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Review Articles

Heat strain of Japanese firefighters wearing personal protective equipment: a review for developing a test method

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 676-689 | Received 30 Oct 2021, Accepted 06 Aug 2022, Published online: 22 Aug 2022

References

  • Angerer, P., S, Kadlez-Gebhardt, M. Delius, P. Raluca, and D. Nowak. 2008. “Comparison of Cardiocirculatory and Thermal Strain during a Fire Suppression to Exercise Stress Test and Aerobic Exercise Testing.” The American Journal of Cardiology 102 (11): 1551–1556. doi:10.1016/j.amjcard.2008.07.052.
  • Baek, Y.J., D. Jung, S.Y. Son, and J.Y. Lee. 2017. “Comparisons between Shikoro-Type Helmet with No Hood and Typical Fire Protective Helmets with Hood in a Hot and Humid Environment.” Ergonomics 17: 1–9.
  • Bakri, I., Y. Tochihara, J.Y. Lee, and H. Wakabayashi. 2022. “Effect of Personal Protective Equipment on the Physiological Responses of Different Body Weight Groups of Firefighters.” Journal of the Human-Environment System 24 (1): 11–16. doi:10.1618/jhes.24.11.
  • Bakri, I., J.Y. Lee, K. Nakao, H. Wakabayashi, and Y. Tochihara. 2012. “Effects of Firefighters’ Self-Contained Breathing Apparatus’ Weight and Its Harness Design on the Physiological and Subjective Responses.” Ergonomics 55 (7): 782–791. doi:10.1080/00140139.2012.663506.
  • Bakri, I, and Y. Tochihara. 2016. “Work Wearing Protective Clothing in Hot Environments: Lessons Learned from the Development of Firefighter Personal Protective Clothing Standard Test.” Journal of Industrial and Intelligent Information 4 (1): 9–14.
  • Barr, D., W. Gregson, and T. Reilly. 2010. “The Thermal Ergonomics of Firefighting Reviewed.” Applied Ergonomics 41 (1): 161–172. doi:10.1016/j.apergo.2009.07.001.
  • Bilzon, J.L., E.G. Scarpello, C.V. Smith, N.A. Ravenhill, and M.P. Rayson. 2001. “Characteristics of the Metabolic Demands of Simulated Shipboard Ryal Navy Fire-Fighting Tasks.” Ergonomics 44 (8): 766–780. doi:10.1080/00140130118253.
  • Bos, J., E.B. Mol, M. Visser, and Dressen Frings. 2004. “Risk of Health Complaints and Disabilities among Dutch Firefighters.” International Archives of Occupational and Environmental Health 77 (6): 373–382. doi:10.1007/s00420-004-0537-y.
  • BS-8469. 2007. “Personal Protective Equipment for Firefighters. Assessment of Ergonomic Performance and Compatibility, Requirements and Test Methods.” British Standard Institute.
  • Burgess, J.L., M.D. Duncan, C. Hu, S.R. Littau, D. Caseman, M. Kurzius-Spencer, G. Davis-Gorman, and P.F. McDonagh. 2012. “Acute Cardiovascular Effects of Firefighting and Active Cooling during Rehabilitation.” Journal of Occupational and Environmental Medicine 54 (11): 1413–1420. doi:10.1097/JOM.0b013e3182619018.
  • Campbell, R. 2018. “U.S. Firefighter Injuries on the Fireground, 2010-2014.” Fire Technology 54 (2): 461–477. doi:10.1007/s10694-017-0692-9.
  • Carballo-Leyenda, B., J.G. Villa, J. Lopez-Satue, P.S. Collado, and J.A. Rodriguez-Marroyo. 2018. “Fractional Contribution of Wildland Firefighters’ Personal Protective Equipment on Physiological Strain.” Frontiers in Physiology 9: 1–10. doi:10.3389/fphys.2018.01139.
