Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency

Firefighters often complete air management courses (AMC) to assess the ability to tolerate personal protective equipment, appropriately manage the breathing system and assess occupational performance. Little information is known relative to the physiological demands of AMCs, nor how to assess work e...

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Main Authors: Andrew R. Jagim, Joel A. Luedke, Ward C. Dobbs, Thomas Almonroeder, Adam Markert, Annette Zapp, Andrew T. Askow, Richard M. Kesler, Jennifer B. Fields, Margaret T. Jones, Jacob L. Erickson
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Functional Morphology and Kinesiology
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Online Access:https://www.mdpi.com/2411-5142/8/1/21
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author Andrew R. Jagim
Joel A. Luedke
Ward C. Dobbs
Thomas Almonroeder
Adam Markert
Annette Zapp
Andrew T. Askow
Richard M. Kesler
Jennifer B. Fields
Margaret T. Jones
Jacob L. Erickson
author_facet Andrew R. Jagim
Joel A. Luedke
Ward C. Dobbs
Thomas Almonroeder
Adam Markert
Annette Zapp
Andrew T. Askow
Richard M. Kesler
Jennifer B. Fields
Margaret T. Jones
Jacob L. Erickson
author_sort Andrew R. Jagim
collection DOAJ
description Firefighters often complete air management courses (AMC) to assess the ability to tolerate personal protective equipment, appropriately manage the breathing system and assess occupational performance. Little information is known relative to the physiological demands of AMCs, nor how to assess work efficiency in order to characterize occupational performance and evaluate progress. Purpose: To assess the physiological demands of an AMC and examine differences across BMI categories. A secondary aim was to develop an equation to assess work efficiency in firefighters. Methods: Fifty-seven firefighters (Women, n = 4; age: 37.2 ± 8.4 yr.; height: 182.0 ± 6.9 cm; body mass: 90.8 ± 13.1 kg; BMI: 27.8 ± 3.6 kg·m<sup>−2</sup>) completed an AMC per routine evaluation while wearing a department issued self-contained breathing apparatus and full protective gear. Course completion time, starting pounds per square inch (PSI) on the air cylinder, changes in PSI, and distance traveled were recorded. All firefighters were equipped with a wearable sensor integrated with a triaxial accelerometer and telemetry to assess movement kinematics, heart rate, energy expenditure, and training impulse. The AMC consisted of an initial section involving a hose line advance, rescue (body drag), stair climb, ladder raise, and forcible entry. This section was followed by a repeating loop, which consisted of a stair climb, search, hoist, and recovery walk. Firefighters repeated the course loop until the self-contained breathing apparatus air supply pressure reached 200 PSI, at which time they were instructed to lay down until the PSI reached zero. Results: Average completion time was 22.8 ± 1.4 min, with a mean distance of 1.4 ± 0.3 km and an average velocity of 2.4 ± 1.2 m·s<sup>−1</sup>. Throughout the AMC, the mean heart rate was 158.7 ± 11.5 bpm equating to 86.8 ± 6.3% of the age-predicted max heart rate and a training impulse of 55 ± 3 AU. Mean energy expenditure was 464 ± 86 kcals and work efficiency was 49.8 ± 14.9 km·PSI<sup>−1</sup>·s. Regression analysis determined that fat-free mass index (R<sup>2</sup> = 0.315; β = −5.069), body fat percentage (R<sup>2</sup> = 0.139; β = −0.853), fat-free mass (R<sup>2</sup> = 0.176; β = −0.744), weight (R<sup>2</sup> = 0.329; β = −0.681), and age (R<sup>2</sup> = 0.096; β = −0.571) were significant predictors of work efficiency. Conclusions: The AMC is a highly aerobic task with near-maximal heart rates reached throughout the course. Smaller and leaner individuals achieved a higher degree of work efficiency during the AMC.
