24 weeks) or control (n=28). The cross-sectional area (CSA) of the L4 and L5 lumbar multifidus muscle was assessed with ultrasonography at baseline and following the intervention. At 24 weeks, no significant differences were noted between the groups in the adjusted (by baseline scores and body mass) L4 and L5 lumbar multifidus muscle CSA and asymmetry values. A worksite exercise training program targeting the back and core is not effective for eliciting hypertrophy of the lumbar multifidus muscle in healthy firefighters.

  7. Impact of Different Personal Protective Clothing on Wildland Firefighters' Physiological Strain.

    PubMed

    Carballo-Leyenda, Belén; Villa, José G; López-Satué, Jorge; Rodríguez-Marroyo, Jose A

    2017-01-01

    Wildfire firefighting is an extremely demanding occupation performed under hot environment. The use of personal protective clothing (PPC) is needed to protect subjects from the thermal exposure. However, the additional use of PPC may increase the wildland firefighters' physiological strain, and consequently limit their performance. The aim of this study was to analyze the effect of four different PPC on the physiological strain of wildland firefighters under moderate conditions (30°C and 30% RH). Eight active and healthy wildland firefighters performed a submaximal walking test wearing a traditional short sports gear and 4 different PPC. The materials combination (viscose, Nomex, Kevlar, P-140 and fire resistant cotton) used during the PPC manufacturing process was different. During all tests, to simulate a real scenario subjects wore a backpack pump (20 kg). Heart rate, respiratory gas exchange, gastrointestinal temperature, blood lactate concentration, perceived exertion and temperature and humidity underneath the PPC were recorded throughout tests. Additionally, parameters of heat balance were estimated. Wearing a PPC did not cause a significant increase in the subjects' physiological response. The gastrointestinal temperature increment, the relative humidity of the microclimate underneath the PPC, the sweat residue in PPC, the sweat efficiency, the dry heat exchange and the total clothing insulation were significantly affected according to the PPC fabric composition. These results suggest that the PPC composition affect the moisture management. This might be taken into account to increase the wildland firefighters' protection in real situations, when they have to work close to the flames.

  8. Age-Related Decline in Cardiorespiratory Fitness among Career Firefighters: Modification by Physical Activity and Adiposity.

    PubMed

    Baur, Dorothee M; Christophi, Costas A; Cook, E Francis; Kales, Stefanos N

    2012-01-01

    Firefighting is a very hazardous occupation, and strenuous fire duties require high levels of physical fitness. In the general adult population, cardiorespiratory fitness (CRF) declines with aging. We sought to investigate the effect of increasing age on CRF in male career firefighters as well as the modifying effects of physical activity and adiposity. We cross-sectionally examined 804 male career firefighters from two Midwestern states. CRF was determined from symptom-limited maximal treadmill exercise testing in metabolic equivalents (METS) following the Bruce protocol. Physical activity self-reports were extracted from responses to a health and lifestyle questionnaire. We found as expected that CRF declines with advancing age; however, the decline is greatly attenuated among leaner firefighters who report more physical activity. Furthermore, in a linear regression model including age, BMI, and variables describing physical activity behaviors, we could predict CRF (R(2) = 0.6286). The total weekly duration of aerobic exercise as well as the duration of weight lifting sessions both had significant impacts on age-related decline. We conclude that firefighters are more likely to maintain the high levels of CRF needed to safely perform their duties if they engage in frequent exercise and maintain healthy weights.

  9. Personal PM2.5 exposure among wildland firefighters working at prescribed forest burns in southeastern United States

    Treesearch

    O Adetona; K Dunn; Gary Achtemeier; A Stock; L Naeher

    2011-01-01

    Wildland firefighters are primarily responsible forwildfire suppression in wildlands, including forests, grasslands, and brush, but also engage in prescribed burning. Prescribed burns, as opposed to wildfires, are intentionally set by firefighters and are used as a land management tool for improving forage value of the forests, and reducing wildfire hazard and...

  10. The Impact of Heat Exposure and Sleep Restriction on Firefighters' Work Performance and Physiology during Simulated Wildfire Suppression.

    PubMed

    Vincent, Grace E; Aisbett, Brad; Larsen, Brianna; Ridgers, Nicola D; Snow, Rod; Ferguson, Sally A

    2017-02-12

    This study was designed to examine the effects of ambient heat on firefighters' physical task performance, and physiological and perceptual responses when sleep restricted during simulated wildfire conditions. Thirty firefighters were randomly allocated to the sleep restricted (n = 17, SR; 19 °C, 4-h sleep opportunity) or hot and sleep restricted (n = 13, HOT + SR; 33 °C, 4-h sleep opportunity) condition. Firefighters performed two days of simulated, intermittent, self-paced work circuits comprising six firefighting tasks. Heart rate, and core temperature were measured continuously. After each task, firefighters reported their rating of perceived exertion and thermal sensation. Effort sensation was also reported after each work circuit. Fluids were consumed ad libitum. Urine volume and urine specific gravity were analysed. Sleep was monitored using polysomnography. There were no differences between the SR and HOT + SR groups in firefighters' physiological responses, hydration status, ratings of perceived exertion, motivation, and four of the six firefighting tasks (charged hose advance, rake, hose rolling, static hose hold). Black out hose and lateral repositioning were adversely affected in the HOT + SR group. Working in hot conditions did not appear to consistently impair firefighters work performance, physiology, and perceptual responses. Future research should determine whether such findings remain true when individual tasks are performed over longer durations.

  11. 33 CFR 149.403 - How may I request the use of alternate or supplemental firefighting and fire prevention equipment...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false How may I request the use of alternate or supplemental firefighting and fire prevention equipment or procedures? 149.403 Section 149.403... How may I request the use of alternate or supplemental firefighting and fire prevention equipment or...

  12. 33 CFR 149.403 - How may I request the use of alternate or supplemental firefighting and fire prevention equipment...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false How may I request the use of alternate or supplemental firefighting and fire prevention equipment or procedures? 149.403 Section 149.403... How may I request the use of alternate or supplemental firefighting and fire prevention equipment or...

  13. 33 CFR 149.403 - How may I request the use of alternate or supplemental firefighting and fire prevention equipment...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false How may I request the use of alternate or supplemental firefighting and fire prevention equipment or procedures? 149.403 Section 149.403... How may I request the use of alternate or supplemental firefighting and fire prevention equipment or...

  14. 33 CFR 149.403 - How may I request the use of alternate or supplemental firefighting and fire prevention equipment...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false How may I request the use of alternate or supplemental firefighting and fire prevention equipment or procedures? 149.403 Section 149.403... How may I request the use of alternate or supplemental firefighting and fire prevention equipment or...