  • Casa, D.J., S.M. Becker, M.S. Ganio, C.M. Brown, S.W. Yeargin, M.W. Roti, J. Siegler, J.A. Blowers, N.R. Glaviano, R.A. Huggins, L.E. Armstrong, and C.M. Maresh. 2007. “Validity of Devices That Assess Body Temperature during Outdoor Exercise in the Heat.” Journal of Athletic Training 42 (3): 333–342.
  • Che Muhamed, A.M., K. Atkins, S.R. Stannard, T. Mündel, and M.W. Thompson. 2016. “The Effects of a Systematic Increase in Relative Humidity on Thermoregulatory and Circulatory Responses during Prolonged Running Exercise in the Heat.” Temperature 3 (3): 455–464. doi:10.1080/23328940.2016.1182669.
  • Chiou, S.S., N. Turner, J. Zwiener, D.L. Weaver, and W.E. Haskell. 2012. “Effect of Boot Weigh and Sole Flexibility on Gait and Physiological Responses of Firefighters in Stepping over Obstacles.” Human Factors 54 (3): 373–386. doi:10.1177/0018720811433464.
  • Chou, C., Y. Tochihara, and T. Kim. 2008. “Physiological and Subjective Responses to Cooling Devices on Firefighting Protective Clothing.” European Journal of Applied Physiology 104 (2): 369–374. doi:10.1007/s00421-007-0665-7.
  • Chou, C., Y. Tochihara, M.S. Ismail, and J.Y. Lee. 2011. “Physiological Strains of Wearing Aluminized and Non-Aluminized Firefighters’ Protective Clothing during Exercise in Radiant Heat.” Industrial Health 49 (2): 185–194. doi:10.2486/indhealth.MS1034.
  • Coca, A., J. Kim, R. Duffy, and W.J. Williams. 2011. “Field Evaluation of a New Prototype Self-Contained Breathing Apparatus.” Ergonomics 54 (12): 1197–1206. doi:10.1080/00140139.2011.622797.
  • Colburn, D., J. Suyama, S.E. Reis, J.L. Morley, F.L. Goss, Y.F. Chen, C.G. Moore, and D. Hostler. 2011. “A Comparison of Cooling Techniques in Firefighters after a Live Burn Evolution.” Prehospital Emergency Care 15 (2): 226–232. doi:10.3109/10903127.2010.545482.
  • EN-469. 2020. “Personal Protective Clothing for Firefighters. Performance Requirements for Protective Clothing for Firefighting Activities.” British Standard Institute.
  • EN-469. 2005. “Protective Clothing for Firefighters - Performance Requirements for Protective Clothing for Firefighting.” European Committee for Standardization.
  • Ensari, I., R.W. Motl, R.E. Klaren, B. Fernhall, D.L. Smith, and G.P. Horn. 2017. “Firefighter Exercise Protocols Conducted in an Environmental Chamber: Developing a Laboratory-Based Simulated Firefighting Protocol.” Ergonomics 60 (5): 657–668. doi:10.1080/00140139.2016.1198496.
  • Gledhill, N, and V.K. Jamnik. 1992. “Characterization of the Physical Demands of Firefighting.” Can Journal of Sport Science 17 (3): 207–213.
  • Griefahn, B., C. Künemund, and P. Bröde. 2003. “Evaluation of Performance and Load in Simulated Rescue Tasks for a Novel Design SCBA: Effect of Weight, Volume and Weight Distribution.” Applied Ergonomics 34 (2): 157–165. doi:10.1016/S0003-6870(02)00143-6.
  • Havenith, G, and R. Heus. 2004. “A Test Battery Related to Ergonomics of Protective Clothing.” Applied Ergonomics 35 (1): 3–20. doi:10.1016/j.apergo.2003.11.001.
  • Holmér, I, and D. Gavhed. 2007. “Classification of Metabolic and Respiratory Demands in Fire Fighting Activity with Extreme Workloads.” Applied Ergonomics 38 (1): 45–52. doi:10.1016/j.apergo.2006.01.004.
  • Holmér, I., K. Kuklane, and C. Gao. 2006. “Test of Fighter’s Turnout Gear in Hot and Humid Air Exposure.” International Journal of Occupational Safety and Ergonomics 12 (3): 297–305. doi:10.1080/10803548.2006.11076689.
