自给正压式空气呼吸器R式呼吸法测试与应用探析

对遇险消防员迅速实施二次救援是目前减少消防员火场伤亡的重要措施。当遭遇迷失、受伤、被困等意外而依靠自身的力量无法脱险、或空气呼吸器低压报警装置起鸣时,消防员如果能延长空气呼吸器的使用时间,就能够为外部救援力量的二次救援提供宝贵的时间,为成功获救创造条件。测试采用自由呼吸和R式呼吸法两种呼吸方式下、在跑步机上以6km/h的速度快步行走和俯卧状伏于地面两种运动状态下55MPa空气的使用时间。结果证明,采用R式呼吸法较之自由呼吸时空气的使用时间更长,采用R式呼吸法俯卧状伏于地面能更有效地延长空气的使用时间。为了提高火场遇险消防员的生存机率,应将R式呼吸法作为消防员基本生存技能纳入灭火救援业务训练大纲,规范消防员火场避险行动程序,并系统化地开展实战化专项训练。     

Physiological evaluation of chemical protective suit systems (CPSS) in hot conditions.

This job-related experiment investigated physiological strain in subjects wearing impermeable chemical protective suit systems (CPSSs) weighing about 28 kg. Two types of CPSSs were studied: the self-contained breathing apparatus was carried either inside or outside the suit. Eight healthy and physically fit male firefighter instructors aged 32 to 45 years volunteered for the study. The test drill, performed at a dry, windless ta of 40 degrees C, was divided into 2 consecutive work sessions of 14.5 min (a 20-min rest between) including typical operational work tasks. Considerable thermal and maximal cardiovascular strain and intense subjective discomfort measured in the firefighters emphasize the need to limit working time in hot conditions to only 10-12 min while wearing CPSSs. The present results indicate that the exceptionally heavy physical load and psychological stress during operations in chemical emergencies must be considered in the assessment of the cardiovascular capacity of ageing firefighters using CPSSs.     

关于呼吸器用气瓶阀国家标准的探讨

呼吸器是一种自给式的呼吸保护器具,被广泛运用到消防、化工、船舶、石油、矿山等行业,其主要分为空气呼吸器、氧气呼吸器、氮氧混合呼吸器和潜水呼吸器。一直以来,作为特种设备的呼吸器用气瓶阀并没有相关的国家标准,而GB 15382-2011《气瓶阀通用技术条件》并不包括呼吸器用气瓶阀,因此有必要制定相关的国家标准来对其进行规范。目前,《空气呼吸器用气瓶阀技术条件》国家标准已经出台征求意见稿,本文针对意见稿的相关内容,对阀门进出气口连接型式、过滤装置、限流要求、泄压装置及爆破压力等方面提出相关意见和建议。     

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.     

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.     

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。     

正压空气呼吸器面罩的数字化设计

本文介绍了一种新型正压空气呼吸器面罩的结构设计。分别从数据采集、曲面重构及实体建模等方面对面罩的数字化设计步骤进行了详细阐述,并对面罩视野进行了初步校核。     

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.     

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.     

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.     

Ventilation mode changes our safety in buses: Study on “air-rain” flow against chemical and arson attack in public transport vehicles

Objectives: Public transport vehicles (PTVs) play a decisive role in development of the urban economy. However, the safety of PTVs is threatened by the man-released chemical or arson attack. It was found that indoor air safety can be greatly improved by employing air-rain ventilation instead of the common ventilation in a PTV.

Methods: Numerical simulations and experiments have been done to prove the effectiveness of the air-rain flow against chemical attack or arson in PTVs.

Results: The research shows that, during a chemical attack, an air-rain flow of 0.1 m/s can constrain the spread of a chemical agent in a very limited zone near its source, which is far away from the passengers’ breathing area in the PTV. During an arson attack, at an air-rain flow of 0.3 m/s, most of the area in the PTV maintains a low temperature for at least 60?s during a fire, which is long enough for passenger evacuation.

Conclusion: Compared to common ventilation, the key characteristic of air-rain ventilation is its resistance to the blending effect of the air. Because of this, the spread of chemical agents, hot gas/combustion products during a fire, and fuel aerosol is constrained to a limited area in a PTV. Passengers are then protected from chemical attack, explosion of fuel aerosols, and high temperatures and smoke. Thus, we can say that this new ventilation mode increases passenger safety in buses.     

Association between resiliency and posttraumatic growth in firefighters: the role of stress appraisal

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.     