  15. 33 CFR 155.4045 - Required agreements or contracts with the salvage and marine firefighting resource providers.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... with the salvage and marine firefighting resource providers. 155.4045 Section 155.4045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4045...

  16. 33 CFR 155.4045 - Required agreements or contracts with the salvage and marine firefighting resource providers.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... with the salvage and marine firefighting resource providers. 155.4045 Section 155.4045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4045...

  17. 33 CFR 155.4035 - Required pre-incident information and arrangements for the salvage and marine firefighting...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... and arrangements for the salvage and marine firefighting resource providers listed in response plans... (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4035 Required pre-incident information and arrangements for the salvage...

  18. 33 CFR 155.4045 - Required agreements or contracts with the salvage and marine firefighting resource providers.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... with the salvage and marine firefighting resource providers. 155.4045 Section 155.4045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4045...

  19. 33 CFR 155.4035 - Required pre-incident information and arrangements for the salvage and marine firefighting...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and arrangements for the salvage and marine firefighting resource providers listed in response plans... (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4035 Required pre-incident information and arrangements for the salvage...

  20. 33 CFR 155.4045 - Required agreements or contracts with the salvage and marine firefighting resource providers.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... with the salvage and marine firefighting resource providers. 155.4045 Section 155.4045 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION OIL OR HAZARDOUS MATERIAL POLLUTION PREVENTION REGULATIONS FOR VESSELS Salvage and Marine Firefighting § 155.4045...

  1. Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters.

    PubMed

    Smith, Bruce W; Ortiz, J Alexis; Steffen, Laurie E; Tooley, Erin M; Wiggins, Kathryn T; Yeater, Elizabeth A; Montoya, John D; Bernard, Michael L

    2011-10-01

    This study investigated the association between mindfulness, other resilience resources, and several measures of health in 124 urban firefighters. Participants completed health measures of posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, physical symptoms, and alcohol problems and measures of resilience resources including mindfulness, optimism, personal mastery, and social support. The Mindful Awareness and Attention Scale (MAAS; Brown & Ryan, 2003) was used to assess mindfulness. Participants also completed measures of firefighter stress, number of calls, and years as a firefighter as control variables. Hierarchical multiple regressions were conducted with the health measures as the dependent variables with 3 levels of independent variables: (a) demographic characteristics, (b) firefighter variables, and (c) resilience resources. The results showed that mindfulness was associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems when controlling for the other study variables. Personal mastery and social support were also related to fewer depressive symptoms, firefighter stress was related to more PTSD symptoms and alcohol problems, and years as a firefighter were related to fewer alcohol problems. Mindfulness may be important to consider and include in models of stress, coping, and resilience in firefighters. Future studies should examine the prospective relationship between mindfulness and health in firefighters and others in high-stress occupations.

  2. 77 FR 68784 - Standard Test Procedures Approval Process for Respirators To Be Used in Wildland Fire-Fighting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... developed respiratory protection for this occupational setting, firefighters battling wild fires often... Respirators To Be Used in Wildland Fire-Fighting Operations; Standard Test Procedures for Composite Multi-Gas and Particulate Protection and Approval Process for Respirators To Be Used in Wildland...

  3. Monitoring firefighter exposure to air toxins at prescribed burns of forest and range biomass. Forest Service research paper

    SciTech Connect

    Reinhardt, T.E.

    1991-10-01

    A variety of potent air toxins are in the smoke produced by burning forest and range biomass. Preliminary data on firefighter exposures to carbon monoxide and formaldehyde at four prescribed burns of Western United States natural fuels are presented. Formaldehyde may be correlated to carbon monoxide emissions. The firefighters' exposures to these compounds relative to workplace standards are discussed.

  4. Safe separation distance score: A new metric for evaluating wildland firefighter safety zones using lidar

    Treesearch

    Michael J. Campbell; Philip E. Dennison; Bret W. Butler

    2016-01-01

    Safety zones are areas where firefighters can retreat to in order to avoid bodily harm when threatened by burnover or entrapment from wildland fire. At present, safety zones are primarily designated by firefighting personnel as part of daily fire management activities. Though critical to safety zone assessment, the effectiveness of this approach is inherently limited...

  5. Are standard heart rate variability measures associated with the self-perception of stress of firefighters in action?

    PubMed

    Gomes, P; Kaiseler, M; Lopes, B; Faria, S; Queirós, C; Coimbra, M

    2013-01-01

    Stress is a major factor for the degradation of cardiac health in first responder professionals such as firefighters. Monitoring stress during real events might be the key for controlling this problem. In this paper we inspect how standard heart rate variability (HRV) measures are associated with the self-perception of stress of firefighters in action, supported by an advanced technological solution to acquire this data. Results obtained from more than 94 hours of annotated ECG recordings of firefighters in action are promising, showing positive association with various standard HRV measures. Given the richness of the gathered data, we have also measured the association of the HRV measures with the stage of a firefighting event (pre, during, post), obtaining some interesting results that hint that the psychological impact of the post-event may be one of the most concerning situations for a firefighter, motivating further studies on this in the future.

  6. Are the job demands on physical work capacity equal for young and aging firefighters?

    PubMed

    Lusa, S; Louhevaara, V; Kinnunen, K

    1994-01-01

    The job demands on physical work capacity and the frequency of the firefighting and rescue tasks were rated by 156 professional firefighters (age range, 22 to 54 years) who responded to a questionnaire. Smoke-diving requiring the use of personal protective equipment was considered to demand most aerobic power. The clearing of debris with heavy manual tools, and roof work set the highest demands on muscular performance and motor coordination, respectively. During the past 5 years, 83 to 88% of the respondents had performed these tasks on average four times a year. The rating and frequency of the tasks were not significantly affected by age. The results suggest that the job demands on physical work capacity remain the same throughout the occupational career of the firefighters.

