¹Jeff Gold,² Sunddip Panesar-Aguilar, ³Erick Aguilar

^1,2Univeristy of St. Augustine for Health Sciences, St. Augustine, FL

³Florida State Community College, Jacksonville, FL

Firefighting is a physically demanding and hazardous occupation. The hazards of firefighting include exposure to flames and heat, building collapse, and continuous work in a toxic environment, which are the most commonly perceived risks, but the most deadly hazard to on-duty firefighters is that of Sudden Cardiac Death. This qualitative study aimed to explore the educational programs available to the firefighters that can potentially reduce the on-duty sudden cardiac deaths and determine why there are no mandatory fitness standards. The study aimed to offer those responsible for the training of firefighters the specific training and education available and how to motivate firefighters to accept the training and education. The researcher conducted interviews with firefighter respondents who discussed their views regarding firefighter physical demands, mandatory training, and their perceptions on general fitness requirements to meet the research objective. From the evaluation of the findings, it was noted that firefighters have a negative attitude towards training. However, it is evident that physical training is necessary to ensure that the firefighters remain in the best shape to carry out their duties successfully. Besides, fitness will ensure a reduction of the sudden cardiac deaths that have become prevalent among on-duty firefighters. The lack of awareness is a problem that needs to be evaluated through a collaborative approach involving all the stakeholders.

Firefighter Education, Healthcare Research, Physical Training, Educational Training, Human Subjects

1) De Cauwer, H., Somville, F., Sabbe, M., & Mortelmans, L. J. (2017). Hospitals: Soft target for terrorism? Prehospital and Disaster Medicine, 32(1), 94-100. Dettori, N. J., & Norvell, D. C. (2006). Non-traumatic bicycle injuries. Sports Medicine, 36(1), 7-18. DOI: 10.2165/00007256-200636010-00002

2) Smith, D. L., Haller, J. M., Korre, M., Sampani, K., Porto, L. G. G., Fehling, P. C., & Kales, S. N. (2019). The relation of emergency duties to cardiac death among US firefighters. The American journal of cardiology, 123(5), 736-741. https://doi.org/10.1016/j.amjcard.2018.11.049

3) Costas, C. Fehling, P., Haller, J., Kales, S., Korre, M. Smith, D. The relation of emergency duties to cardiac death among U.S. firefighters. (2019). The American Journal of Cardiology, 123(5), 736-741.

4) Tebeau, M. (2012). Eating Smoke: Fire in Urban America, 1800-1950. Baltimore, MD: Johns Hopkins University Press.

5) Fahy, R. F., Petrillo, J. T., & Molis, J. L. (2020). Firefighter fatalities in the US–2019. NFPA. Retrieved from https://www.nfpa.org//-/media/Files/News-and-Research/Fire-statistics-and-reports/Emergency-responders/osFFF.pdf

6) Yang, J., Teehan, D., Farioli, A., Baur, D. M., Smith, D., & Kales, S. N. (2013). Sudden cardiac death among firefighters 45 years of age in the United States. The American Journal of Cardiology, 112(12), 1962.

7) DeStefano, M. (2018). Physical fitness standards to save lives: Ours and theirs. Retrieved from https://www.firefighternation.com/health-safety/physical-fitness-standards-to-save-lives-ours-and-theirs/#gref

8) Smith, E. C., & Burkle Jr, F. M. (2018). The forgotten responders: the ongoing impact of 9/11 on the Ground Zero recovery workers. Prehospital and disaster medicine, 33(4), 436-440.

9) Jazayeri, M. A., & Emert, M. P. (2019). Sudden cardiac death: Who is at risk? Med Clin North Am, 103(5), 913-930.

10) Patterson P. D., Smith K. J., & Hostler D. (2016, November 21). Cost-effectiveness of workplace wellness to prevent cardiovascular events among U.S. firefighters. BMC Cardiovascular Disorders, 16(1), 229.

11) Bezzina, C. R., Walsh, R., & Najim, L. (2019). Predicting risk for adult-onset sudden cardiac death in the population. Journal of the American College of Cardiology, 74(21), 2635-2637.

12) Blumberg, D. M., Schlosser, M. D., Papazoglou, K., Creighton, S., & Chief, C. K. (2019). New directions in police academy training: A call to action. International Journal of Environmental Research and Public Health, 16(24), 1-5.

13) Orr, R., Simas, V., Canetti, E., & Schram, B. (2019). A profile of injuries sustained by firefighters: A critical review. Int J Environ Res Public Health, 16(20), 3931.

14) Carter, H. & Erwin, R. (2017). Management in the fire service (5th ed.). Burlington, MA: Jones & Bartlett Learning.

15) Von Klot, S., Mittleman, M. A., Dockery, D. W., Heier, M., Meisinger, C., Hörmann, A., & Peters, A. (2008). Intensity of physical exertion and triggering of myocardial infarction: a case-crossover study. European heart journal, 29(15), 1881-1888. https://doi.org/10.1093/eurheartj/ehn235

16) Fernhall, B., Fahs, C. A., Horn, G., Rowland, T., & Smith, D. (2012). Acute effects of firefighting on cardiac performance. European journal of applied physiology, 112(2), 735-741. https://link.springer.com/article/10.1007/s00421-011-2033-x

17) Wolkow A, Netto K, & Aisbett B.(2013). The effectiveness of health interventions in cardiovascular risk reduction among emergency service personnel. Int Arch Occup Environ Health. 86, 245–260.

18) Bakkes, M. S., Hendry, J.A. & Uys, M.S. (1993). Cycling injuries-a descriptive study. South African Journal of Physiotherapy, 49(4), 61-64. Retrieved from https://sajp.co.za/index.php/sajp/article/download/693/911

19) Drain, J. R., & Reilly, T. J. (2019). Physical employment standards, physical training and musculoskeletal injury in physically demanding occupations. Work, 63(4), 495-508.

20) Poston W. S., Haddock C. K., Jahnke S. A., Jitnarin N., & Day R. S. (2013). An examination of the benefits of health promotion programs for the national fire service. BMC Public Health, 5(13), 805.

21) Michaelides, M. A., Parpa, K. M., Henry, L. J., Thompson, G. B., & Brown, B. S. (2011). Assessment of physical fitness aspects and their relationship to firefighters' job abilities. The Journal of Strength & Conditioning Research, 25(4), 956-965.

22) Soteriades, E. S., Smith, D. L., Tsismenakis, A. J., Baur, D. M., & Kales, S. N. (2011). Cardiovascular disease in US firefighters: a systematic review. Cardiology in review, 19(4), 202-215. https://journals.lww.com/cardiologyinreview/Abstract/2011/07000/Cardiovascular_Disease_in_US_Firefighters__A.5.aspx

23) Bolus, D. J., Shanmugam, G., Narasimhan, M., & Rajasekaran, N. S. (2018). Recurrent heat shock impairs the proliferation and differentiation of C2C12 myoblasts. Cell Stress & Chaperones, 23(3), 399-410.

Volume 05 Issue 01 January 2022