Moving FOCUS – The Fire Service Organizational Culture of Safety survey – From research to practice

Introduction: FOCUS, the Fire Service Organizational Culture of Safety survey, has evolved from a research to practice enterprise within the United States fire and rescue service. The FOCUS tool was developed through a FEMA Assistance to Firefighters Research & Development grant. Then it moved to practice in the field. To date over 35,000 firefighters have participated. A current FEMA Fire Prevention & Safety grant can support FOCUS assessment in up to 1,000 fire departments, with the potential of nearly 120,000 respondents. With each funding cycle, the goal of the FOCUS program is to grow and measure its research to practice impact. Methods: We describe how FOCUS safety culture results are disseminated to fire service stakeholders. By utilizing customized reports and a training curriculum we demonstrate how FOCUS is moving research to practice by: (1) illustrating how survey results can be delivered effectively to practitioners, (2) providing examples of how fire departments are using results, and (3) sharing the reactions of the fire service to the FOCUS instrument, reports, and our flagship data training curriculum – Culture Camp. Results' Conclusions: Qualitative and quantitative data are analyzed to demonstrate the impact and acceptance of the FOCUS report and Culture Camps. Stakeholders reflect on the report and the experience of having quantitative safety culture data. Culture Camps are evaluated qualitatively and quantitatively using a matching game exercise, pre/post-test, a fire department teach back, and a Qualtrics evaluation. Practical Applications: Traditionally, the fire service has focused on reducing negative safety outcomes. FOCUS is helping shift their attention further upstream in the prevention pathway through the measurement of important organizational outcomes. The research to practice evolution of the FOCUS program may hold utility for other occupational groups when considering how to steadily move occupational health and safety research to practice in the field for measurable impact.     

Performance on a Work-Simulating Firefighter Test Versus Approved Laboratory Tests for Firefighters and Applicants

Aim. Firefighters must meet minimum physical demands. The Norwegian Labour Inspection Authority (NLIA) has approved a standardised treadmill walking test and 3 simple strength tests for smoke divers. The results of the Trondheim test were compared with those of the NLIA tests taking into account possible effects of age, experience level and gender. Methods. Four groups of participants took part in the tests: 19 young experienced firefighters, 24 senior male firefighters and inexperienced applicants, 12 male and 8 female. Results. Oxygen uptake (V_O2) at exhaustion rose linearly by the duration of the treadmill test. Time spent on the Trondheim test was closely related to performance time and peak V_O2 on the treadmill test. Senior experienced firefighters did not perform better than equally fit young applicants. However, female applicants performed poorer on the Trondheim test than on the treadmill test. Performance on the Trondheim test was not closely related to muscle strength beyond a minimum. Conclusion. Firefighters completing the Trondheim test in under 19 min fit the requirements of the NLIA treadmill test. The Trondheim test can be used as an alternative to the NLIA tests for testing aerobic fitness but not for muscular strength. Women’s result of the Trondheim test were poorer than the results of the NLIA treadmill test, probably because of their lower body mass.     

Comparison of Canadian firefighters and healthy controls based on submaximal fitness testing and strength considering age and gender

Introduction. Few studies have addressed whether firefighters are fitter 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. Methods. In total, 89 participants were recruited. The modified Canadian aerobic fitness test was used to determine participants’ estimated maximal oxygen consumption (V_O2max) 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 device was used respectively. Results. Firefighters’ mean (SD) V_O2max level was 40.30?±?6.25?ml·kg^?1·min^?1. Age proved to have a statistically significant impact on V_O2max (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 firefighters’ aerobic capacity levels. Conclusions. 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.     

Injury-related hospital admission of female firefighters in South Korea

Purpose. The main objective of this study was to ascertain whether injury-related hospital admission in all South Korea female firefighters is greater than that in the general population. Methods. To perform this comparison, the standardized admission ratios (SARs) and their 95% confidence intervals (CIs) were calculated by person-years and mortality computation software. Results. Compared to the general population, the SARs for overall injury (SAR?=?1.57, 95% CI [1.24, 1.96]) and for injury to the lower back (SAR?=?2.78, 95% CI [1.81, 4.07]) in the female firefighters were significantly higher. The SARs for injury to the knee (SAR?=?2.48, 95% CI [1.18, 4.55]) in emergency medical services (EMS) workers were significantly higher than those in the general population. Conclusions. Our study shows that the SARs of overall injury and injury to the lower back in female firefighters and knee injury in the EMS were significantly higher than those in the general population. Further studies are needed to protect the lower back of firefighters and the knees of EMS.     