  7. The Relationship Between Physical Activity and Thermal Protective Clothing on Functional Balance in Firefighters

    PubMed Central

    Kong, Pui W.; Suyama, Joe; Cham, Rakié; Hostler, David

    2016-01-01

    We investigated the relationship between baseline physical training and the use of firefighting thermal protective clothing (TPC) with breathing apparatus on functional balance. Twenty-three male firefighters performed a functional balance test under four gear/clothing conditions. Participants were divided into groups by physical training status, and task performance was analyzed. There was an effect of equipment and training status on performance with the group reporting both aerobic and resistance training performing better than the group reporting no physical training. In conclusion, firefighters walk more slowly as a strategy to maintain balance when wearing TPC, which may be suboptimal given the emergent nature of fire suppression. This result was most prominent in the group reporting no physical training. PMID:23367817

  8. Personal carbon monoxide exposures among firefighters at prescribed forest burns in the Southeastern United States.

    PubMed

    Dunn, K H; Shulman, S; Stock, A L; Naeher, L P

    2013-01-01

    Exposure to combustion products from wildland fires causes respiratory irritation and decreased lung function among firefighters. The authors evaluated carbon monoxide (CO) exposures of a group of wildland firefighters who conducted prescribed burns in the southeastern United States of America. A total of 149 person-days of samples were collected using data logging CO monitors. A questionnaire was administered to collect data on job tasks and self-reported smoke exposure. Overall, the highest exposures were seen amongst firefighters assigned to holding and mop-up tasks (geometric mean [GM]: 2.6 ppm), whereas the lowest were associated with lighting and jobs such as burn boss (GM: 1.6 and 0.3 ppm, respectively). The self-reported smoke exposure showed a significant linear trend with increasing CO exposure. The numbers of acres burned or burn duration, however, were not good predictors of exposure.

  9. Onset of recent exertional dyspnoea in a firefighter with left bundle-branch block

    PubMed Central

    De Rosa, Roberto; Ratti, Gennaro; Lamberti, Monica

    2014-01-01

    Background The presence of a left bundle-branch block (LBBB) among firefighters raises questions about stratifying risk of subsequent cardiovascular events as this conduction disorder may mask underlying coronary artery disease. This report describes the case of a firefighter with a history LBBB with exertional dyspnoea of recent onset after work activity. Case report A 39-year-old male firefighter with LBBB developed exertional dyspnoea after a prolonged session of work. ECG and treadmill test only showed a permanent LBBB; echocardiography and myocardial scintigraphy did not add to this. However, multislice CT (MSCT) showed a significant stenosis in the mid-left anterior descending artery (LAD). Coronary angiography confirmed the stenosis with subsequent placement of a coronary stent. Conclusions An occupational physician should take into account that factors such as age and low cardiovascular risk do not always exclude heart disease, especially when there are conduction system abnormalities that can mask possible coronary artery disease. PMID:25352387

  10. The firefighter coping self-efficacy scale: measure development and validation.

    PubMed

    Lambert, Jessica E; Benight, Charles C; Harrison, Erica; Cieslak, Roman

    2012-01-01

    The authors evaluated the psychometric properties of the Firefighter Coping Self-Efficacy (FFCSE) Scale, a new measure developed to assess firefighters' perceived competence in managing stressful and traumatic experiences encountered on the job. Two samples of firefighters completed the FFCSE Scale at two different time points. Exploratory factor analysis yielded a unidimensional structure, which was further supported with confirmatory factor analysis using a second sample. Internal consistency of the measure was excellent. Analysis of cross-sectional data indicated FFCSE was positively associated with measures of psychological well-being and social support, and negatively associated with work-related stress and psychological distress. FFCSE also uniquely contributed to the variance in psychological distress, over and above variables previously shown to be associated with distress among this population. Implications and suggestions for future research are discussed.

  11. The Prevalence of Clinical and Electrocardiographic Risk Factors of Cardiovascular Death Among On-duty Professional Firefighters.

    PubMed

    Al-Zaiti, Salah S; Carey, Mary G

    2015-01-01

    Firefighters have twice as many cardiovascular deaths as police officers and 4 times as many as emergency medical responders. The etiology for this high rate of mortality remains unknown. The electrocardiogram (ECG) is a widely used tool to screen populations at risk, yet there are no available on-duty, high-resolution ECG recordings from firefighters. We sought to evaluate the prevalence of clinical and ECG risk factors among on-duty professional firefighters during 12-lead ECG holter monitoring and exercise stress testing. Firefighters were recruited from Surveying & Assessing Firefighters Fitness & Electrocardiogram (SAFFE) study. This descriptive study recruited firefighters from 7 firehouses across Upstate New York who completed on-duty 24-hour Holter ECG monitoring and a standard exercise stress test. All analyses were completed by a reviewer blinded to all clinical data. A total of 112 firefighters (mean [SD] age, 44 [8] years; mostly white men) completed the study. Although all firefighters were in normal sinus rhythm, more than half of them had at least 1 high-risk ECG risk factor present, including abnormal sympathetic tone (elevated heart rate, 54%), abnormal repolarization (wide QRS-T angle, 25%), myocardial scarring (fragmented QRS, 24%), and myocardial ischemia (ST depression, 24%). Most firefighters tolerated the treadmill exercise stress test well (metabolic equivalent tasks, 11.8 + 2.5]); however, almost one-third had abnormal results of stress tests that required further evaluation to rule out subclinical coronary artery disease. Among on-duty professional firefighters, high-risk ECG markers of fatal cardiac events and abnormal stress test results that warrant further evaluation are prevalent. Annual physical checkups with routine 12-lead ECG can identify those who might benefit from preventive cardiovascular services.

  12. Double Jeopardy: Hearing Loss and Tinnitus Among Noise-Exposed Workers.

    PubMed

    Hong, OiSaeng; Chin, Dal Lae; Phelps, Stephanie; Joo, Yoonmee

    2016-06-01

    The purpose of this study was to determine the prevalence and characteristics of tinnitus and assess the relationship between tinnitus and hearing loss among firefighters and operating engineers, who are exposed to noise on-the-job. The study analyzed existing data from two different populations (154 firefighters and 769 operating engineers) who completed a survey and audiometric tests as part of a hearing loss prevention intervention study. Approximately 40% of both groups reported tinnitus; 34% of firefighters and 59% of operating engineers showed hearing loss at noise-sensitive frequencies (4 kHz and 6 kHz). Firefighters with high frequency hearing loss (odds ratio [OR] = 2.31; 95% confidence interval [CI] = [1.05, 5.11]) and those with perceived impaired hearing status (OR = 3.53; 95% CI = [1.27, 9.80]) were significantly more likely to report tinnitus. Similarly, operating engineers who had hearing loss at both low (OR = 2.10; 95% CI = [1.40, 3.15]) and high frequencies (OR = 2.00; 95% CI = [1.37, 2.90]), and perceived impaired hearing status (OR = 2.17; 95% CI = [1.55, 3.05]) were twice as likely to report tinnitus. This study demonstrated that tinnitus is a considerable problem for noise-exposed workers. Workers with hearing loss demonstrated significantly higher rates of tinnitus. Comprehensive workplace hearing conservation programs should include tinnitus management for noise-exposed workers, along with other key elements such as noise control and hearing protection.

