Tag: firefighters

Categories : Cardiovascular DiseaseTags :

Firefighters’ Blood Pressure Soars in an Emergency

On By ModernMedia
Source: Pixabay CC0

When the emergency alarm sounds, blood pressure (BP) among firefighters often soars, according to preliminary research presented at the American Heart Association’s Scientific Sessions 2021.

“All emergency and first responders should be aware of their health. They should know what their typical blood pressure level is and be aware of how it fluctuates. Most important, if they have high blood pressure, they should make sure it is well-controlled,” said senio author Deborah Feairheller, PhD.

The study recruited 37 male and 4 female volunteer and municipal firefighters who wore ambulatory BP monitors during an on-call work shift lasting at least 12 consecutive hours. In addition to the automatic BP readings from the monitor, study participants were instructed to prompt the monitor to take a BP reading whenever a pager or emergency call sounded and whenever they felt they entered a stressful situation. Participants also logged activities and call types for each measurement. The firefighters’ average age was 41.2 years. Average body mass index (BMI) of all participants was 30.3, with BMI ≥ 25 defined as overweight, while BMI ≥ 30 is defined as obesity. The firefighters all had high blood pressure, defined as systolic BP as 130 mm Hg or higher, or a diastolic BP of 80 mm Hg or higher, as defined by the American Heart Association’s most recent guideline.

The findings were that:

  • Average BP and heart rate (HR) were 131/79.3 mmHg and 75.7 beats per minute (bpm) respectively.
  • Compared with the reading immediately preceding the call, systolic BPsurged an average of 19.2 mm Hg with fire calls and 18.7 mm Hg with medical calls.
  • Meanwhile, diastolic BP surged 10.5 mm Hg with fire calls and 16.5 mm Hg with medical calls.
  • Compared with the average BP during the entire 12-hour shift, systolic BP was 9% higher during fire calls, and diastolic BP was 9% higher during medical calls.
  • Average HR also increased during both types of calls: 10bpm with fire calls, and 15bpm for medical calls.
  • There were no significant differences in BP, HR or BP surge levels when comparing responses among fire calls, medical calls, riding an emergency vehicle or false alarms.

Surprising findings
“The public knows the value that emergency responders provide to communities. We hope to increase awareness that many firefighters have hypertension and that their blood pressure can increase to very dangerous levels when responding to emergency calls,” said Dr Feairheller.

“The current data show that almost 75% of firefighters have hypertension, and less than 25% have their blood pressure under control. I hope that our research can help identify occupational factors that affect blood pressure and increase awareness among this population,” Dr Feairheller added.

They were also surprised at the findings on diastolic BP increases. “We anticipated systolic blood pressure surges because that reading is usually more responsive to stimuli; however, the extent of the diastolic blood pressure surge was unexpected,” said Dr Feairheller.

The investigators are currently exploring whether diet and exercise regimens could help to lower the BP surge that firefighters experience during emergency calls.

Source: EurekAlert!

Categories : Environmental EffectsTags :

Study Finds High Levels of ‘Forever Chemicals’ in Firefighters’ Bodies

On By ModernMedia

A new study has shown that volunteer firefighters have higher levels of ‘forever chemicals‘, per- and polyfluoroalkyl substances (PFAS), in their bodies than the general population.

Volunteer firefighters—who comprise more than 65 percent of the U.S. fire service—monitored their exposure to PFAS. PFAS are synthetic organic substances with diverse structures, properties, uses, bioaccumulation potentials and toxicities. These chemicals do not break down easily and accumulate in human bodies and in the environment and are found in common items food packaging, electronics and carpeting. PFAS have been associated with a number health conditions that affect firefighters, including cardiovascular disease, and increasingly to cancer.

“The primary cause of line-of duty death among firefighters are heart attacks. They also get and die from many types of cancer more often than other people,” said lead author Judith Graber, an associate professor at Rutgers School of Public Health and a faculty member at the Environmental and Occupational Health Sciences Institute. “More than 95 percent of the U.S. population have these chemicals to some degree in their bodies, but firefighters have heightened exposure to PFAS through their protective gear and fire suppression foam and the burning materials they encounter that release particles, which can be inhaled or settle on gear and skin.”

The study surveyed 135 members of a volunteer fire department in New Jersey on their lifestyle and cancer risk factors. It compared traces of nine PFAS chemicals in their blood against the levels recorded in a 5000-strong nationally representative sample used by the CDC as a reference for the general population. Although over 4000 PFAS chemicals exist, the study looked at the nine chemicals commonly seen in the general population that the CDC has also tracked for the greatest length of time.

Two of thosee chemicals—perfluorododecanoic acid (PFDoA) and perfluorodecanoic acid (PFDA)—were found to be higher in volunteer firefighters. “Notably, we found PFDoA levels in 80 percent of the firefighters, but little in the general public,” Prof Graber said.

The number of years of firefighting was linked to higher levels of the chemicals; the average participant had 20 years of experience. Since they are constantly on call, volunteer firefighters may potentially have more years of firefighting-related exposures than their career counterparts, Graber said.

“The number one risk of a firefighter is being protected from the fire. The chemicals used in fire suppression foam and the protective clothing firefighters use came out 40 years ago when people thought they were safe, and they work well for what they are intended to do,” Prof Graber explained. “Further research is needed to better understand the sources of these chemicals and to design effective foam and protective clothing that do not use these chemicals.”

Source: Medical Xpress

Journal information: Judith M. Graber et al, Prevalence and Predictors of Per- and Polyfluoroalkyl Substances (PFAS) Serum Levels among Members of a Suburban US Volunteer Fire Department, International Journal of Environmental Research and Public Health (2021). DOI: 10.3390/ijerph18073730