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spelling doaj.art-b9d09b8ad2574960a502ca8eabd62f862023-11-17T11:54:52ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422023-02-01812110.3390/jfmk8010021Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work EfficiencyAndrew R. Jagim0Joel A. Luedke1Ward C. Dobbs2Thomas Almonroeder3Adam Markert4Annette Zapp5Andrew T. Askow6Richard M. Kesler7Jennifer B. Fields8Margaret T. Jones9Jacob L. Erickson10Sports Medicine, Mayo Clinic Health System, La Crosse, WI 54650, USASports Medicine, Mayo Clinic Health System, La Crosse, WI 54650, USAExercise & Sport Science Department, University of Wisconsin—La Crosse, La Crosse, WI 54601, USACollege of Health Professions, Trine University, Angola, IN 46703, USALa Crosse Fire Department, La Crosse, WI 54603, USAFire Rescue Wellness, Chicago, IL 60653, USADepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USAIllinois Fire Service Institute, Champaign, IL 61820, USAExercise Science and Athletic Training, Springfield College, Springfield, MA 01109, USAPatriot Performance Laboratory, Frank Pettrone Center for Sports Performance, George Mason University, Fairfax, VA 22030, USASports Medicine, Mayo Clinic Health System, La Crosse, WI 54650, USAFirefighters often complete air management courses (AMC) to assess the ability to tolerate personal protective equipment, appropriately manage the breathing system and assess occupational performance. Little information is known relative to the physiological demands of AMCs, nor how to assess work efficiency in order to characterize occupational performance and evaluate progress. Purpose: To assess the physiological demands of an AMC and examine differences across BMI categories. A secondary aim was to develop an equation to assess work efficiency in firefighters. Methods: Fifty-seven firefighters (Women, n = 4; age: 37.2 ± 8.4 yr.; height: 182.0 ± 6.9 cm; body mass: 90.8 ± 13.1 kg; BMI: 27.8 ± 3.6 kg·m<sup>−2</sup>) completed an AMC per routine evaluation while wearing a department issued self-contained breathing apparatus and full protective gear. Course completion time, starting pounds per square inch (PSI) on the air cylinder, changes in PSI, and distance traveled were recorded. All firefighters were equipped with a wearable sensor integrated with a triaxial accelerometer and telemetry to assess movement kinematics, heart rate, energy expenditure, and training impulse. The AMC consisted of an initial section involving a hose line advance, rescue (body drag), stair climb, ladder raise, and forcible entry. This section was followed by a repeating loop, which consisted of a stair climb, search, hoist, and recovery walk. Firefighters repeated the course loop until the self-contained breathing apparatus air supply pressure reached 200 PSI, at which time they were instructed to lay down until the PSI reached zero. Results: Average completion time was 22.8 ± 1.4 min, with a mean distance of 1.4 ± 0.3 km and an average velocity of 2.4 ± 1.2 m·s<sup>−1</sup>. Throughout the AMC, the mean heart rate was 158.7 ± 11.5 bpm equating to 86.8 ± 6.3% of the age-predicted max heart rate and a training impulse of 55 ± 3 AU. Mean energy expenditure was 464 ± 86 kcals and work efficiency was 49.8 ± 14.9 km·PSI<sup>−1</sup>·s. Regression analysis determined that fat-free mass index (R<sup>2</sup> = 0.315; β = −5.069), body fat percentage (R<sup>2</sup> = 0.139; β = −0.853), fat-free mass (R<sup>2</sup> = 0.176; β = −0.744), weight (R<sup>2</sup> = 0.329; β = −0.681), and age (R<sup>2</sup> = 0.096; β = −0.571) were significant predictors of work efficiency. Conclusions: The AMC is a highly aerobic task with near-maximal heart rates reached throughout the course. Smaller and leaner individuals achieved a higher degree of work efficiency during the AMC.https://www.mdpi.com/2411-5142/8/1/21firefighteroccupational performanceoccupational demands
spellingShingle Andrew R. Jagim
Joel A. Luedke
Ward C. Dobbs
Thomas Almonroeder
Adam Markert
Annette Zapp
Andrew T. Askow
Richard M. Kesler
Jennifer B. Fields
Margaret T. Jones
Jacob L. Erickson
Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
Journal of Functional Morphology and Kinesiology
firefighter
occupational performance
occupational demands
title Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
title_full Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
title_fullStr Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
title_full_unstemmed Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
title_short Physiological Demands of a Self-Paced Firefighter Air-Management Course and Determination of Work Efficiency
title_sort physiological demands of a self paced firefighter air management course and determination of work efficiency
topic firefighter
occupational performance
occupational demands
url https://www.mdpi.com/2411-5142/8/1/21
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