  • Hooper, A.J., J.O. Crawford, and D. Thomas. 2001. “An Evaluation on Physiological Demands and Comfort between the Use of Conventional and Lightweight Self-Contained Breathing Apparatus.” Applied Ergonomics 32 (4): 399–406. doi:10.1016/S0003-6870(01)00007-2.
  • Horn, G.P., R.M. Kesler, R.W. Motl, E.T. Hsiao-Wecksler, R.E. Klaren, I. Ensari, M.N. Petrucci, B. Fernhall, and K.S. Rosengren. 2015. “Physiological Responses to Simulated Firefighter Exercise Protocols in Varying Environments.” Ergonomics 58 (6): 1012–1021. doi:10.1080/00140139.2014.997806.
  • Horn, G.P., S. Blevins, B. Fernhall, and D.L. Smith. 2013. “Core Temperature and Heart Rate Response to Repeated Bouts of Firefighting Activities.” Ergonomics 56 (9): 1465–1473. doi:10.1080/00140139.2013.818719.
  • Hostler, D., D. Colburn, J.C. Rittenberger, and S.E. Reis. 2016. “Effect of Two Work-to-Rest Ratios on Cardiovascular, Thermal, and Perceptual Responses during Fire Suppression and Recovery.” Prehospital Emergency Care 20 (6): 681–687. doi:10.3109/10903127.2016.1168890.
  • Huang, D., H. Yang, Z. Qi, L. Xu, X. Cheng, L. Li, and H. Zhang. 2012. “Questionnaire on Firefighters’ Protective Clothing in China.” Fire Technology 48 (2): 255–268. doi:10.1007/s10694-011-0214-0.
  • ISO-9886. 2004. “Ergonomics of the Thermal Environment – Evaluation of Thermal Strain by Physiological Measurements.” International Organization for Standardization.
  • ISO-11999-2. 2015. “PPE for Firefighters — Test Methods and Requirements for PPE Used by Firefighters Who Are at Risk of Exposure to High Levels of Heat and/or Flame While Fighting Fires Occurring in Structures — Part 2: Compatibility.” International Organization for Standardization.
  • ISO-11999-3. 2015. “PPE for Firefighters — Test Methods and Requirements for PPE Used by Firefighters Who Are at Risk of Exposure to High Levels of Heat and/or Flame While Fighting Fires Occurring in Structures — Part 3: Clothing.” International Organization for Standardization.
  • ISO-11613. 2017. “Protective Clothing for Firefighter’s Who Are Engaged in Support Activities Associated with Structural Fire Fighting – Laboratory Test Methods and Performance.” International Organization for Standardization.
  • ISO-13506-1. 2017. “Protective Clothing Against Heat and Flame — Part 1: Test Method for Complete Garments — Measurement of Transferred Energy Using an Instrumented Manikin.” International Organization for Standardization.
  • ISO-18640-2 2018. “Protective Clothing for Firefighters - Physiological Impact - Part 2: Determination of Physiological Heat Load Caused by Protective Clothing Worn by Firefighters.” International Organization for Standardization.
  • ISO-8996. 2021. “Ergonomics of the Thermal Environment – Determination of Metabolic Rate.” International Organization for Standardization.
  • Japan Meteorological Agency. 2011. http://www.jma.go.jp/jma/indexe.html.
  • Jay, O., A.R. Bain, T.M. Deren, M. Sacheli, and M.N. Cramer. 2011. “Large Differences in Peak Oxygen Uptake Do Not Independently Alter Changes in Core Temperature and Sweating during Exercise.” The American Journal of Physiology - Regulatory, Integrative and Comparative Physiology 301 (3): R832–341. doi:10.1152/ajpregu.00257.2011.
  • Kesler, R.M., E.T. Hsiao-Wecksler, R.W. Motl, R.E. Klaren, I. Ensari, and G.P. Horn. 2015. “A Modified Facepiece for Accurate Metabolic Data Collection from Firefighters.” Ergonomics 58 (1): 148–159. doi:10.1080/00140139.2014.964783.
