8392 Lecture Notes - Lecture 10: Multi-Stage Fitness Test, Heat Illness, White Blood Cell

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Lecture 10 – Occupational Physiology 2
Working environment
- Shift rosters
o24/7 response in emergency services and military
oRosters 10/14, 12hours, triple 8s
- Deployments interstate/overseas (24hour cycles)
o14 days – 14 hour shifts (wildland firefighters)
o14 days – 12 hour shifts (urban search and rescue)
o14 days – 12 hour shifts (medical deployments – AUSMATS)
The issues
- The bulk of non trauma firefighter injury and fatalities occur worldwide as cardiac events
oDue to underlying preventable risk factors including obesity and hypertension
oDuring emergency responses
oOvernight following work in the heat
- Due to both the work environment and clothing configurations firefighters are predisposed
to heat illness if not managed
Physical conditioning
- No professional urban fire service in Australia conducts any ongoing physical standards
testing
- This is the same for police officers
- Aerobic fitness
oMin requirement is 42ml.kg or 4.0L.min VO2
oPre recruitment testing is beep test with a minimum standard of 9.6 which equates
to 45ml.kg.min
Problems on the fire ground
- No standardized approach to management of firefighters during emergency responses
oWork/rest cycles
oPost incident cooling
oPre conditioning of firefighter
Ergonomics
- Evaluation of therman strain by physiological measurements
oLess than 38 degrees or if temp rise is slow as of 1degree in 1 hour
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if temps are measured intermittently
for tympanic temperature measurement
in the absence of competent medical personnel
when no other physiological parameter is measured
oless than 38.5degrees or if temp rise is quick as in more than 1degree in 1 hour
subjects have been medically screened
they are acclimatized to heat through repeated exposure
continuous medical surveillance is provided
temp is continuously monitored
heart rate monitored
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Performance issues in heat
- peripheral and central fatigue
odec strength and power
oinc in gait variability
oinc heart rates
oinc systolic blood pressure
odec diastolic blood pressure
odec cognitive performance
reaction time increases
higher order thinking
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Document Summary

Shift rosters: 24/7 response in emergency services and military, rosters 10/14, 12hours, triple 8s. Deployments interstate/overseas (24hour cycles: 14 days 14 hour shifts (wildland firefighters, 14 days 12 hour shifts (urban search and rescue, 14 days 12 hour shifts (medical deployments ausmats) The bulk of non trauma firefighter injury and fatalities occur worldwide as cardiac events: due to underlying preventable risk factors including obesity and hypertension, during emergency responses, overnight following work in the heat. Due to both the work environment and clothing configurations firefighters are predisposed to heat illness if not managed. No professional urban fire service in australia conducts any ongoing physical standards testing. Aerobic fitness: min requirement is 42ml. kg or 4. 0l. min vo2, pre recruitment testing is beep test with a minimum standard of 9. 6 which equates to 45ml. kg. min. No standardized approach to management of firefighters during emergency responses: work/rest cycles, post incident cooling, pre conditioning of firefighter.

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