Search

Professional firefighters (33 men, 3 women), ranging in age from 30 to 53 years, participated in a simulation of a subway system search and rescue while breathing from their self-contained breathing apparatus (SCBA). We tested the hypothesis that during this task, established by expert firefighters to be of moderate intensity, the rate of air consumption would exceed the capacity of a nominal 30-min cylinder. Oxygen uptake, carbon dioxide output, and air consumption were measured with a portable breath-by-breath gas exchange analysis system, which was fully integrated with the expired port of the SCBA. The task involved descending a flight of stairs, walking, performing a search and rescue, retreat walking, then ascending a single flight of stairs to a safe exit. This scenario required between 9:56 and 13:24 min:s (mean, 12:10 ± 1:10 min:s) to complete, with an average oxygen uptake of 24.3 ± 4.5 mL kg(-1) min(-1) (47 ± 10 % peak oxygen uptake) and heart rate of 76% ± 7% of maximum. The highest energy requirement was during the final single-flight stair climb (30.4 ± 5.4 mL kg(-1) min(-1)). The average respiratory exchange ratio (carbon dioxide output/oxygen uptake) throughout the scenario was 0.95 ± 0.08, indicating a high carbon dioxide output for a relatively moderate average energy requirement. Air consumption from the nominal "30-min" cylinder averaged 51% (range, 26%-68%); however, extrapolation of these rates of consumption suggested that the low-air alarm, signalling that only 25% of the air remains, would have occurred as early as 11 min for an individual with the highest rate of air consumption, and at 16 min for the group average. These data suggest that even the moderate physical demands of walking combined with search and rescue while wearing full protective gear and breathing through the SCBA impose considerable physiological strain on professional firefighters. As well, the rate of air consumption in these tasks classed as moderate, compared with high-rise firefighting, would have depleted the air supply well before the nominal time used to describe the cylinders.

Air consumption, oxygen uptake (VO(2)), carbon dioxide output (VCO(2)) and respiratory exchange ratio (RER=VCO(2)/VO(2)) were measured directly from the self-contained breathing apparatus (SCBA) as 36 professional firefighters (three women) completed scenarios of high-rise stair climbing and fifth floor search and rescue. During stair climbing VO(2) was 75+/-8% VO(2max) (mean+/-SD), RER=1.10+/-0.10, and heart rate=91+/-3% maximum (based on maximum treadmill data). Firefighters stopped climbing on consuming 55% of the air cylinder then descended. In the fifth floor search and rescue VO(2) was slightly lower than stair climbing but RER remained elevated (1.13+/-0.12) reflecting high anaerobic metabolism. The first low air alarm sounded, indicating 25% of the air remaining in a "30-min cylinder", during the stair climb at 8 min with 19 of 36 sounding before 12 min. Aggressive air management strategies are required for safety in high-rise firefighting.

Purpose: The Candidate Physical Ability Test (CPAT) is used by fire departments across North America to screen for minimal physical capabilities in potential candidates, but its physiological demands are unknown., Methods and Results: We examined oxygen uptake and carbon dioxide output (V x O2, V x CO2) and heart rate (HR) responses with the portable system in 57 subjects (23 females) who were familiarized before completing the CPAT in times similar to those of actual candidates. Two men and nine women failed to complete the circuit because of fatigue. Thirty-two men (91%) and four women (15%) completed the circuit under the criterion time (10 min 20 s) with mean completion times for men (8 min 32 s +/- 51 s) and women (11 min 16 s +/- 1 min 28 s, P < 0.05). For all finishers, V x O2 during the test was 38.5 and 36.6 mL x kg(-1) x min(-1), corresponding to 73% and 71% of V x O 2max for men and women, and HR was 90% and 91% of maximum (P > 0.05). RER averaged 1.02 for men and 0.97 for women suggesting elevated anaerobic metabolism. Women had a drop in RER after the second event, and they were significantly slower at each event after the step mill than the men. Prediction of circuit completion time by backward stepwise regression yielded models with absolute V x O 2max alone or relative V x O 2max plus body mass and handgrip strength accounting for more than 67% of the variance but with large errors of estimation exceeding 75 s., Conclusion: The CPAT challenged both the aerobic and anaerobic energy supply systems, and the average V x O2 and HR were similar to reported values during firefighting simulations with incumbent firefighters.