防护服对消防员工效性能影响的定量研究*

为开发高性能防护服以提升救援效率,基于人体试验,测量受试者穿戴灭火防护服、半封闭防化服、全封闭防化服以及基础服装（对照组）时静态条件下左右手握力值、疲劳度（RPE）和活动受限程度,通过方差分析、接受者操作特征（ROC）曲线图、相关性分析进行定量研究。研究结果表明:灭火防护服对消防员工效性能影响大于防化服,灭火防护服较对照组握力减小32%、RPE增大54%、活动受限程度增大35倍,且RPE和活动受限程度均与握力呈显著负相关（p<0.001）。研究结果可为消防员个体防护服装设计、测试、性能提升等提供理论支撑,也可为消防员生命安全保障研究提供基础数据。     

Prediction of Duration Limited Exposure for Participants Wearing Chemical Protective Clothing in the Cold

The suitability of the IREQ (insulation required) index for predicting the thermal responses of 6 participants wearing chemical protective clothing was tested during exercise at -20 and -25 °C. IREQ was used to calculate duration limited exposure (DLE). Measured DLE correlated (r= .899, p < .001) with the predicted DLE. In exposures exceeding 40 min, however, the predicted DLE tended to be 10-20 min too short compared to the measured one. During short exposures the prediction was 5-20 min too long. The results show that IREQ overestimated the cold strain in participants wearing chemical protective clothing during cold exposures longer than 40 min. Nevertheless, predicted DLE never exceeded measured times and thus the prediction was always safe from the occupational point of view.     

Thermal strain in fire fighters while wearing task-fitted versus en 469:2005 protective clothing during a prolonged rescue drill.

Fire fighters are normally overprotected during their working hours because of the tendency to keep the personal protection level sufficiently high in case of the worst possible scenarios. This study investigated the effects of task-fitted protective clothing on thermal strain in fire fighters as compared to EN 469:2005 protective clothing during a prolonged (2 1/2 hrs) job-related rescue drill under neutral and hot climates. The subjects were 23 healthy, physically fit professional male fire fighters aged 26-44 years. Measurements included cardiovascular and thermal responses and subjective assessments. Wearing task-fitted clothing during rescue tasks in a neutral climate considerably reduced total thermal and cardiovascular strain in prolonged rescue work. The fire fighters also perceived physical work as significantly harder on average, and reported more intense subjective discomfort while wearing EN 469:2005 as compared to task-fitted clothing.     

Thermal Strain in Fire Fighters While Wearing Task-Fitted Versus EN 469:2005 Protective Clothing During a Prolonged Rescue Drill

Fire fighters are normally overprotected during their working hours because of the tendency to keep the personal protection level sufficiently high in case of the worst possible scenarios. This study investigated the effects of task-fitted protective clothing on thermal strain in fire fighters as compared to EN 469:2005 protective clothing during a prolonged (2 1/2 hrs) job-related rescue drill under neutral and hot climates. The subjects were 23 healthy, physically fit professional male fire fighters aged 26–44 years. Measurements included cardiovascular and thermal responses and subjective assessments. Wearing task-fitted clothing during rescue tasks in a neutral climate considerably reduced total thermal and cardiovascular strain in prolonged rescue work. The fire fighters also perceived physical work as significantly harder on average, and reported more intense subjective discomfort while wearing EN 469:2005 as compared to task-fitted clothing.     

Cooling Suits,Physiological Response,and Task Performance in Hot Environments for the Power Industry

Heat stress on workers working outdoors in the power industry may result in fatigue and deterioration in task performance. This research collected and analyzed data on task performance of workers working indoors and outdoors with and without a cooling suit. The task performance was compared on the basis of heart rate, oxygen consumption, tympanic temperature, subjective responses, productivity, and error rates. Based on One-Way Analysis Of Variance (ANOVA) results, a significantly lower estimated working oxygen consumption was observed (p < .001) when the cooling suit was worn. The productivity was higher while workers wore the cooling suit as compared to no cooling suit (p = .011) whereas the error rates were significantly lower(p < .001). Also a significantly lower self-reported discomfort was observed in the neck and shoulders while working wearing the cooling suit (p = .004). This study concluded that wearing a cooling suit while working outdoors was associated with physiological benefits as well as improved task performance of the study participants.     