  13. Effect of Body Mass Index on Left Ventricular Mass in Career Male Firefighters

    PubMed Central

    Korre, Maria; Porto, Luiz Guilherme G.; Farioli, Andrea; Yang, Justin; Christiani, David C.; Christophi, Costas A.; Lombardi, David A.; Kovacs, Richard J.; Mastouri, Ronald; Abbasi, Siddique; Steigner, Michael; Moffatt, Steven; Smith, Denise; Kales, Stefanos N.

    2017-01-01

    Left ventricular (LV) mass is a strong predictor of cardiovascular disease (CVD) events; increased LV mass is common among US firefighters and plays a major role in firefighter sudden cardiac death. We aim to identify significant predictors of LV mass among firefighters. Cross-sectional study of 400 career male firefighters selected by an enriched randomization strategy. Weighted analyses were performed based on the total number of risk factors per subject with inverse probability weighting. LV mass was assessed by echocardiography (ECHO) and cardiac magnetic resonance, and normalized (indexed) for height. CVD risk parameters included vital signs at rest, body mass index (BMI)–defined obesity, obstructive sleep apnea risk, low cardiorespiratory fitness, and physical activity. Linear regression models were performed. In multivariate analyses, BMI was the only consistent significant independent predictor of LV mass indexes (all, p <0.001). A 1-unit decrease in BMI was associated with 1-unit (g/m1.7) reduction of LV mass/height1.7 after adjustment for age, obstructive sleep apnea risk, and cardiorespiratory fitness. In conclusion, after height-indexing ECHO-measured and cardiac magnetic resonance–measured LV mass, BMI was found to be a major driver of LV mass among firefighters. Our findings taken together with previous research suggest that reducing obesity will improve CVD risk profiles and decrease on-duty CVD and sudden cardiac death events in the fire service. Our results may also support targeted noninvasive screening for LV hypertrophy with ECHO among obese firefighters. PMID:27687051

  14. Firefighters and on-duty deaths from coronary heart disease: a case control study

    PubMed Central

    Kales, Stefanos N; Soteriades, Elpidoforos S; Christoudias, Stavros G; Christiani, David C

    2003-01-01

    Background Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death. Methods We performed a case-control study, selecting 52 male firefighters whose CHD deaths were investigated by the National Institute for Occupational Safety and Health. We selected two control populations: 51 male firefighters who died of on-duty trauma; and 310 male firefighters examined in 1996/1997, whose vital status and continued professional activity were re-documented in 1998. Results The circadian pattern of CHD deaths was associated with emergency response calls: 77% of CHD deaths and 61% of emergency dispatches occurred between noon and midnight. Compared to non-emergency duties, fire suppression (OR = 64.1, 95% CI 7.4–556); training (OR = 7.6, 95% CI 1.8–31.3) and alarm response (OR = 5.6, 95% CI 1.1–28.8) carried significantly higher relative risks of CHD death. Compared to the active firefighters, the CHD victims had a significantly higher prevalence of cardiovascular risk factors in multivariate regression models: age ≥ 45 years (OR 6.5, 95% CI 2.6–15.9), current smoking (OR 7.0, 95% CI 2.8–17.4), hypertension (OR 4.7, 95% CI 2.0–11.1), and a prior diagnosis of arterial-occlusive disease (OR 15.6, 95% CI 3.5–68.6). Conclusions Our findings strongly support that most on-duty CHD fatalities are work-precipitated and occur in firefighters with underlying CHD. Improved fitness promotion, medical screening and medical management could prevent many of these premature deaths. PMID:14613487

  15. Occurrence of brominated dioxins in a study using various firefighting methods.

    PubMed

    Bjurlid, Filip; Kärrman, Anna; Ricklund, Niklas; Hagberg, Jessika

    2017-12-01

    The use of different firefighting methods influences how fast a fire is extinguished and how fast the temperature drops in the area affected by the fire. These differences may also influence the formation of harmful pollutants during firefighting of an accidental fire. The aim was to study occurrence of brominated dibenzo-p-dioxins and furans (PBDD/Fs) in gas and soot during five fire scenarios resembling a small apartment fire and where different firefighting methods were used. Samples of gas and soot were taken both during the buildup of the fire and during the subsequent extinguishing of the fire while using different firefighting methods (nozzle, compressed air foam system, cutting extinguisher) and an extinguishing additive. New containers equipped with identical sets of combustible material were used for the five tests. The use of different firefighting methods and extinguishing additive induced variations in concentration and congener profiles of detected PBDD/Fs. The concentration range of ∑PBDD/Fs in gas was 4020-18,700pg/m(3), and in soot 76-4092pg/m(2). PBDFs were the predominant congeners and 1,2,3,4,6,7,8-HpBDF was the most abundant congener. Chlorinated dibenzo-p-dioxins and furans (PCDD/Fs) were also monitored. The PBDD/Fs contributed with in average 97% to the total (PCDD/Fs plus PBDD/Fs) toxic equivalents, in soot and gas. During extinguishing, the shorter time the temperature was around 300°C, the lower occurrence of PBDD/Fs. In the study the firefighting methods showed a difference in how effectively they induced a temperature decrease below 300°C in the fire zone during quenching, where cutting extinguishing using additive and the compressed air foam system showed the fastest drop in temperature. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Emergency duties and deaths from heart disease among firefighters in the United States.

    PubMed

    Kales, Stefanos N; Soteriades, Elpidoforos S; Christophi, Costas A; Christiani, David C

    2007-03-22

    Heart disease causes 45% of the deaths that occur among U.S. firefighters while they are on duty. We examined duty-specific risks of death from coronary heart disease among on-duty U.S. firefighters from 1994 to 2004. We reviewed summaries provided by the Federal Emergency Management Agency of the deaths of all on-duty firefighters between 1994 and 2004, except for deaths associated with the September 11, 2001, terrorist attacks. Estimates of the proportions of time spent by firefighters each year performing various duties were obtained from a municipal fire department, from 17 large metropolitan fire departments, and from a national database. Odds ratios and 95% confidence intervals for death from coronary heart disease during specific duties were calculated from the ratios of the observed odds to the expected odds, with nonemergency duties as the reference category. Deaths from coronary heart disease were associated with suppressing a fire (32.1% of all such deaths), responding to an alarm (13.4%), returning from an alarm (17.4%), engaging in physical training (12.5%), responding to nonfire emergencies (9.4%), and performing nonemergency duties (15.4%). As compared with the odds of death from coronary heart disease during nonemergency duties, the odds were 12.1 to 136 times as high during fire suppression, 2.8 to 14.1 times as high during alarm response, 2.2 to 10.5 times as high during alarm return, and 2.9 to 6.6 times as high during physical training. These odds were based on three estimates of the time that firefighters spend on their duties. Certain emergency firefighting duties were associated with a risk of death from coronary heart disease that was markedly higher than the risk associated with nonemergency duties. Fire suppression was associated with the highest risk, which was approximately 10 to 100 times as high as that for nonemergency duties. Copyright 2007 Massachusetts Medical Society.

