Quantifying self-contained breathing apparatus on physiology and psychological responses during firefighting: a systematic review and meta-analysis

Li, Jian; Wang, Yunyi; Jiang, Rongfan; Li, Jun

doi:10.1080/10803548.2021.2024020

Cited by 11 publications

(15 citation statements)

References 74 publications

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“…SCBAs is one of the personal protective equipment devices that supplies oxygen to firefighters at all fire scenes. To promote the occupational health of firefighters, various factors related to SCBAs should be considered [ 17 , 18 ]. Washing the SCBA prior to entering the fire department means reducing the occupational exposure of firefighters by primarily removing pollutant-contaminated materials from the scene of a fire.…”

Section: Discussionmentioning

confidence: 99%

Examination of Factors Influencing SCBA Washing Behavior among Firefighters in Metropolitan

Park

Ham

Jeong³

et al. 2022

IJERPH

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Field-washing decontamination of equipment is an effective way for firefighters to reduce their risk of secondary contamination. No study has yet clarified the factors influencing effective field decontamination of equipment such as self-contained breathing apparatuses (SCBAs). This study sought to examine factors that influence the SCBA washing and decontamination behavior of firefighters. We conducted a questionnaire using the web-based Seoul Metropolitan Electronic Questionnaire System. As of May 2021, the survey had been sent to 3626 of 7198 Seoul career firefighters, and 1940 subjects were selected to participate in the study. Binomial logistic regression and χ2-test analyses were performed. We confirmed that previous training in SCBA washing was an important factor in effective field decontamination of SCBAs. Firefighters should be trained to perform field decontamination procedures systematically and regulations to perform field decontamination before leaving the scene of a fire should be introduced.

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Section: Discussionmentioning

confidence: 99%

Examination of Factors Influencing SCBA Washing Behavior among Firefighters in Metropolitan

Park

Ham

Jeong³

et al. 2022

IJERPH

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“…The second mechanism involves employing heavy or inappropriate personal protective equipment (PPE), inducing metabolic inefficiency and fatigue. 31 The requisite for layered, fully encapsulated PPE escalates metabolic requirements, giving rise to thermoregulatory, metabolic, and psychological stress.…”

Section: Potential Mechanisms Of Firefighter Mortalitymentioning

confidence: 99%

Quantifying disparities in fire-related mortality of US career and volunteer firefighters: A 43-year database study

2023

Journal of Fire Sciences

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There is no consensus on the leading causes of occupational disparities in firefighter mortality risk and whether these disparities have changed over time. This article prioritizes fire-related risks associated with mortality among US career and volunteer firefighters to inform targeted prevention efforts. We collected records of 3724 firefighter fatalities from the database between 1979 and 2021. Grey relational analysis was adopted to reveal the interrelationships between occupational risks and mortality. Firefighter mortality differed by occupation; the primary fire-related causes changed over 43 years for both career and volunteer firefighters. Volunteer firefighters exhibited higher risks across multiple variables than their career counterparts. These variables include alarm response/return, sudden cardiac death, age exceeding 60, and years of service below 10 or surpassing 30. These findings quantified disparities in the temporal evolution and fire-related occupations with elevated risk factors for deaths between career and volunteer firefighters, highlighting the need for targeted interventions.

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“…Globally, firefighting is recognized as among the most physically demanding professions [1– 4]. In addition, because of the hazardous nature of firefighting, firefighters are required to wear heavy insulated personnel protective equipment that protects them from exposures to hazardous chemicals and fumes and severe temperatures [1–4]. The full PPE worn with the self-contained breathing apparatus (SCBA) may weigh up to 29.3 kg, which places significant strain on the cardiovascular system [1].…”

Section: Introductionmentioning

confidence: 99%

“…Globally, firefighting is recognized as among the most physically demanding professions [1][2][3][4]. In addition, because of the hazardous nature of firefighting, firefighters are required to wear heavy insulated personnel protective equipment that protects them from exposures to hazardous chemicals and fumes and severe temperatures [1][2][3][4]. The full PPE worn with the self-contained breathing apparatus (SCBA) may weigh up to 29.3 kg, which places significant strain on the cardiovascular system [1].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, because of the hazardous nature of firefighting, firefighters are required to wear heavy insulated personnel protective equipment that protects them from exposures to hazardous chemicals and fumes and severe temperatures [1][2][3][4]. The full PPE worn with the self-contained breathing apparatus (SCBA) may weigh up to 29.3 kg, which places significant strain on the cardiovascular system [1]. It has been shown that firefighters routinely exceed their age predicted maximal heart rates while performing work-related duties [5][6][7], which significantly predisposes firefighters to sudden cardiac events while on duty [3,4,8], which may account for the high mortality rates in this population.…”

Section: Introductionmentioning

confidence: 99%

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Effects of cardiovascular disease risk factors on cardiorespiratory fitness in firefighters – a protocol for a systematic review and meta-analysis

Ras

Soteriades

Kengne

et al. 2022

Preprint

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IntroductionGlobally, firefighting is recognized as among the most physically demanding professions. In addition, because of the hazardous nature of firefighting, firefighters are required to wear heavy insulated personnel protective equipment that protects them from exposures to hazardous chemicals and fumes and severe temperatures. This requires that, throughout their careers, firefighters maintain their cardiovascular health and maintain a satisfactory cardiovascular fitness to manage these stressors and perform their duties sufficient vigour. The aim of this systematic is to determine the effects of cardiovascular disease risk factors on cardiorespiratory fitness of firefighters.MethodsUsing the comprehensive search terms, a detailed literature search, with no limitation to publication year, will be conducted to identify relevant studies from PubMed/Medline, Web of Science, EBSCOHost, ScienceDirect and SCOPUS. Data-extraction will be extracted using a researcher-generated data extraction form. Data will be imported into Zotero® version 6.0.9, and duplicates removed. The article screening will be conducted using the Rayyan® intelligent systematic review tool. Thereafter, information from the included studies will be captured on the researcher-generated data extraction form. For the methodological assessment, the Appraisal Tool for Cross Sectional Studies (AXIS) checklist and the Critical Appraisal Skills Programme (CASP) toolkit will be used. For the meta-analysis, Review Manager 5.3 will be used to determine the exposure effects and MedCalc® statistical software Ltd. to determine the pooled correlation effects.DiscussionThis systematic review arose from the global cardiovascular health concerns that firefighters face, and how the development and progression of CVD risk factors effect cardiorespiratory fitness in firefighters. Cardiorespiratory has been shown to be an essential factor in optimal occupational performance in firefighters but understudied related to CVD risk factors. It is anticipated that this review will make a considerable contribution to the international scientific literature on the effect that CVD risk factors will have on cardiorespiratory fitness.Systematic review protocol registrationPROSPERO (CRD42021258898)

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Quantifying self-contained breathing apparatus on physiology and psychological responses during firefighting: a systematic review and meta-analysis

Cited by 11 publications

References 74 publications

Examination of Factors Influencing SCBA Washing Behavior among Firefighters in Metropolitan

Examination of Factors Influencing SCBA Washing Behavior among Firefighters in Metropolitan

Quantifying disparities in fire-related mortality of US career and volunteer firefighters: A 43-year database study

Effects of cardiovascular disease risk factors on cardiorespiratory fitness in firefighters – a protocol for a systematic review and meta-analysis

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