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The impact of different cooling modalities on the physiological responses in firefighters during strenuous work performed in high environmental temperatures

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Abstract

This study investigated the impact of ice vests and hand/forearm immersion on accelerating the physiological recovery between two bouts of strenuous exercise in the heat [mean (SD), 49.1(1.3)°C, RH 12 (1)]. On four occasions, eight firefighters completed two 20-min bouts of treadmill walking (5 km h, 7.5% gradient) while wearing standard firefighter protective clothing. Each bout was separated by a 15-min recovery period, during which one of four conditions were administered: ice vest (VEST), hand/forearm immersion (W), ice vest combined with hand/forearm immersion (VEST + W) and control (CON). Core temperature was significantly lower at the end of the recovery period in the VEST + W (37.97 ± 0.23°C) and W (37.96 ± 0.19°C) compared with the VEST (38.21 ± 0.12°C) and CON (38.29 ± 0.25°C) conditions and remained consistently lower throughout the second bout of exercise. Heart rate responses during the recovery period and bout 2 were similar between the VEST + W and W conditions which were significantly lower compared with the VEST and CON which did not differ from each other. Mean skin temperature was significantly lower at the start of bout 2 in the cooling conditions compared with CON; these differences reduced as exercise progressed. These findings demonstrate that hand/forearm immersion (~19°C) is more effective than ice vests in reducing the physiological strain when firefighters re-enter structural fires after short rest periods. Combining ice vests with hand/forearm immersion provides no additional benefit.

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References

  • Barr D, Gregson W, Reilly T (2008) Reduced physiological strain during firefighting activities using a practical cooling strategy. In: Bust P (ed) Contemporary ergonomics. Taylor and Francis, London, pp 485–490

    Google Scholar 

  • Barr D, Gregson W, Sutton L, Reilly T (2009) A practical cooling strategy for reducing the physiological strain associated with firefighting activity in the heat. Ergonomics 52:413–420

    Article  PubMed  CAS  Google Scholar 

  • Barwood MJ, Davey JR, House JR, Tipton MJ (2009) Post-exercise cooling techniques in hot, humid conditions. Eur J Appl Physiol 107:385–396

    Article  PubMed  Google Scholar 

  • Bennett BL, Hagan RD, Huey KA, Minson C, Cain D (1995) Comparison of two cooling vests on heat strain while wearing a firefighting ensemble. Eur J Appl Physiol 70:322–328

    Article  CAS  Google Scholar 

  • Bilzon JL, Scarpello EG, Smith C, Ravenhill NA, Rayson M (2001) Characterization of metabolic demands of simulated shipboard Royal Navy fire-firefighting tasks. Ergonomics 44:766–780

    PubMed  CAS  Google Scholar 

  • Borg GAV (1982) Psychological bases of perceived exertion. Med Sci Spo Ex 14:48–58

    Google Scholar 

  • BS EN ISO 9886 (2004) Ergonomics, evaluation of thermal strain by physiological measurements. International organization for Standardization, Geneva, ISBN: 058043494X

  • Cotter JB, Bradford CD (2003) Ice-based cooling does not hasten recovery or prevent heat loss in humans. Med Sci Spo Ex 35(1):S28

    Article  Google Scholar 

  • Giesbrecht GG, Jamieson C, Cahill F (2007) Cooling hyperthermic firefighters by immersing forearms and hands in 10°C and 20°C water. Avia, Space Environ Med 78:561–567

    Google Scholar 

  • Gledhill N, Jamnik VK (1992) Characterization of the physical demands of firefighting. Can J Spo Sci 17:207–213

    CAS  Google Scholar 

  • Graveling R, Johnson J, Butler D, Crawford J, Love R, MacLaren W, and Ritchie P (1999) Study of the degree of protection afforded by fire-fighters clothing. FRDG publishing, Report 1/99