  17. Dietary Preferences and Nutritional Information Needs Among Career Firefighters in the United States

    PubMed Central

    Yang, Justin; Farioli, Andrea; Korre, Maria

    2015-01-01

    Background: Considerable cardiovascular disease and cancer risk among firefighters are attributable to excess adiposity. Robust evidence confirms strong relationships between dietary patterns and the risk of chronic disease. Dietary modification is more likely to be effective when the strategy is appealing and addresses knowledge gaps. Objective: To assess career firefighters' diet practices and information needs, compare the relative appeal of proposed diet plans, and examine how these vary in association with body composition. Methods: Cross-sectional, online survey distributed to members of the International Association of Fire Fighters. Results: Most firefighters do not currently follow any specific dietary plan (71%) and feel that they receive insufficient nutrition information (68%), but most are interested in learning more about healthy eating (75%). When presented with written descriptions of diets without names or labels and asked to rank them in order of preference, firefighters most often rated the Mediterranean diet as their favorite and gave it a more favorable distribution of relative rankings (P<.001) compared to the Paleo, Atkins, Therapeutic Lifestyle Changes, and Esselsteyn Engine 2 (low-fat, strictly plant-based) diets. Obese respondents reported more limited nutritional knowledge (P<.001) and were more likely to feel that they received insufficient nutritional information (P=.021) than participants with normal body weight. Conclusions: Most career firefighters are overweight or obese and do not practice a specific diet; however, 75% want to learn more about healthy eating. Among popular dietary choices, firefighters were most receptive to a Mediterranean diet and least receptive to a strictly plant-based diet. PMID:26331100

  18. Firefighters and on-duty deaths from coronary heart disease: a case control study.

    PubMed

    Kales, Stefanos N; Soteriades, Elpidoforos S; Christoudias, Stavros G; Christiani, David C

    2003-11-06

    Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death. We performed a case-control study, selecting 52 male firefighters whose CHD deaths were investigated by the National Institute for Occupational Safety and Health. We selected two control populations: 51 male firefighters who died of on-duty trauma; and 310 male firefighters examined in 1996/1997, whose vital status and continued professional activity were re-documented in 1998. The circadian pattern of CHD deaths was associated with emergency response calls: 77% of CHD deaths and 61% of emergency dispatches occurred between noon and midnight. Compared to non-emergency duties, fire suppression (OR = 64.1, 95% CI 7.4-556); training (OR = 7.6, 95% CI 1.8-31.3) and alarm response (OR = 5.6, 95% CI 1.1-28.8) carried significantly higher relative risks of CHD death. Compared to the active firefighters, the CHD victims had a significantly higher prevalence of cardiovascular risk factors in multivariate regression models: age >or= 45 years (OR 6.5, 95% CI 2.6-15.9), current smoking (OR 7.0, 95% CI 2.8-17.4), hypertension (OR 4.7, 95% CI 2.0-11.1), and a prior diagnosis of arterial-occlusive disease (OR 15.6, 95% CI 3.5-68.6). Our findings strongly support that most on-duty CHD fatalities are work-precipitated and occur in firefighters with underlying CHD. Improved fitness promotion, medical screening and medical management could prevent many of these premature deaths.

  19. Body mass index and body composition among rescue firefighters personnel in Selangor, Malaysia

    NASA Astrophysics Data System (ADS)

    Rahimi, Nor Atiqah; Sedek, Razalee; Teh, Arnida Hani

    2016-11-01

    Obesity is a major public health problem in general population and there is no exception for firefighters. This disorder is definitely a burden for firefighters as they needed to be physically fit in order to work in dangerous situation and extinguishing fires. The purposes of this study were to determine physical characteristics and body composition among Malaysian Firefighters (MF) and to explore their association. This cross-sectional study involved 330 rescue firefighters aged between 20-50 years old from nine different districts in Selangor conducted between August and November 2015. Anthropometric measurements included height, weight and waist circumference (WC). Body composition was measured using bioelectrical impedance. The mean height, weight, body mass index (BMI), WC and body fat percentage were 169.4±5.3 cm, 74.5±12.2 kg, 25.9±3.82 kg/m2, 90.7±48.3 cm and 25.8±6.2 % respectively. The results also showed that 0.6% of them were underweight, 41.5% were normal, 44.8% were overweight and 13% were obese. The percentage of 34.8% firefighters with WC values of more than 90 cm means that they were at greater risk to have cardiovascular and diabetes disease. Body composition analysis showed that 75.5% of the subjects have high body fat level, 19.7% subjects were in healthy range but only 4.8% were considered as lean subjects. BMI was highly correlated with weight (r=0.917, p<0.01), WC (r=0.858, p<0.01) and body fat percentage (r=0.757, <0.01). Body fat percentage also showed to have a high correlation with BMI (r=0.757, p<0.01) and WC (r=0.693, p<0.01). Furthermore, overweight and obesity were found to be more prevalent among firefighters personnel of older age, married, less educated and have longer duration of services. It can be concluded that more than half of the firefighter personnel were either overweight or obese and 35% of them were at greater risk of having non-communicable diseases. This study provides useful information and serves as a source of

  20. Systemic exposure to PAHs and benzene in firefighters suppressing controlled structure fires.

    PubMed

    Fent, Kenneth W; Eisenberg, Judith; Snawder, John; Sammons, Deborah; Pleil, Joachim D; Stiegel, Matthew A; Mueller, Charles; Horn, Gavin P; Dalton, James

