TIME & SCBA TANK USE ON INJURY PREVENTION/FIRE FIGHTERS

描述：（改编自调查人员摘要）消防员 比美国任何职业都要多 只有矿工的死亡率超过了执勤线， 农业工人（1）。 强调减少消防员受伤， 死亡集中在个人防护设备的改进上 (PPE)防止暴露（热、烟和毒素）。 的利益 改进的个人防护装备在减少烟雾吸入和烧伤方面的作用是不可否认的 早就该来了 然而，尽管情况有所改善， 在过去的5年或更长时间里， （1，3 -6）。 改进个人防护设备导致的第二个事件是火灾， 现在，消防员可以在火灾现场进行更长时间的不间断操作 时期 灭火要求消防员在接近最大工作量的情况下工作 用力;筋疲力尽是规则;过度疲劳发生并变得更加 通常在火灾现场工作时间较长且不间断。 超过 疲惫显然是造成伤亡的一个主要危险因素。 我们 不知道任何消防部门，包括纽约消防局 （纽约消防局），它监测和控制消防队员的工作时间， 在火灾现场不受干扰 首先，这是因为在改进之前， PPE，火灾本身起到了自然控制的作用。 高温，有毒气体， 烟雾使消防队员无法进入太深或工作太长时间 在火灾现场 现在这种情况已经改变了，我们认为， 标准操作规程（SOP）必须变更，以纳入时间控制， 一个主要因素，如果我们要确保消防队员的安全， 受伤

DESCRIPTION: (Adapted from the Investigator's Abstract) Fire fighters suffer more line of duty injuries than any occupation in the United States and line of duty fatality rates are only surpassed by miners and agricultural workers (1). Emphasis on reducing fire fighter injuries and fatalities has concentrated on improvements in personal protective equipment (PPE) to prevent exposures (heat, smoke, and toxins). The benefit of improved PPE on reducing smoke inhalation and burn injuries is undeniable and long overdue. However, despite improvements, line of duty injuries and fatalities have remained remarkably constant over the last 5 or more years (1,3-6). A secondary event resulting from improved PPE, has been that fire fighters can now operate at the fire scene for longer, uninterrupted time periods. Fire fighting requires fire fighters to work at near maximal exertion; exhaustion is the rule; over exhaustion occurs and becomes more common with longer, uninterrupted work time at the fire scene. Over exhaustion is clearly a major risk factor for injuries and fatalities. We are unaware of any fire department, including the NYC Fire Department (FDNY), which monitors and controls the time that fire fighters work uninterrupted at a fire scene. Primarily, this is because prior to improved PPE, the fire itself served as a natural control. Heat, noxious fumes and smoke prevented fire fighters from penetrating too deep or working too long at the fire scene. Now that this has changed, we believe that fire fighting Standard Operating Procedures (SOPs) must change to include time control as a primary factor if we are to ensure fire fighter safety and reduce injuries.