Cooling suits, physiological response, and task performance in hot environments for the power industry.

Heat stress on workers working outdoors in the power industry may result in fatigue and deterioration in task performance. This research collected and analyzed data on task performance of workers working indoors and outdoors with and without a cooling suit. The task performance was compared on the basis of heart rate, oxygen consumption, tympanic temperature, subjective responses, productivity, and error rates. Based on One-Way Analysis Of Variance (ANOVA) results, a significantly lower estimated working oxygen consumption was observed (p < .001) when the cooling suit was worn. The productivity was higher while workers wore the cooling suit as compared to no cooling suit (p = .011) whereas the error rates were significantly lower (p < .001). Also a significantly lower self-reported discomfort was observed in the neck and shoulders while working wearing the cooling suit (p = .004). This study concluded that wearing a cooling suit while working outdoors was associated with physiological benefits as well as improved task performance of the study participants.     

Effectiveness of a Light-Weight Ice-Vest for Body Cooling While Wearing Fire Fighter’s Protective Clothing in the Heat

The aim of the study was to examine the effects of wearing an ice-vest (ca 1 kg) on physiological and subjective responses in fire fighters. The experiments were carried out on a treadmill in a hot-dry environment. The physical cooling effect of the ice-vest was measured with a thermal manikin. The ice-vest effectively reduced skin temperatures under the vest. On average, heart rate was 10 beats/min lower, the amount of sweating was reduced by 13%, and subjective sensations of effort and warmth were lower during work with the ice-vest compared to work without it. Thermal manikin tests indicated that the useful energy available from the vest for body cooling was rather high (58%). In conclusion, the ice-vest reduces physiological and subjective strain responses during heavy work in the heat, and may promote efficient work time by 10%.     

Effectiveness of a light-weight ice-vest for body cooling while wearing fire fighter's protective clothing in the heat.

The aim of the study was to examine the effects of wearing an ice-vest (ca 1 kg) on physiological and subjective responses in fire fighters. The experiments were carried out on a treadmill in a hot-dry environment. The physical cooling effect of the ice-vest was measured with a thermal manikin. The ice-vest effectively reduced skin temperatures under the vest. On average, heart rate was 10 beats/min lower, the amount of sweating was reduced by 13%, and subjective sensations of effort and warmth were lower during work with the ice-vest compared to work without it. Thermal manikin tests indicated that the useful energy available from the vest for body cooling was rather high (58%). In conclusion, the ice-vest reduces physiological and subjective strain responses during heavy work in the heat, and may promote efficient work time by 10%.     

Self-Rated Physical Loads of Work Tasks Among Firefighters

Objectives. The present study sought to identify firefighters’ rated physical demands for the most frequently occurring work tasks and to determine if the ratings differed between full-time and part-time firefighters to help create a basis for the development of physical employment tests for firefighters. Methods. An extensive questionnaire was completed by 125 and 68 firefighters in 2000 and 2010, respectively. The data were analysed with the Mann-Whitney U test and binominal test and ranked on the basis of the responses in each category. Results. Significant differences were seen between the full- and part-time firefighters. The work tasks rated as the most physically strenuous in terms of aerobic fitness, muscle strength, work posture and body control by most respondents were smoke diving upstairs (carrying a hose), victim rescue in different ways, carrying a stretcher over terrain and pulling a hose. Conclusions. Physically strenuous work tasks should be included in the end-point performance variables used to select physical performance tests for firefighters. The part-time firefighters with no experience in several of the work tasks suggests that work-related exercises are important if both groups of firefighters are expected to do similar work.     

Cardiovascular Strain of Sawmill Workers in South-Western Nigeria

This study aimed to assess cardiovascular strain during sawmilling operations in terms of physical workload, based on heart rate changes. We measured resting and working heart rates and calculated cardiovascular load (%CVL), cardiovascular strain (%CVS) and relative heart rate (%RHR) in 35 sawmill workers. Based on heart rate only, the work in sawmills was classified as very heavy and extremely heavy. Similarly, a high-level category was recorded for %CVL and a very high range for %CVS. Thus, the workload in sawmill operations is usually very high and can lead to physiological strain of the workers. There is a need to redesign the work content of this occupation to prevent excessive strain in the workers, as this will increase their productivity and reduce their health risk.     