Assessment of confined space entry and rescue training for aircraft rescue and fire fighting (ARFF) members in the United States

IntroductionFire and emergency service workers, including Aircraft Rescue and Fire Fighting members, may be called on to perform confined space entry and rescue operations. The purpose of the present study was to develop a comprehensive and valid understanding of the present state of confined space entry and rescue training effectiveness and resultant compliance or use of best practices among trained Aircraft Rescue and Fire Fighting personnel.MethodThe study used a convergent, parallel mixed-methods approach. Qualitative data (n = 20) were collected via semi-structured interviews at four locations. Data were coded, analyzed and super-ordinate and sub-ordinate themes were derived. Quantitative data (n = 158) from Aircraft Rescue and Fire Fighting members were analyzed.ResultsInterviewees believed there is a lack of standardization in training, but believed training should not be completed in the same format every time. Several participants (50%) desired more realistic training. Other concerns were associated with staffing, personal readiness, and resource adequacy. With regard to survey outcomes, most respondents reported that their organizations completed confined space training (69.8%), but only 55.3% indicated this training was conducted as a full-scale exercise and nearly 40% indicated that rescue practice was not performed despite standards mandating annual rescue practice. Following training, 55.4% indicated training evaluation information was not presented.ConclusionsParticipants mostly agreed their training effectively addressed OSHA requirements, such as how to test the atmosphere, the need for and use of personal protective equipment, how to identify pertinent permit information and methods to retrieve victims in limited space. Some gaps exist between current training practices and established training requirements and standards.Practical applicationsAircraft Rescue and Fire Fighting organizations need to bolster aspects of their training, particularly with regard to standardizing training efforts, practicing rescues, providing evaluation feedback and written materials and providing adequate resources.     

Taxi driver seat belt wearing in Nanjing, China

Objective

To determine and validate patterns of seat belt use and attitudes of taxi drivers on wearing a seat belt following national and provincial seat belt legislation in 2004-2005. Design: Roadside daylight seat belt observation and interview survey methods were used, as well as observations from inside taxis during routine trips and a taxi driver focus group. The setting was Nanjing, Jiangsu Province, PR China in April of 2006 and 2007.

Main outcome measures

Prevalence of seat belt use and attitudes to wearing a seat belt were determined, as were vehicle and driver characteristics, and comparisons with other motor-vehicle driver's seat belt use and attitudes.

Results

Taxi drivers interviewed were predominantly male and aged 30-39 years. They spent more hours per week in their vehicles and had more driving experience than other drivers. Over half (56.2%) of taxi drivers interviewed reported that they always wore seat belts, while observation of taxi drivers showed lower wearing rates (i.e., roadside observation was 43.8%, and observation from inside taxis was 36.2%). Belt tampering was a practice of 12-15% of taxi drivers. “Fine avoidance, safety, high speed and long trips” were given as important reasons for wearing and “feeling trapped and uncomfortable” for not wearing. Seat belt reminder signs in taxis were common (82.6% of taxis), but did not appear to impact on driver seat belt use.

Conclusion

The four research methods found taxi drivers to have consistently low “correct wearing” rates.

Impact on industry

As in several other countries, taxi drivers are particularly resistant to seat belt use. Innovative strategies, including occupational health and safety approaches, may be required to achieve increased levels of seat belt use.     

Effectiveness of a physical activity program on weight,physical fitness,occupational stress,job satisfaction and quality of life of overweight employees in high-tech industries: a randomized controlled study

Introduction. This study aimed to examine the effectiveness of a physical activity (PA) program on weight control, physical fitness, occupational stress, job satisfaction and quality of life of overweight and sedentary employees in high-tech industries. Methods. Participants in the intervention group (n?=?37) were instructed to carry out a PA program at moderate intensity for 60?min/session, 3 sessions/week for 12 weeks. Those in the control group (n?=?38) received no PA program and were asked to continue their routine lifestyle. Evaluations were performed at baseline and at the end of the intervention. Results of structured questionnaires and blood biochemistry tests and evaluations of physical fitness were analyzed. Results. The PA program effectively reduced the number of risk factors for metabolic syndrome and body fat percentage, and improved physical fitness such as flexibility, muscular strength and endurance and cardiorespiratory endurance. The intervention also significantly decreased levels of serum triglyceride, total cholesterol and low-density lipoprotein cholesterol. Significant positive effects on work control, interpersonal relationships at work, global job satisfaction and quality of life were also demonstrated. Conclusion. This study showed that a PA program can be helpful in improving physical, physiological and psychological outcomes for overweight and sedentary employees in high-tech industries.