health and safety guidelines for firefighter training
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Health and Safety Guidelines for Firefighter TrainingHealth and Safety Guidelines for Firefighter Training
OVERVIEWOVERVIEW
Introduction/Scope of Problem Project Goals Research Design and Execution Health and Safety Guidelines
FIREFIGHTER FATALITIESFIREFIGHTER FATALITIES
year number
2005 99
2004 108
2003 111
2002 100
2001 106
2000 105
1999 113
1998 93
(Plus 343 on 9/11)
TRAINING FATALITIESTRAINING FATALITIES
year number
2005 14
2004 13
2003 12
2002 11
2001 14
2000 13
1999 3
1998 12
Physical FitnessEquipment/Apparatus DrillLive FireUnderwater/DiveSCBAClass/SeminarDriver TrainingEnroute/Returning
Physical FitnessEquipment/Apparatus DrillLive FireUnderwater/DiveSCBAClass/SeminarDriver TrainingEnroute/Returning
Source: USFA 2002
3125.9
17.28.6
6.95.2
3.4
0 5 10 15 20 25 30 35
1.7
LEADING TYPES of TRAINING ACTIVITIES ASSOCIATED with FATALITIES (1990-2000)
LEADING TYPES of TRAINING ACTIVITIES ASSOCIATED with FATALITIES (1990-2000)
TRAINING INJURIES-2003TRAINING INJURIES-2003
Category Burns Smoke Other Burns & Smoke Wound, Cut SubtotalInhalation Respiratory Inhalation Bleeding, Bruise
N 330 25 85 35 1185 1660
% 4.7 0.4 1.2 0.5 16.7 23.0
Category Dislocation, Heart Attack Strain, Thermal Stress OtherTotalFracture or Stroke Sprain
N 340 70 4130 325 575 7,100
% 4.8 1.0 58.2 4.6 8.1 100
NFPA 2004
PHYSICAL DEMANDS OF FIREFIGHTINGPHYSICAL DEMANDS OF FIREFIGHTING
Cardiac Failure Thermal Stress Inhalation of Contaminants Disorientation and Panic
Cardiac Failure Thermal Stress Inhalation of Contaminants Disorientation and Panic
CARDIAC FAILURECARDIAC FAILURE
Most likely cause of firefighter fatalities is cardiac arrest
Severe exertion stresses the heart and requires it to deliver more blood to working muscles
PROJECT GOALSPROJECT GOALS
Provide a tool to assist the fire service on a national level with reducing the number and seriousness of training-related injuries and deaths
Develop standardized guidelines for health management of firefighters during training activities
CENTER for FIREFIGHTER SAFETY RESEARCH and DEVELOPMENT PARTNERSHIP
CENTER for FIREFIGHTER SAFETY RESEARCH and DEVELOPMENT PARTNERSHIP
Maryland Fire and Rescue Institute Fire Protection Engineering Department
Small Smart Systems Center VivoMetrics Government Services Project funded by Assistance to Firefighters Grant Program by DHS
THE LIFESHIRT SYSTEMTHE LIFESHIRT SYSTEM
Ambulatory Monitoring Objective Physiologic Data Peripheral Diagnostic Devices
VivoMetrics LifeShirt DATAVivoMetrics LifeShirt DATA
Pulmonary FunctionRespiratory rateTidal VolumeMinute Ventilation
Electrocardiogram (ECG) Accelerometer Blood Oxygen Saturation Skin Surface Temperature Core Body Temperature
RESEARCH PROTOCOLRESEARCH PROTOCOL
Harvard Step Test Training Evolutions
MazeFirst Floor BurnThird Floor BurnRITObtained data from actual firefighting activity
HARVARD STEP TESTHARVARD STEP TEST Validated test to estimate aerobic capacity based on fitness index
Subjects step to a 30-step cadence on and off a 20 cm box for five minutes
MAZE EVOLUTIONMAZE EVOLUTION Three story obstacle course Participants in full PPE and SCBA Traverse at own pace
INSTRUMENTATIONINSTRUMENTATION
Temperature Sensors
Average ceiling temperature of 725 F
Range of temperature from 714 F to 1,285 F
Temperature above 930 F not recommended
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FITNESS LEVEL vs PERFORMANCEFITNESS LEVEL vs PERFORMANCE
Lower heart rates and levels of minute ventilation, breathing frequency and inspired and expired air flow were observed in the most fit individuals compared to all other fitness groups.