  • Hancock PA, Ross JM, Szalma JL (2007) A meta-analysis of performance response under thermal stressors. Hum Fact 49:851–877

    Article  CAS  Google Scholar 

  • House JR (1996) Reducing heat strain with ice vests of hand immersion. In: Shapiro I, Epstein Y, Moran D (eds) Proceedings of the 7th international conference on environmental ergonomics. Jerusalem, Israel pp 357–350

  • House JR, Holmes C, Allsopp AJ (1997) Prevention of heat strain by immersing the hands and forearms in water. J R Nav Med Serv 83:26–30

    PubMed  CAS  Google Scholar 

  • Ilmarinen R, Louhevaara V, Griffins B, Kunemund C (1997) Thermal responses to consecutive strenuous fire-fighting and rescue tasks in the heat. In: Shapiro Y, Moran DS, Epstein Y (eds) Environmental physiology. Recent Progress and New Frontiers, London, pp 295–298

    Google Scholar 

  • Ilmarinen R, Lindholm H, Koivistionen K, Hellsten P (2004) Physiological evaluation of chemical protective suit systems (CPSS) in hot conditions. Int J Occup Saf Ergon 10:215–226

    PubMed  Google Scholar 

  • Kellogg DL Jr (2006) In vivo mechanisms of cutaneous vasodilation and vasoconstriction in humans during thermoregulatory challenges. J Appl Physiol 100:1709–1718

    Article  PubMed  CAS  Google Scholar 

  • Kolka MA, Levine L, Stephenson LA (1997) Use of an ingestible telemetry sensor to measure core temperature under chemical protective clothing. J Thermo Biol 22:343–349

    Article  Google Scholar 

  • Krogstad AL, Elam M, Karlsson T, Wallin BG (1995) Arteriovenous anastomoses and the thermoregulatory shift between cutaneous vasoconstrictor and vasodilator reflexes. J Auton Nerv Syst 53:215–222

    Article  PubMed  CAS  Google Scholar 

  • Lemon PWR, Hermiston RT (1977) The human energy cost of firefighting. J Occup Med 19:558–562

    PubMed  CAS  Google Scholar 

  • Livingstone SD, Nolan RW, Cattroll SW (1989) Heat loss caused by immersing the hands in water. Avia Space Environ Med 60:1166–1171

    CAS  Google Scholar 

  • Lopez RM, Cleary MA, Jones LC, Zuri RE (2008) Thermoregulatory influence of a cooling vest on hyperthermic athletes. J Athl Train 43:55–61

    Article  PubMed  Google Scholar 

  • Love R, Johnstone J, Crawford J, Tesh K, Graveling R, Richie P, Hutchinson P, Wetherill G (1996) Study of the physiological effects of wearing breathing apparatus. FRDG Report 13/96

  • Nybo L (2007) Hyperthermia and fatigue: fatigue mechanisms determining exercise performance. J Appl Physiol 104:871–878

    Article  PubMed  Google Scholar 

  • Otte JW, Merrick MA, Ingersoll CD, Cordova ML (2002) Subcutaneous adipose tissue thickness alters cooling time during cryotherapy. Arch Physic Med Rehab 83:1501–1505

    Article  Google Scholar 

  • Rayson M, Wilkinson D, Carter J, Richmond V, Blacker S, Bullock N, Robertson I, Donovan K, Graveling R, Jones D (2005) Physiological assessment of firefighting in the built environment. On behalf of the Office of the Deputy Prime Minister, December 2004, ISBN 1 851127615

  • Rayson M, Carter J, Wilkinson D, Richmond V, Blacker S (2007) Recovery duration required prior to re-deployment during firefighting, search and rescue. Med Sci Spo Ex 35(Suppl5):S149

    Google Scholar 

  • Reilly T, Brooks GA (1986) Exercise and circadian variation in body temperatures. Int J Spo Med 7:358–362

    Article  CAS  Google Scholar 

  • Romet TT, Frim J (1987) Physiological responses to firefighting activities. Eur J Appl Physiol 56:633–638

