Evaluation of Interventions to Reduce Firefighter Exposures
Burgess JL, Hoppe-Jones C, Griffin SC, Zhou JJ, Gulotta JJ, Wallentine DD, Moore PK, Valliere EA, Weller SR, Beitel SC, Flahr LM, Littau SR, Dearmon-Moore D, Zhai J, Jung AM, Garavito F, Snyder SA
Journal of occupational and environmental medicine · 19 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Mechanisms only
Who paid for it
- Funding
- Independent funding
- Government
- FEMA DHS
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2020-01-24 · J Occup Environ Med · vol. 62 · issue 4 · pp. 279–288
- Publisher
- Lippincott Williams & Wilkins
- Cited
- 26 citations · more than 97% of similar papers · 6.8× the field average
- Impact
- Top 10% most cited in its field
- References
- 42 works
- Access
- Open access (hybrid journal) · CC-BY-NC-ND
- Research areas
- Occupational Health and Performance · Fire dynamics and safety research · Thermoregulation and physiological responses
- Keywords
- Psychological intervention, Medicine, Randomized controlled trial, Personal protective equipment, Urinary system, Occupational exposure, Toxicology, Physical therapy, Environmental health, Surgery, Internal medicine, Coronavirus disease 2019 (COVID-19)
- MeSH
- skin, humans, air pollutants, occupational, environmental monitoring, occupational exposure, firefighters, personal protective equipment, polycyclic aromatic hydrocarbons
17 authors
From DE, US
- Jefferey L. Burgess · correspondingJungheinrich (Germany); University of Arizona; Western Texas College
- Christiane Hoppe‐JonesJungheinrich (Germany); University of Arizona; Western Texas College
- Stephanie C. GriffinJungheinrich (Germany); University of Arizona; Western Texas College
- Jin ZhouJungheinrich (Germany); University of Arizona; Western Texas College
- John J. GulottaJungheinrich (Germany); University of Arizona; Western Texas College
- Darin D. WallentineJungheinrich (Germany); University of Arizona; Western Texas College
Abstract
Objective
Evaluate the effectiveness of firefighter exposure reduction interventions.
Methods
Fireground interventions included use of self-contained breathing apparatus by engineers, entry team wash down, contaminated equipment isolation, and personnel showering and washing of gear upon return to station. Urinary polycyclic aromatic hydrocarbon metabolites (PAH-OHs) were measured after structural fire responses before and after intervention implementation. Separately, infrared sauna use following live-fire training was compared to standard postfire care in a randomized trial.
Results
The fireground interventions significantly reduced mean total urinary postfire PAH-OHs in engineers (-40.4%, 95%CI -63.9%, -2.3%) and firefighters (-36.2%, 95%CI -56.7%, -6.0%) but not captains (-11.3% 95%CI -39.4%, 29.9%). Sauna treatment non-significantly reduced total mean PAH-OHs by -43.5% (95%CI -68.8%, 2.2%).
Conclusions
The selected fireground interventions reduced urinary PAH-OHs in engineers and firefighters. Further evaluation of infrared sauna treatment is needed.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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