Firefighters (FF) routinely perform arduous work in extreme environmental temperatures. However, little is known about the most effective methods to cool, rehydrate and reverse imbalances caused by working in such stressful environments. PURPOSE: To investigate the effects of different On-Scene Rehabilitation (OSR) protocols on subsequent psychological recovery along with cognitive function. METHODS: Male FF (N=17; M age=24.5+/-4.7 yrs) free of known cardiovascular disease participated in 18 minutes of simulated firefighting (FF) activity (stair climbing, forcible entry, searching, advancing a line) in a training structure that contained live fires wearing standard turnout gear and an air pack on 2 separate days. During the "control" trial (meant to reflect OSR typically done at a fire scene), following simulated FF activity FFs removed their helmet, hood, gloves, and bunker coat and were provided with only water. During the "enhanced" OSR trial, following simulated FF activity FFs removed all of turn-out gear (including bunker coat, pants), consumed 1 L of water and 0.5 L of sport drink, and were aggressively cooled using a misting fan or cold towels. Psychological (AD ACL) and cognitive function measures [reaction times (RT) on a decision-making task] were obtained immediately before and after FF activities and following 2 hrs of recovery. RESULTS: Firefighting activity resulted in significant increases in Energy (+1.9 units) and Tension (+0.7 units) along with significant decreases in Tiredness (-1.9 units) and Calmness (-2.5 units) from pre- to post-activity, with subsequent returns to pre-activity levels after recovery. RTs were significantly faster following activity (-25.2 msec), and then returned to pre-activity level by 2 hrs post-activity. There were no significant differences between the OSR protocols. CONCLUSION: Firefighting resulted in significant changes in psychological and cognitive function measures; however, the effect of different OSR was negligible compared to the effects of the firefighting activity itself.
Fire-fighters; Environmental-hazards; Environmental-exposure; Exposure-levels; Risk-factors; Heat; Heat-exposure; Heat-stress; Stress; Psychology; Psychological-effects; Psychological-stress; Psychological-reactions; Physical-fitness; Physical-exercise; Physical-stress; Physiological-effects; Physiology; Physiological-stress; Humans; Men; Personal-protection; Personal-protective-equipment