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.
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+5u uC), 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.
BackgroundFirst responders and military personnel experience rates of post-traumatic stress disorder (PTSD) far in excess of the general population. Although exposure to acute traumatic events plays a role in the genesis of these disorders, in this review, we present an argument that the occupational and environmental conditions where these workers operate are also likely contributors.Presentation of the hypothesisFirst responders and military personnel face occupational exposures that have been associated with altered immune and inflammatory activity. In turn, these physiological responses are linked to altered moods and feelings of well-being which may provide priming conditions that compromise individual resilience, and increase the risk of PTSD and depression when subsequently exposed to acute traumatic events. These exposures include heat, smoke, and sleep restriction, and physical injury often alongside heavy physical exertion. Provided the stimulus is sufficient, these exposures have been linked to inflammatory activity and modification of the hypothalamic–pituitary axis (HPA), offering a mechanism for the high rates of PTSD and depressive disorders in these occupations.Testing the hypothesisTo test this hypothesis in the future, a case–control approach is suggested that compares individuals with PTSD or depressive disorders with healthy colleagues in a retrospective framework. This approach should characterise the relationships between altered immune and inflammatory activity and health outcomes. Wearable technology, surveys, and formal experimentation in the field will add useful data to these investigations.Implications of the hypothesisInflammatory changes, linked with occupational exposures in first responders and military personnel, would highlight the need for a risk management approach to work places. Risk management strategies could focus on reducing exposure, ensuring recovery, and increasing resilience to these risk contributors to minimise the rates of PTSD and depressive disorders in vulnerable occupations.
The study aimed to identify specific health and well-being issues women firefighters may experience as part of their daily working practices. Issues identified from this under-represented population can drive future research, education and strategy to guide safety and health practices. MethodsA total of 840 women firefighters from 14 separate countries (255 United Kingdom & Ireland, 320 North America, 177 Australasia, 88 mainland Europe) completed the survey over a 4 month period.Questions related to general health and well-being and role specific health concerns, gender orientated issues and available exercise facilities. ResultsWomen firefighters in North America reported a higher prevalence of lower back (49%) and lower limb (51%) injuries, than all other groups. North America reported more heat illnesses (45%) than other places (36%). Thirty-nine percent thought their menstrual cycle and menopause effected work, with 36% concerned for their ability to meet future job demands. Sixteen percent felt confident they could complete the role after 60yrs old. Women firefighters identified a lack of strength & conditioning support (50%) or lack of gym access (21%). Availability of women specific personal protective equipment was greatest in the United Kingdom (66%) compared to others (42%). ConclusionsThere is a need for women specific strength & conditioning support and facilities to reduce injury and illness risk and improve longevity. Research and education into gynaecological issues, heat exposure, and their effects on women's fertility and cancer risk is required.
When firefighters work in hot conditions, altered immune and inflammatory responses may increase the risk of a cardiac event. The present study aimed to establish the time course of such responses. Forty-two urban firefighters completed a repeat work protocol in a heat chamber (100 ± 5°C). Changes to leukocytes, platelets, TNFα, IL-6, IL-10, LPS and CRP were evaluated immediately post-work and also after 1 and 24 h of rest. Increases in core temperatures were associated with significant increases in leukocytes, platelets and TNFα directly following work. Further, platelets continued to increase at 1 h (+31.2 ± 31.3 × 10(9) l, p < 0.01) and remained elevated at 24 h (+15.9 ± 19.6 × 10(9) l, p < 0.01). Sustained increases in leukocytes and platelets may increase the risk of cardiac events in firefighters when performing repeat work tasks in the heat. This is particularly relevant during multi-day deployments following natural disasters. Practitioner Summary: Firefighters regularly re-enter fire affected buildings or are redeployed to further operational tasks. Should work in the heat lead to sustained immune and inflammatory changes following extended rest periods, incident controllers should plan appropriate work/rest cycles to minimise these changes and any subsequent risks of cardiac events.
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