  • Kesler, R.M., I. Ensari, R.E. Bollaert, R.W. Motl, E.T. Hsiao-Wecksler, K.S. Rosengren, B. Fernhall, D.L. Smith, and G.P. Horn. 2018. “Physiological Response to Firefighting Activities of Various Work Cycles Using Extended Duration and Prototype SCBA.” Ergonomics 61 (3): 390–403. doi:10.1080/00140139.2017.1360519.
  • Kim, Y.K., Y.S. Ahn, K.S. Kim, J.H. Yoon, and J. Roh. 2016. “Association between Job Stress and Occupational Injuries among Korean Firefighters: A Nationwide Cross-Sectional Study.” BMJ Open 6 (11): e012002–9. doi:10.1136/bmjopen-2016-012002.
  • Kong, P.W., J. Suyama, and D. Hostler. 2013. “A Review of Risk Factors of Accidental Slips, Trips, and Fall among Firefighters.” Safety Science 60: 203–209. doi:10.1016/j.ssci.2013.07.016.
  • Lee, J.Y., H. Wakabayashi, T. Wijayanto, and Y. Tochihara. 2010. “Differences in Rectal Temperatures Measured at Depths of 4–19 cm from the Anal Sphincter during Exercise and Rest.” European Journal of Applied Physiology 109 (1): 73–80. doi:10.1007/s00421-009-1217-0.
  • Lee, J.Y., I. Bakri, J.K. Kim, S.Y. Son, and Y. Tochihara. 2013. “The Impact of Firefighter Personal Protective Equipment and Treadmill Protocol on Maximal Oxygen Uptake.” Journal of Occupational and Environmental Hygiene 10 (7): 397–407. doi:10.1080/15459624.2013.792681.
  • Lee, J.Y., J. Park, H. Park, A. Coca, J.H. Kim, N.A.S. Taylor, S.Y. Son, and Y. Tochihara. 2015. “What Do Firefighters Desire from the Next Generation of Personal Protective Equipment? Outcomes from an International Survey.” Industrial Health 53 (5): 434–444. doi:10.2486/indhealth.2015-0033.
  • Lee, J.Y., K. Nakao, N. Takahashi, I. Bakri, S.Y. Son, and Y. Tochihara. 2011. “Validity of Infrared Tympanic Temperature as a Thermal Strain Index While Wearing Impermeable Protective Clothing in Hot Environments.” Industrial Health 49 (6): 714–725. doi:10.2486/indhealth.ms1291.
  • Lee, J.Y., K. Nakao, and Y. Tochihara. 2010. “Chest, Abdomen or Back: Selecting an Optimum Trunk Region for Hardy and DuBois’ Weighted Mean Skin Temperature Formula.” Journal of the Human-Environment System 13 (1): 7–14. doi:10.1618/jhes.13.7.
  • Lee, J.Y., S. Kim, Y.J. Jang, Y.J. Baek, and J. Park. 2014. “Component Contribution of Personal Protective Equipment to the Alleviation of Physiological Strain in Firefighters during Wok and Recovery.” Ergonomics 57 (7): 1068–1077. doi:10.1080/00140139.2014.907449.
  • Lee, J.Y., Y. Yamamoto, R. Oe, S.Y. Son, H. Wakabayashi, and Y. Tochihara. 2014. “The European, Japanese and US Protective Helmet, Gloves and Boots for Firefighters: Thermoregulatory and Psychological Evaluations.” Ergonomics 57 (8): 1213–1221. doi:10.1080/00140139.2014.914578.
  • Manning, J.E, and T.R. Griggs. 1983. “Hear Rates in Fire Fighters Using Light and Heavy Breathing Equipment: Similar near-Maximal Exercitation in Response to Multiple Work Load Condition.” Journal of Occupational and Environmental Medicine 25 (3): 215–218.