HYDRATION vs PERFORMACEHYDRATION vs PERFORMACE
The most hydrated participants had a significantly lower relative heart rate response compared to all other hydration groups.
DECISION TREEDECISION TREE Based on multiple regression analysis and
derivitive equations Serve to predict the range of values
expected based on age and fitness level
Instructors are expected to comply with the standards in NFPA 1041, Fire ServiceInstructor Professional Qualifications (2002)
INSTRUCTORSINSTRUCTORS
Facilities used for live fire training are expected to comply with NFPA 1403, Standard on Live Fire Training Evolutions(2002)
TRAINING FACILITIESTRAINING FACILITIES
Before the beginning of any training evolution, and especially for live fire trainingevolutions, a safety plan must be developed.
SAFETY PLANSAFETY PLAN
Full personal protective equipment will be available and required for all studentsparticipating in practical training evolutions.
PPEPPE
During any live fire training evolutions qualified, experienced safety officer will be appointed and must remain through the duration of the evolutions.
SAFETY OFFICERSAFETY OFFICER
Training facilities and instructors should monitor weather conditions and adjust or cancel related activities as conditions warrant.
ENVIRONMENTAL CONDITIONSENVIRONMENTAL CONDITIONS
Medical evaluations in accordance with NFPA 1582, Comprehensive Occupational Medical Program for Fire Departments (2003) should be conducted as a baseline for surveillance and annually thereafter on all individuals engaged in firefighter emergency functions.
MEDICAL EVALUATIONMEDICAL EVALUATION
NFPA Study of United States Fire Service (2001)NFPA Study of United States Fire Service (2001)
73 percent of firefighters worked in fire departments that did not have a program to maintain basic firefighter fitness and health as required in NFPA 1500
In rural communities, (population under 2,500), 88 percent of firefighters did not have a firefighter fitness and health program
U.S. Firefighter Fatalities Due to Sudden Cardiac Death, 1995-2004 (NFPA 2005)
U.S. Firefighter Fatalities Due to Sudden Cardiac Death, 1995-2004 (NFPA 2005) During the study there were 1,006 on-duty
firefighter fatalities of which 440 (43.7%) fell into the category of “sudden cardiac death.”
Autopsies or post mortem information was reported for 308 of the 440 victims of sudden cardiac death
Of the 308 firefighters, 134 (43.5%) had prior known heart-related conditions. These included previous heart attack, bypass surgery or angioplasty/stent placement
An additional 97 firefighters had atherosclerotic heart disease defined as arterial occlusion of at least 50 percent
The seven question PAR-Q should be used by fire training academies as a means toscreen students prior to participation in firefighter emergency training evolutions.
MEDICAL SCREENINGMEDICAL SCREENING
Fitness evaluations in accordance with NFPA 1582, Comprehensive Occupational Medical Program for Fire Departments (2003) should be conducted as a baseline for surveillance and annually thereafter on all individuals engaged in firefighter emergency functions.
FITNESS EVALUATIONFITNESS EVALUATION
Fire training academies should conduct a two-fold fitness screening on all individuals prior to participation in firefighter emergency training.
FITNESS SCREENINGFITNESS SCREENING
BODY MASS INDEXBODY MASS INDEX
BMI = Weight (lb)/[height (in)]2
* 703
BMI Weight Status
Below 18.5 Underweight18.5 – 24.9 Normal25.0 – 29.9 Overweight30.0 and Above Obese
FITNESS INDEXFITNESS INDEX
Harvard Step Test
FI = (100 * test duration in seconds)/(2 * THB in recovery)
Fitness Level Fitness Index
Excellent >90Good 80-89High Average 65-79Low Average 55-64Poor < 55
The training academy should provide instructions to participants to and during firefighter emergency training to encourage proper hydration
HYDRATIONHYDRATION
Training academies should adhere to NFPA 1584, Recommended Practice on the Rehabilitation of Members Operating at Incident Scene Operations and Training Exercises.
MEDICAL MONITORINGMEDICAL MONITORING
In all cases, only fuels with known burning characteristics that are controllable are to be used and only in quantities needed to create the desired fire size.
FUEL LOAD AND EXPOSUREFUEL LOAD AND EXPOSURE
Call to ActionCall to Action
Our duty now is to learn from the effort, but most importantly to implement the recommended firefighter training guidelines in each and every fire department throughout the United States.
Thank you for your participation!