The effects of chemical protective suits on human performance

Workers in the chemical industry are often required to wear protective suits while performing tasks. While these suits can be life saving, they increase the difficulty and discomfort faced by the wearer. This research explores the performance of individuals wearing the highly cumbersome Level A suit. The suits are heat-retentive and can cause fatigue that affects performance by increasing response time and decreasing accuracy. Members of Missouri’s Civil Support Team (CST) served as subjects for this research. They conducted fine and gross motor tests. Their completion time and accuracy were evaluated both out-of-suit and in-suit for the Level A chemical protective suits.A t-test was conducted to evaluate the effect of the Level A suits on performance. Results showed a significant increase in completion time and errors for gross motor tasks. This type of task had up to a 103% increase in time required and up to a 34% decrease in accuracy. The suit’s impact on fine motor skill was also significant, but to a lesser extent. Repeated measures test was performed to evaluate any potential time-in-suit effect. A decrease in mean task completion time was observed for some of the tasks. There was a corresponding decrease in accuracy but no consistent time-in-suit effect was identified.The results indicate the need for care when designing procedures and equipement to be used by humans wearing restrictive PPE. It is important to take human limitations into consideration in the design phase in order to decrease the need for human adaptation and increase system safety. To achieve this, understanding human factors is imperative when designing equipment, tasks, or procedures for workers wearing PPE.     

A ventilation cooling shirt worn during office work in a hot climate: cool or not?

The aim of the study was to identify whether a ventilation cooling shirt was effective in reducing heat strain in a hot climate. Eight female volunteers were exposed to heat (38?°C, 45% relative humidity) for 2?h with simulated office work. In the first hour they were in normal summer clothes (total thermal insulation 0.8?clo); in the second hour a ventilation cooling shirt was worn on top. After the shirt was introduced for 1?h, the skin temperatures at the scapula and the chest were significantly reduced (p?<?0.05). The mean skin and core temperatures were not reduced. The subjects felt cooler and more comfortable by wearing the shirt, but the cooling effect was most conspicuous only during the initial 10?min. The cooling efficiency of the ventilation shirt was not very effective under the low physical activity in this hot climate.     

Assessing gait changes in firefighters due to fatigue and protective clothing

Each year, roughly 11,000 firefighters are injured as a result of slips, trips and falls, which account for over 25% of all fireground injuries. Wearing personal protective equipment (PPE) can increase risk of fall-related injuries due to its weight, restrictiveness, and increased heat stress. Modification of PPE may serve to mitigate firefighter injuries related to loss of balance and falls. We examined the effects of choosing ‘enhanced’ protective clothing (lightweight, breathable, and less restrictive compared to typical firefighting PPE) and simulated firefighting tasks (18-min bout over four activities) on subsequent gait performance. To assess the effect of wearing protective clothing and firefighting activity, seven gait parameters and three movement errors were assessed during level and obstacle-crossing walking tasks. Forty-four firefighters wore one of two types of PPE (‘Standard’, ‘Enhanced’) during three testing conditions (baseline in station uniform, pre-firefighting activity in PPE, and post-firefighting activity in PPE). The effect of donning any PPE was found to significantly impair gait performance. Fatigue may impact effective mobility since more movement errors were observed during post-activity than pre-activity assessments. Although the Enhanced PPE did not lead to any significant differences in gait parameters compared to Standard PPE, participants in Enhanced PPE made twice as many movement errors, potentially attributed to lack of familiarity with the gear. These results suggest that wearing firefighting PPE and heat-stress induced fatigue are associated with reduced gait performance and increased risk for tripping over obstacles.     