  • Marszalek, A., J. Smolander, K. Sołtynski, and A. Sobolewski. 2000. “Physiological Strain of Wearing Aluminized Protective Clothing at Rest in Young, Middle-Aged, and Older Men.” International Journal of Industrial Ergonomics 25 (2): 195–202. doi:10.1016/S0169-8141(98)00107-3.
  • McLellan, T.M, and G.A. Selkirk. 2006. “The Management of Heat Stress for the firefighters: A Review of Work Conducted on Behalf of the Toronto Fire Service.” Industrial Health 44 (3): 414–426. doi:10.2486/indhealth.44.414.
  • McLellan, T.M, and G.A. Selkirk. 2004. “Heat Stress While Wearing Long Pants or Shorts under Firefighting Protective Clothing.” Ergonomics 47 (1): 75–90. doi:10.1080/00140130310001611125.
  • McQuerry, M., E. Den Hartog, and R. Barker. 2017. “Effect of Self-Contained Breathing Apparats (SCBA) on Heat Loss in Structural Firefighter Turnout Suits.” AATCC Journal of Research 4 (5): 1–5. doi:10.14504/ajr.4.5.1.
  • McQuerry, M., E. Den Hartog, R. Barker, and R. Ross. 2016. “A Review of Garment Ventilation Strategies for Structural Firefighter Protective Clothing.” Textile Research Journal 86 (7): 727–742. doi:10.1177/0040517515595029.
  • McQuerry, M., R. Barker, and E. DenHartog. 2018. “Relationship between Novel Design Modification and Heat Stress Relief in Structural Firefighter’s Protective Clothing.” Applied Ergonomics 70: 260–268. doi:10.1016/j.apergo.2018.03.004.
  • Morrissey, M.C., S.E. Scarneo-Miller, G.E.W. Giersch, J.F. Jardine, and D.J. Casa. 2021. “Aural Thermometry Does Not Accurately Measure Internal Temperature in Exertional Heat Stroke Patients.” Journal of Athletic Training 56 (2): 197–202. doi:10.4085/1062-6050-0449.19.
  • Petruzzello, S.J., J.I. Gapin, E. Snook, and D.L. Smith. 2009. “Perceptual and Physiological Heat Strain: Examination in Firefighters in Laboratory- and Field-Based Studies.” Ergonomics 52 (6): 747–757. doi:10.1080/00140130802550216.
  • Prezant, D.J., K. Freeman, K.J. Keely, K.S. Malley, M.L. Karwa, M.T. McLaughlin, R. Hirschhorn, and A. Brown. 2000. “Impact of a Design Modification in Modern Firefighting Uniforms on Burn Prevention Outcomes in New York City Firefighters.” Journal of Occupational and Environmental Medicine 42: 827–834.
  • Reischl, U, and A. Stransky. 1980. “Assessment of Ventilation Characteristics of Standard and Prototype Firefighter Protective Clothing 1.” Textile Research Journal 50 (3): 193–201. doi:10.1177/004051758005000308.
  • Reischl, U., A. Stransky, H.R. Delorme, and R. Travis. 1982. “Advanced Prototype Firefighter Protective Clothing: Heat Dissipation Characteristics 1.” Textile Research Journal 52 (1): 66–73. doi:10.1177/004051758205200110.
  • Seol, S.H., G.T. Bae, N.A.S. Taylor, and J.Y. Lee. 2021. “Hand and Forearm Cooling: Exploring Deep Body Cooling in Hyperthermic Individuals following Exercise-Induced Heating at Three Different Work Rates.” Industrial Health 59 (3): 161–170. doi:10.2486/indhealth.2020-0232.
  • Smith, D.L, and S.J. Petruzzello. 1998. “Selected Physiological and Psychological Responses to Live-Fire Drills in Different Configurations of Firefighting Gear.” Ergonomics 41 (8): 1141–1154. doi:10.1080/001401398186441.
  • Smith, D.L., S.J. Petruzzello, J.M. Kramer, and J.E. Misner. 1997. “The Effects of Different Thermal Environments on the Physiological and Psychological Responses of Firefighting to a Training Drill.” Ergonomics 40 (4): 500–510. doi:10.1080/001401397188125.