    2014-08-01

    Turnout gear provides protection against dermal exposure to contaminants during firefighting; however, the level of protection is unknown. We explored the dermal contribution to the systemic dose of polycyclic aromatic hydrocarbons (PAHs) and other aromatic hydrocarbons in firefighters during suppression and overhaul of controlled structure burns. The study was organized into two rounds, three controlled burns per round, and five firefighters per burn. The firefighters wore new or laundered turnout gear tested before each burn to ensure lack of PAH contamination. To ensure that any increase in systemic PAH levels after the burn was the result of dermal rather than inhalation exposure, the firefighters did not remove their self-contained breathing apparatus until overhaul was completed and they were >30 m upwind from the burn structure. Specimens were collected before and at intervals after the burn for biomarker analysis. Urine was analyzed for phenanthrene equivalents using enzyme-linked immunosorbent assay and a benzene metabolite (s-phenylmercapturic acid) using liquid chromatography/tandem mass spectrometry; both were adjusted by creatinine. Exhaled breath collected on thermal desorption tubes was analyzed for PAHs and other aromatic hydrocarbons using gas chromatography/mass spectrometry. We collected personal air samples during the burn and skin wipe samples (corn oil medium) on several body sites before and after the burn. The air and wipe samples were analyzed for PAHs using a liquid chromatography with photodiode array detection. We explored possible changes in external exposures or biomarkers over time and the relationships between these variables using non-parametric sign tests and Spearman tests, respectively. We found significantly elevated (P < 0.05) post-exposure breath concentrations of benzene compared with pre-exposure concentrations for both rounds. We also found significantly elevated post-exposure levels of PAHs on the neck compared with pre

  1. Common sleep disorders increase risk of motor vehicle crashes and adverse health outcomes in firefighters.

    PubMed

    Barger, Laura K; Rajaratnam, Shantha M W; Wang, Wei; O'Brien, Conor S; Sullivan, Jason P; Qadri, Salim; Lockley, Steven W; Czeisler, Charles A

    2015-03-15

    Heart attacks and motor vehicle crashes are the leading causes of death in US firefighters. Given that sleep disorders are an independent risk factor for both of these, we examined the prevalence of common sleep disorders in a national sample of firefighters and their association with adverse health and safety outcomes. Firefighters (n = 6,933) from 66 US fire departments were assessed for common sleep disorders using validated screening tools, as available. Firefighters were also surveyed about health and safety, and documentation was collected for reported motor vehicle crashes. A total of 37.2% of firefighters screened positive for any sleep disorder including obstructive sleep apnea (OSA), 28.4%; insomnia, 6.0%; shift work disorder, 9.1%; and restless legs syndrome, 3.4%. Compared with those who did not screen positive, firefighters who screened positive for a sleep disorder were more likely to report a motor vehicle crash (adjusted odds ratio 2.00, 95% CI 1.29-3.12, p = 0.0021) and were more likely to self-report falling asleep while driving (2.41, 2.06-2.82, p < 0.0001). Firefighters who screened positive for a sleep disorder were more likely to report having cardiovascular disease (2.37, 1.54-3.66, p < 0.0001), diabetes (1.91, 1.31-2.81, p = 0.0009), depression (3.10, 2.49-3.85, p < 0.0001), and anxiety (3.81, 2.87-5.05, p < 0.0001), and to report poorer health status (p < 0.0001) than those who did not screen positive. Adverse health and safety associations persisted when OSA and non-OSA sleep disorders were examined separately. Sleep disorders are prevalent in firefighters and are associated with increased risk of adverse health and safety outcomes. Future research is needed to assess the efficacy of occupational sleep disorders prevention, screening, and treatment programs in fire departments to reduce these safety and health risks. © 2014 American Academy of Sleep Medicine.

  2. Comparison of Canadian firefighters and normal controls based on the submaximal fitness testing and strength considering age and gender.

    PubMed

    Nazari, Goris; MacDermid, Joy C; Kin, Kathryn E Sinden R; Overend, Tom J

    2017-09-07

    Few studies have addressed whether the firefighters are more fit than the general population and possess sufficient levels of aerobic capacity and muscle strength to perform on duty tasks in a safe and efficient manner, considering age and gender. We aimed to evaluate the fitness levels of Hamilton firefighters, and to determine the effects of age and gender. 89 participants were recruited. The Modified Canadian Aerobic Fitness Test was used to determine participants' estimated maximal oxygen consumptions (VO2-max) levels. For upper and lower body strength levels, a calibrated J-Tech hand held dynamometer and a National Institute for Occupational Safety and Health (NIOSH) lifting devices were used respectively. Firefighters' mean (standard deviations) VO2-max levels were 40.30 ± 6.25 ml·kg -1·min -1. Age proved to have a statistically significant impact on VO2-max - p < 0.001. Gender displayed statistically significant effects on strength levels. Firefighters' age was the only statistically significant independent variable, and accounted for 61.00% of the variance in firefighter aerobic capacity levels. Firefighters possessed somewhat similar aerobic capacities, but much higher levels of body strength when compared with the general population. With age, firefighters' aerobic capacities decreased, however their upper and lower body strength levels remained the same.

  3. The Prevalence of Clinical and Electrocardiographic Risk Factors of Cardiovascular Death among On-Duty Professional Firefighters

    PubMed Central

    Al-Zaiti, Salah S.; Carey, Mary G.

    2014-01-01

    Background Firefighters have twice as many cardiovascular deaths as police officers and four times as many as emergency medical responders. The etiology for this high prevalence remains unknown. The electrocardiogram (ECG) is a widely used tool to screen populations at risk, but yet there are no available on-duty, high-resolution electrocardiographic (ECG) recordings. Objective We sought to evaluate the prevalence of clinical and ECG risk factors among on-duty professional firefighters during 12-lead ECG holter monitoring and exercise stress testing. Methods Firefighters were recruited from Surveying and Assessing Firefighters Fitness and ECG (SAFFE) study. This descriptive study recruited firefighters from 7 firehouses across Western New York area, who all completed on-duty, 24-hour Holter ECG monitoring and a standard exercise stress test. All analyses were completed by a reviewer blinded to all clinical data. Results 112 firefighters (age 44±8 years, mostly white males) completed the study. Even though all firefighters were in normal sinus rhythm, over half of them had at least one high risk ECG risk factor present, including abnormal sympathetic tone (elevated heart rate, 54%), abnormal repolarization (wide QRS-T angle, 25%), myocardial scaring (fragmented QRS, 24%), and myocardial ischemia (ST depression, 24%). In addition, most firefighters tolerated the treadmill exercise stress test well (metabolic equivalent tasks 11.8+2.5), however, almost one third had abnormal stress tests that require further evaluation to rule out subclinical coronary artery disease. Conclusion Among on-duty professional firefighters, high risk ECG markers of fatal cardiac events and abnormal stress test results that warrant further evaluation are prevalent. Annual physical checkups with routine 12-lead ECG can identify those who might benefit from preventive cardiovascular services. PMID:24874885

  4. 5 CFR 842.208 - Firefighters, law enforcement officers, and nuclear materials couriers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., and nuclear materials couriers. 842.208 Section 842.208 Administrative Personnel OFFICE OF PERSONNEL... ANNUITY Eligibility § 842.208 Firefighters, law enforcement officers, and nuclear materials couriers. (a... enforcement officer or nuclear materials courier totaling 25 years; or (2) After becoming age 50...