    Article  CAS  Google Scholar 

  • Rossi R (2003) Firefighting and its influence on the body. Ergonomics 46:1017–1033

    Article  PubMed  Google Scholar 

  • Selkirk GA, McLellan T, Wong J (2004) Active versus passive cooling during work in warm environments while wearing firefighter’s protective clothing. J Occup Environ Hyg 1:521–531

    Article  PubMed  CAS  Google Scholar 

  • Smith DL, Petruzzello SJ (1998) Selected physiological and psychological responses to live-fire drills in different configurations of firefighting gear. Ergonomics 41:1141–1154

    Article  PubMed  CAS  Google Scholar 

  • Smith DL, Petruzzello SJ, Kramer JM, Misner JE (1997) The effects of different thermal environments on the physiological and psychological responses of firefighters to a training drill. Ergonomics 40:500–510

    Article  PubMed  CAS  Google Scholar 

  • Smith DL, Manning TS, Petruzzello SJ (2001) Effect of strenuous live-fire drills on cardiovascular and psychological responses of recruit firefighters. Ergonomics 44:244–254

    PubMed  CAS  Google Scholar 

  • Taylor NAS, Caldwell JN, van Den Heuval AM, Patterson M (2008) To cool, but not too cool: that is the question-immersion cooling for hyperthermia. Med Sci Sports Exerc 40:1962–1969

    Article  PubMed  Google Scholar 

  • von Heimburg ED, Rasmussen AKR, Medbo JI (2006) Physiological responses of firefighters and performance predictors during a simulated rescue of hospital patients. Ergonomics 49:111–126

    Article  Google Scholar 

  • Wang D, Zhang H, Arens E, Huizenga C (2006) Observations of upper-extremity skin temperature and corresponding overall body thermal sensation and comfort. Build Environ 42:3933–3943

    Article  Google Scholar 

  • Williams-Bell FW, Boisseau G, McGill J, Kostiuk A, Hughson RL (2010) Air management and physiological responses during simulated firefighting tasks in a high-rise structure. Appl Ergon 41:251–259

    Article  PubMed  Google Scholar 

  • Wilson TE, Cui J, Zhang R, Witkowski S, Crandall CG (2002) Skin cooling maintains cerebral blood flow velocity and orthostatic tolerance during tilting in heated humans. J Appl Physiol 93:85–91

    PubMed  Google Scholar 

  • Wilson TE, Cui J, Zhang R, Crandall CG (2005) Heat stress reduces cerebral blood velocity and markedly impairs orthostatic tolerance in humans. Am J Reg Integ Comp Physiol 291:R1443–R1448

    Article  Google Scholar 

  • Wilson TE, Sauder CL, Kearney ML, Kuipers NT, Leuenberger UA, Monahan KD, Ray CA (2007) Skin-surface cooling elicits peripheral and visceral vasoconstriction in humans. J Appl Physiol 103:1257–1262

    Article  PubMed  Google Scholar 

  • Young AJ, Sawka MN, Epstein Y, Decristofano B, Pandolf KB (1987) Cooling different body surfaces during upper and lower body exercise. J Appl Physiol 63:1218–1223

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This research was commissioned by Merseyside Fire and Rescue Services and supported by a grant from the Fire Research and Training Trust. The authors are grateful to Merseyside Fire and Rescue Services Assistant Chief Fire Officer, Bill Evans and Station Manager, Paul Murphy for their assistance, and operational firefighters for their participation in the study.

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Correspondence to David Barr.

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Communicated by Susan Ward.

Thomas Reilly Deceased.

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Barr, D., Reilly, T. & Gregson, W. The impact of different cooling modalities on the physiological responses in firefighters during strenuous work performed in high environmental temperatures. Eur J Appl Physiol 111, 959–967 (2011). https://doi.org/10.1007/s00421-010-1714-1

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