Heart to Heart: Strategizing an evidence-based approach to reduce cardiac disease and death in the fire service

 描述(由申请人提供)：PAR-14-246组织：国家坠落消防员基金会(NFFF)首席研究员：Denise Smith，博士项目标题：心连心：制定基于证据的方法以减少消防部门的心脏病和死亡人数国家坠落消防员基金会(NFFF)寻求赞助一个为期两天的会议，约有50名主要消防服务选区组织的代表、研究人员和职业医学专家参与，以制定战略计划，解决消防和紧急医疗服务(EMS)人员中的心脏病和死亡问题。五年来，NFFF一直支持调查消防员心脏健康的研究-直接通过财政支持，并通过我们的培训交付计划传播心脏护理建议。我们与包括约翰·霍普金斯大学在内的领先学术研究机构合作，研究心脏病和消防之间的关系。我们相信，现在是时候向消防局通报我们对消防和心脏病的绝对了解，以减少与职务相关的心脏事件的破坏性问题。本次会议将介绍关于心血管疾病的发展以及减少疾病进展的医疗和生活方式策略的循证研究。它还将提供机会，开始讨论国家消防组织、消防部门、个人消防员、卫生和安全官员以及卫生保健提供者(包括职业医学和初级保健医生)在支持将导致减少疾病负担并允许更长和更健康的消防员职业生涯的变化方面可以而且应该发挥什么作用。这次会议仿照早期职业健康项目中被证明成功的共识进程，试图确定干预措施可能被证明是有成效的点，并设计具体的项目，以特别适合火灾和EMS人群和环境的有效、有效和低成本的方式利用循证资源。计划于2015年12月在巴尔的摩马里兰州地区举行的这次会议将以一天的结构化演讲为特色，涵盖新的研究成果和最先进的知识，第二天致力于在与心血管疾病相关的医学评估、身体健康和行为健康领域产生广泛的共识方法。在第二天提出的想法/方法将建立在第一天提出的科学证据、关于最佳证据的共识和最佳实践的基础上，并将根据公认的需要制定，以建立反映在消防计划和实践方面最适合这些情况的方法。

 DESCRIPTION (provided by applicant): PAR-14-246 Organization: National Fallen Firefighters Foundation (NFFF) Principal Investigator: Denise Smith, PhD Project title: Heart to Heart: Strategizing an evidence-based approach to decrease cardiac disease and deaths in the fire service The National Fallen Firefighters Foundation (NFFF) seeks to sponsor a 2-day conference involving approximately 50 representatives of major fire service constituency organizations, researchers, and occupational medicine experts to develop a strategic plan to address issues of cardiac disease and death among fire and emergency medical services (EMS) personnel. The NFFF has supported research investigating firefighter cardiac health for five years-directly through financial support, and the dissemination of heart care advice through our training delivery programs. We have worked with leading academic research institutions, including Johns Hopkins University, to investigate the nexus of heart disease and firefighting. We are confident that we are at a point where it is time to inform the fire service o what we absolutely know about firefighting and heart disease in order to decrease the devastating problem of duty-related cardiac events. This conference will present evidenced-based research regarding the development of cardiovascular disease and medical and life-style strategies to reduce disease progression. It will also present the opportunity to open a discussion of what the roles for national fire service organizations, fire departments, individual firefighters, health and safety officers, and health care providers (including occupational medicine and primary care physicians) can and should be in supporting changes that will lead to decreased disease burden and allow for longer and healthier firefighter careers. This conference, modeled after the consensus process proven successful in earlier occupational health projects, seeks to identify points where intervention may prove productive and design specific projects to bring evidence-informed resources to bear in effective, efficacious, and cost-efficient fashions specifically suited to fire and EMS populations and settings. Proposed for December 2015 in the Baltimore Maryland area, this conference will feature one day of structured presentations covering new research findings and state of the art knowledge, and a second day devoted to the generation of a broad consensus approach to the areas of medical evaluation, physical fitness, and behavioral health related to cardiovascular disease. The ideas/approaches developed on Day 2 will build on the scientific evidence, consensus on best evidence, and best practices presented on Day 1, and will be developed based on a recognized need to establish approaches reflecting the best fit for these with respect to fire service programs and practices.