  5. 46 CFR 35.01-35 - Repairs and alterations to firefighting equipment-TB/ALL.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Repairs and alterations to firefighting equipment-TB/ALL. 35.01-35 Section 35.01-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS General Provisions; Special Operating Requirements § 35.01-35 Repairs and alterations to...

  6. 46 CFR 35.01-35 - Repairs and alterations to firefighting equipment-TB/ALL.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 1 2012-10-01 2012-10-01 false Repairs and alterations to firefighting equipment-TB/ALL. 35.01-35 Section 35.01-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS General Provisions; Special Operating Requirements § 35.01-35 Repairs and alterations to...

  7. 46 CFR 35.01-35 - Repairs and alterations to firefighting equipment-TB/ALL.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Repairs and alterations to firefighting equipment-TB/ALL. 35.01-35 Section 35.01-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS OPERATIONS General Provisions; Special Operating Requirements § 35.01-35 Repairs and alterations to...

  8. Task-Relevant Sound and User Experience in Computer-Mediated Firefighter Training

    ERIC Educational Resources Information Center

    Houtkamp, Joske M.; Toet, Alexander; Bos, Frank A.

    2012-01-01

    The authors added task-relevant sounds to a computer-mediated instructor in-the-loop virtual training for firefighter commanders in an attempt to raise the engagement and arousal of the users. Computer-mediated training for crew commanders should provide a sensory experience that is sufficiently intense to make the training viable and effective.…

  9. Smoke exposure among firefighters at prescribed burns in the Pacific Northwest.

    Treesearch

    Timothy E. Reinhardt; Roger D. Ottmar; Andrew J.S. Hanneman

    2000-01-01

    Smoke exposure measurements among firefighters during prescribed burns in the Pacific Northwest between 1991 and 1994 showed that a small but significant percentage of workers experienced exposure to carbon monoxide and respiratory irritants that exceeded occupational exposure limits. This most often was caused by unfavorable winds or fire behavior and occurred mostly...

  10. Smoke exposure among wildland firefighters: a review and discussion of current literature.

    Treesearch

    Timothy E. Reinhardt; Roger D. Ottmar

    1997-01-01

    This paper reviews and summarizes literature about smoke exposure and the resulting adverse health effects among wildland firefighters Many studies have been done on this problem between 1973 and 1995 Overall the data indicate that smoke exposure at wildfires and prescribed fires is usually no more than an inconvenience, but on occasion it approaches or exceeds legal...

  11. Fire characteristics associated with firefighter injury on large federal wildland fires.

    PubMed

    Britton, Carla; Lynch, Charles F; Torner, James; Peek-Asa, Corinne

    2013-02-01

    Wildland fires present many injury hazards to firefighters. We estimate injury rates and identify fire-related factors associated with injury. Data from the National Interagency Fire Center from 2003 to 2007 provided the number of injuries in which the firefighter could not return to his or her job assignment, person-days worked, and fire characteristics (year, region, season, cause, fuel type, resistance to control, and structures destroyed). We assessed fire-level risk factors of having at least one reported injury using logistic regression. Negative binomial regression was used to examine incidence rate ratios associated with fire-level risk factors. Of 867 fires, 9.5% required the most complex management and 24.7% required the next-highest level of management. Fires most often occurred in the western United States (82.8%), during the summer (69.6%), caused by lightening (54.9%). Timber was the most frequent fuel source (40.2%). Peak incident management level, person-days of exposure, and the fire's resistance to control were significantly related to the odds of a fire having at least one reported injury. However, the most complex fires had a lower injury incidence rate than less complex fires. Although fire complexity and the number of firefighters were associated with the risk for at least one reported injury, the more experienced and specialized firefighting teams had lower injury incidence. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. STS-31 Crew Training: Firefighting, Food Tasting, EVA Prep and Post

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The Space Shuttle crew is shown lighting a pond of gasoline and then performing firefighting tasks. The crew is also shown tasting food including lemonade, chicken casserole, and tortillas, and performing extravehicular activity (EVA) equipment checkouts in the CCT middeck and airlock.

  13. STS-31 Crew Training: Firefighting, Food Tasting, EVA Prep and Post

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The Space Shuttle crew is shown lighting a pond of gasoline and then performing firefighting tasks. The crew is also shown tasting food including lemonade, chicken casserole, and tortillas, and performing extravehicular activity (EVA) equipment checkouts in the CCT middeck and airlock.

  14. The Impact of Obesity on Back and Core Muscular Endurance in Firefighters

    PubMed Central

    Mayer, John M.; Nuzzo, James L.; Chen, Ren; Quillen, William S.; Verna, Joe L.; Miro, Rebecca; Dagenais, Simon

    2012-01-01

    The purpose of this study was to assess the relationships between obesity and measures of back and core muscular endurance in firefighters. Methods. A cross-sectional study was conducted in career firefighters without low back pain. Obesity measures included body mass index (BMI) and body fat percentage assessed with air displacement plethysmography. Muscular endurance was assessed with the Modified Biering Sorensen (back) and Plank (core) tests. Relationships were explored using t-tests and regression analyses. Results. Of the 83 participants enrolled, 24 (29%) were obese (BMI ≥ 30). Back and core muscular endurance was 27% lower for obese participants. Significant negative correlations were observed for BMI and body fat percentage with back and core endurance (r = −0.42 to −0.52). Stepwise regression models including one obesity measure (BMI, body fat percentage, and fat mass/fat-free mass), along with age and self-reported physical exercise, accounted for 17–19% of the variance in back muscular endurance and 29–37% of the variance in core muscular endurance. Conclusions. Obesity is associated with reduced back and core muscular endurance in firefighters, which may increase the risk of musculoskeletal injuries. Obesity should be considered along with back and core muscular endurance when designing exercise programs for back pain prevention in firefighters. PMID:23213491

  15. A community intervention by firefighters to increase 911 calls and aspirin use for chest pain.

    PubMed

    Meischke, Hendrika; Diehr, Paula; Rowe, Sharon; Cagle, Anthony; Eisenberg, Mickey

    2006-04-01

    To test the effectiveness of an intervention, delivered face-to-face by local firefighters, designed to increase utilization of 911 and self-administration of aspirin for seniors experiencing chest pain. King County, Washington was divided into 126 geographically distinct areas that were randomized to intervention and control areas. A mailing list identified households of seniors within these areas. More than 20,000 homes in the intervention areas were contacted by local firefighters. Data on all 911 calls for chest pain and self-administration of aspirin were collected from the medical incident report form (MIRF). The unit of analysis was the area. Firefighters delivered a heart attack survival kit (that included an aspirin) and counseled participants on the importance of aspirin and 911 use for chest pain. Main outcome measures were 911 calls for chest pain and aspirin ingestion for a chest pain event, obtained from the MIRFs that are collected by emergency medical services personnel for 2 years after the intervention. There were significantly more calls (16%) among seniors on the mailing list in the intervention than control areas in the first year after the intervention. Among the seniors who were not on the mailing list, there was little difference in the intervention and control areas. The results were somewhat sensitive to the analytical model used and to an outlier in the treatment group. A community-based firefighter intervention can be effective in increasing appropriate response to symptoms of a heart attack among elders.