Physiological and perceptual strain of firefighters during graded exercise to exhaustion at 40 and 10 °C

Purpose. To study whether perceptual identification should be included as a measure to evaluate physiological stress. Methods. Physiological variables oxygen uptake (V_O2), ventilation, heart rate, blood lactate concentration, rectal temperature (T_rec) and mean skin temperature, and perceptual variables rate of perceived exertion, thermal sensation and time to exhaustion, were measured at submaximal and maximal intensities during graded exercise on a treadmill to exhaustion in 12 firefighters wearing protective clothing and extra mass at 40 and 10 °C. Physiological strain index (PhSI) and perceptual strain index (PeSI) were calculated. Results. Apart from T_rec, all physiological and perceptual variables were higher at submaximal intensities of 40 °C. Time to exhaustion was 16% shorter and the corresponding V_O2 was reduced by 7% in the heat. A high correlation (r?=?89) between PhSI and PeSI was found at both temperatures. PeSI scores were equal to PhSI at both ambient temperatures, except at the two highest intensities in the heat, where PeSI was higher. Conclusions. These findings support use of perceptual identification to evaluate physiological stress. However, at very high intensities under hot conditions the perceptual strain was estimated higher than the physiological strain. More precise indexes are needed to include perceptual measures in safety standard.     

中美消防员殉职原因的对比研究

根据中美两国2000-2014年消防员伤亡数据,从伤亡数量、事故类型、殉职原因等方面进行对比分析。结果表明:从接警次数与牺牲人数比、每10万起火灾死亡人数比来看,中国高于美国;两国由于火场作业造成的消防员牺牲人数最多,发生事故数量最多;中国消防人员殉职主要原因是建筑物坍塌、爆炸、交通事故,故在灭火救援作业中,防止建筑物倒塌事故、提高消防员的应急避险能力及培养消防员安全意识是中国消防员急需加强的能力。研究成果对进一步强化消防队伍能力建设、减少消防人员伤亡有一定指导意义。     

Changes in the peripheral blood flow in legs in response to the cold: own studies using plethysmography

The thermal environment in the workplace is an important factor which affects workers’ health. During 2011 in Poland, 14,781 workers were exposed to a cold working environment, i.e., 3.8% of persons employed in hazardous work conditions. The aim of this study was to determine the cardiovascular response to continuous (4 °C for 60 min) and intermittent (10 min at 4 °C and 10 min at room temperature alternately) exposure to the cold in 30 healthy men aged 20–27 years. Peripheral blood flow was assessed with impedance plethysmography. Heart rate and arterial blood pressure were monitored with the Holter system. Having assessed the results, it is difficult to say which kind of exposure has a more severe impact on the cardiovascular system. Longer observation and a more detailed analysis would be necessary (e.g., Doppler echocardiography).     

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

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.     

消防员运动性疲劳监测量表的评价

为了预防战训损伤，利用消防员运动性疲劳监测量表，研究评价消防员训练疲劳。通过基层消防救援队伍量表数据的统计分析，探讨量表的题目编制，包括题目区分度分析和辨别力分析，检验量表的信效度，进而构建量表的参考常模，评价消防员疲劳等级及类型。研究结果表明:量表题目及结构符合标准，根据量表得分确定消防员是否疲劳，并将消防员疲劳划分为轻度疲劳、过度疲劳2个等级，以及应激过度主导和恢复不足主导2个类别，从而有效监测消防员战训情况，提高消防救援队伍战斗力。     

Stress,burnout and diminished safety behaviors: An argument for Total Worker Health® approaches in the fire service

Introduction: Firefighting is stressful work, which can result in burnout. Burnout is a safety concern as it can negatively impact safety outcomes. These impacts are not fully understood within the fire service. Further, the fire service needs support that safety strategies are needed to protect and promote the health and wellbeing of firefighters. Methods: Structural equation modeling was completed to examine a hypothesized model that linked stress and burnout to diminished safety behavior outcomes among a sample of career firefighters. Results: Findings support a full mediation model. Firefighter stress perceptions were positively associated with burnout and burnout was negatively associated with safety compliance behavior, personal protective equipment behavior, safe work practices, and safety citizenship behavior. Conclusions: These results illustrate the negative impact of health impairment on firefighter safety behaviors. Practical Applications: These outcomes suggest that interventions aimed at protecting and promotion firefighter health are needed. Total Worker Health® (TWH) approaches may provide the framework for these interventions.