  • Son, S.Y., I. Bakri, S. Muraki, and Y. Tochihara. 2014. “Comparison of Firefighters and Non-Firefighters and the Test Methods Used regarding the Effects of Personal Protective Equipment on Individual Mobility.” Applied Ergonomics 45 (4): 1019–1027. doi:10.1016/j.apergo.2013.12.006.
  • Son, S.Y., J.Y. Lee, and Y. Tochihara. 2013. “Occupational Stress and Strain in Relation to Personal Protective Equipment of Japanese Firefighters Assessed by a Questionnaire.” Industrial Health 51 (2): 214–222. doi:10.2486/indhealth.2012-0075.
  • Son, S.Y., Y. Xia, and Y. Tochihara. 2010. “Evaluation of the Effects of Various Clothing Conditions on Firefighter Mobility and the Validity of Those Measurements Made.” Journal of the Human-Environment System 13 (1): 15–24. doi:10.1618/jhes.13.15.
  • Sothmann, M., K. Saupe, D. Jasenof, and J. Blaney. 1992. “Heart Rate Response of Firefighters to Actual Emergencies.” Journal of Occupational Medicine 34 (8): 797–800. doi:10.1097/00043764-199208000-00014.
  • Takahashi, N., J.Y. Lee, H. Wakabayashi, and Y. Tochihara. 2012. “The Rectal Temperature Estimation Method Based on Tympanic Temperature for Workers Wearing Protective Clothing in Nuclear Facilities.” Japanese Journal of Health Physics 47 (1): 54–65. doi:10.5453/jhps.47.54.
  • Taylor, N.A.S., M.C. Lewis, S.R. Notley, and G.E. Peoples. 2012. “A Fractionation of the Physiological Burden of the Personal Protective Equipment Worn by Firefighters.” European Journal of Applied Physiology 112 (8): 2913–2921. doi:10.1007/s00421-011-2267-7.
  • Taylor, N.A.S., M.J. Tipton, and G.P. Kenny. 2014. “Considerations for the Measurement of Core, Skin and Mean Body Temperatures.” Journal of Thermal Biology 46: 72–101. doi:10.1016/j.jtherbio.2014.10.006.
  • Tochihara, Y., C. Chou, M. Fujita, and T. Ogawa. 2005. “Protective Clothing Related Heat Stress on Firefighters in Japan.” Environmental Ergonomics 11: 137–139.
  • Tochihara, Y., J.Y. Lee, and S.Y. Son. 2022. “A Review of Test Methods for Evaluating Mobility of Firefighters Wearing Personal Protective Equipment.” Industrial Health 60 (2): 106–120. doi:10.2486/indhealth.2021-0157.
  • Turner, N.L., S. Chiou, J. Zwiener, D. Weaver, and J. Spahr. 2010. “Physiological Effects of Boot Weight and Design on Men and Women Firefighters.” Journal of Occupational and Environmental Hygiene 7 (8): 477–482. doi:10.1080/15459624.2010.486285.
  • Walker, A., C. Argus, M. Driller, and B. Rattray. 2015. “Repeat Work Bouts Increase Thermal Strain for Australian Firefighters Working in the Heat.” International Journal of Occupational and Environmental Health 21 (4): 285–293. doi:10.1179/2049396715Y.0000000006.
  • Wang, S., J. Park, and Y. Wang. 2019. “‘Cross-Cultural Comparison of Firefighters.’ Perception of Associated with Personal Protective Equipment.” International Journal of Occupational and Safety and Ergonomics 27 (3): 1–9.
  • Williams, W.J., A. Coca, R. Roberge, A. Shepherd, J. Powell, and R.E. Shaffer. 2011. “Physiological Responses to Wearing a Prototype Firefighter Ensemble Compared with a Standard Ensemble.” Journal of Occupational and Environmental Hygiene 8 (1): 49–57. doi:10.1080/15459624.2011.538358.

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