  16. Measuring the wildland firefighting safety culture change - an analysis of entrapment rates from 1994 to 2013

    Treesearch

    Bob Loveless; Adam Hernandez

    2015-01-01

    The tragic fatality events of the mid-1990s and subsequent studies led to a concentrated effort to increase safety in the US federal wildland firefighter community beginning in 2000. Addressing human factors (HF) as a causal agent in accidents was a major focal point for this cultural change. To examine the effectiveness of this change, we hypothesized a decline in...

  17. Evaluation of Firefighter Exposure to Wood Smoke during Training Exercises at Burn Houses.

    PubMed

    Fernando, Sujan; Shaw, Lorraine; Shaw, Don; Gallea, Michael; VandenEnden, Lori; House, Ron; Verma, Dave K; Britz-McKibbin, Philip; McCarry, Brian E

    2016-02-02

    Smoke from wood-fueled fires is one of the most common hazards encountered by firefighters worldwide. Wood smoke is complex in nature and contains numerous compounds, including methoxyphenols (MPs) and polycyclic aromatic hydrocarbons (PAHs), some of which are carcinogenic. Chronic exposure to wood smoke can lead to adverse health outcomes, including respiratory infections, impaired lung function, cardiac infarctions, and cancers. At training exercises held in burn houses at four fire departments across Ontario, air samples, skin wipes, and urine specimens from a cohort of firefighters (n = 28) were collected prior to and after exposure. Wood was the primary fuel used in these training exercises. Air samples showed that MP concentrations were on average 5-fold greater than those of PAHs. Skin wipe samples acquired from multiple body sites of firefighters indicated whole-body smoke exposure. A suite of MPs (methyl-, ethyl-, and propylsyringol) and deconjugated PAH metabolites (hydroxynaphthalene, hydroxyfluorene, hydroxyphenanthrene, and their isomers) were found to be sensitive markers of smoke exposure in urine. Creatinine-normalized levels of these markers were significantly elevated (p < 0.05) in 24 h postexposure urine despite large between-subject variations that were dependent on the specific operational roles of firefighters while using personal protective equipment. This work offers deeper insight into potential health risk from smoke exposure that is needed for translation of better mitigation policies, including improved equipment to reduce direct skin absorption and standardized hygiene practices implemented at different regional fire services.

  18. Physiological monitoring in firefighter ensembles: wearable plethysmographic sensor vest versus standard equipment.

    PubMed

    Coca, Aitor; Roberge, Raymond J; Williams, W Jon; Landsittel, Douglas P; Powell, Jeffrey B; Palmiero, Andrew

    2010-02-01

    We evaluated the accuracy of a wearable sensor vest for real-time monitoring of physiological responses to treadmill exercise. Ten subjects in standard firefighter ensembles, treadmill exercising at 50% VO(2) max, had heart rate (HR), respiratory rate (RR), skin temperature (T(sk)), oxygen saturation (SaO(2)), tidal volume (V(T)), and minute ventilation (V(E)) recorded concurrently by a wearable plethysmographic sensor vest and standard laboratory physiological monitoring equipment for comparison. A high degree of correlation was noted for most of the measured variables [HR (r = 0.99), RR (r = 0.98), T(sk) (r = 0.98), V(E) (r = 0.88), and SaO(2) (r = 0.79)]. V(T) (r = 0.60) had a moderate correlation, although a paired differences analysis showed a mean paired difference of -0.03 L. This mean paired difference represents a 1.92% variation for V(T). Data from the wearable sensor vest is comparable to data captured from standard laboratory physiological monitoring equipment on subjects wearing standard firefighter ensembles while exercising at a moderate work rate. This study demonstrates the accuracy of the wearable sensor technology for these physiological parameters under these conditions and suggests that it could be useful for actual field studies of firefighters in traditional firefighting gear.

  19. The Development and Design of a Prototype Ultra High Pressure P-19 Firefighting Vehicle

    DTIC Science & Technology

    2007-02-03

    19 Test Equipment.............................................................................................. 33 4.4 UHP P-19 Flow ...Characterization Test Method .............................................................. 35 4.5 UHP P-19 Flow Characterization Test Results...firefighting systems between the standard P-19 and UHP P-19.. 15 Table 4.5.1: UHP P-19 Ultra High Pressure flow characterization results

  20. A test of the interpersonal theory of suicide in a large sample of current firefighters.

    PubMed

    Chu, Carol; Buchman-Schmitt, Jennifer M; Hom, Melanie A; Stanley, Ian H; Joiner, Thomas E

    2016-06-30

    Recent research suggests that firefighters experience elevated rates of suicidal ideation and behaviors. The interpersonal theory of suicide may shed light on this finding. This theory postulates that suicidal desire is strongest among individuals experiencing perceived burdensomeness and thwarted belongingness, and that the combination of suicide desire and acquired capability for suicide is necessary for the development of suicidal behaviors. We tested the propositions of the interpersonal theory in a large sample of current United States firefighters (N=863). Participants completed self-report measures of perceived burdensomeness, thwarted belongingness, fearlessness about death (FAD; a component of acquired capability), and career suicidal ideation and suicide attempt history. Regression models were used to examine the association between interpersonal theory constructs, career suicidal ideation severity, and the presence of career suicide attempts. In line with theory predictions, the three-way interaction between perceived burdensomeness, thwarted belongingness, and FAD was significantly associated with career suicide attempts, beyond participant sex. However, findings were no longer significant after accounting for years of firefighter service or age. Contrary to predictions, the two-way interaction between perceived burdensomeness and thwarted belongingness was not significantly related to career suicidal ideation severity. Applications of the theory to firefighters and future research are discussed.