The effect of hyperoxia on submaximal exercise with the self-contained breathing apparatus

The e^ffects of hyperoxia on submaximal exercise with the self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed a graded exercise test for the determination of ventilatory threshold (VT) and then a submaximal practice trial with a normoxic gas mixture. The normoxic (20.93 ± 0.22% O₂ ; SUB₂₁) and hyperoxic (40.18 ± 0.73% O₂; SUB₄₀) submaximal trials were then administered in a random order. All exercise tests were completed on separate days while wearing firefighting gear and the SCBA. Compared with SUB₂₁, hyperoxia significantly reduced minute ventilation ([Vdot]_E ), mask pressure (P_mask), heart rate, blood lactate concentration, perceived exertion, and perceived breathing distress. As expected, hemoglobin saturation remained higher (p<0.05) during SUB₄₀. The reductions in both [Vdot]_E and P_mask with hyperoxia imply a reduction in the work of breathing during exercise. Total gas consumption was 10.3 ± 8.1% lower during SUB₄₀ when compared to SUB₂₁, another finding that has significant practical implications for occupational safety.     

Hyperoxia improves maximal exercise with the self-contained breathing apparatus (SCBA)

The effects of hyperoxia on maximal exercise while breathing from a self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed three graded exercise tests (GXT) for the assessment of maximal oxygen uptake (Vdot;O _2max): two with 20.95 ± 0.28% O₂ and the third (GXT₄₀) while breathing hyperoxia (40.64 ± 1.29% O₂). No significant differences were found between the two normoxic tests, except for a 16W increase in maximal power output (PO_max) in the second trial (GXT₂₁). Compared to GXT₂₁, hyperoxia significantly increased Vdot;O _2max and PO_max by 10.0 ± 3.8% and 10.2 ± 7.1%, respectively. This was likely due to an increase in O₂ delivery as suggested by the significantly higher oxyhemoglobin saturation. The increase in Vdot;O _2max with hyperoxia was similar to the increase in carbon dioxide production (9.3 ± 6.5%). No other significant differences were found at maximal exercise. However, at the intensity that elicited Vdot;O _2max in GXT₂₁, pulmonary ventilation and SCBA mask pressure were significantly lower during GXT₄₀, suggesting a decrease in the work of breathing. These findings could have significant implications for occupations that involve heavy work with SCBA.     

Hyperoxia improves maximal exercise with the self-contained breathing apparatus (SCBA)

The effects of hyperoxia on maximal exercise while breathing from a self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed three graded exercise tests (GXT) for the assessment of maximal oxygen uptake (VO(2max)): two with 20.95 +/- 0.28% O(2) and the third (GXT(40)) while breathing hyperoxia (40.64 +/- 1.29% O(2)). No significant differences were found between the two normoxic tests, except for a 16W increase in maximal power output (PO(max)) in the second trial (GXT(21)). Compared to GXT(21), hyperoxia significantly increased VO(2max) and PO(max) by 10.0 +/- 3.8% and 10.2 +/- 7.1%, respectively. This was likely due to an increase in O(2) delivery as suggested by the significantly higher oxyhemoglobin saturation. The increase in VO (2max) with hyperoxia was similar to the increase in carbon dioxide production (9.3 +/- 6.5%). No other significant di.fferences were found at maximal exercise. However, at the intensity that elicited VO(2max) in GXT(21), pulmonary ventilation and SCBA mask pressure were significantly lower during GXT(40), suggesting a decrease in the work of breathing. These findings could have significant implications for occupations that involve heavy work with SCBA.     

Field evaluation of a new prototype self-contained breathing apparatus

Firefighters are required to use a self-contained breathing apparatus (SCBA) for respiratory protection when engaged in a variety of firefighting duties. While the SCBA provides crucial respiratory support and protection, it is also cumbersome and heavy, thus adding to the physical work performed by the firefighter. The purpose of the present study was to evaluate and compare the low profile SCBA prototype to a standard SCBA, as assessed by the objective and subjective measures of mobility and comfort, time of donning/doffing, as well as by acquiring user feedback on SCBA design features during field activities. The results of the present study indicated that the prototype SCBA was rated as a significant improvement over the standard SCBA in the areas of range of motion (ROM), mobility, comfort, induction of fatigue, interaction with protective clothing, and operability when worn over a standard firefighter ensemble, while performing a series of International Association of Fire Fighters Fire Ground Survival Program training exercises. STATEMENT OF RELEVANCE: A prototype SCBA was evaluated and compared with a standard SCBA, focusing on the objective and subjective measures of mobility and comfort during field activities. Feedback from end users was collected during the evaluation. The findings of the present study can be used for improving the system design and overall performance of new prototype SCBAs.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXTPPE and GXTPT). Maximal oxygen consumption (VO2max) during GXTPPE was 17.3% lower than the GXTPT in regular exercise clothing (43.0 +/- 5.7 vs. 52.4 +/- 8.5 ml/kg per min, respectively). The lower VO2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 +/- 18.0 vs. 167.1 +/- 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 +/- 10.4 vs. 3.2 +/- 0.4 l). Breathing frequency at peak exercise was unchanged (55 +/- 7 vs. 53 +/- 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXT_PPE and GXT_PT). Maximal oxygen consumption (VO_2max) during GXT_PPE was 17.3% lower than the GXT_PT in regular exercise clothing (43.0 ± 5.7 vs. 52.4 ± 8.5 ml/kg per min, respectively). The lower VO_2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 ± 18.0 vs. 167.1 ± 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 ± 10.4 vs. 3.2 ± 0.4 l). Breathing frequency at peak exercise was unchanged (55 ± 7 vs. 53 ± 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO_2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Psychophysiological responses in experienced firefighters undertaking repeated self-contained breathing apparatus tasks

In order to safely and effectively extinguish fires and rescue life, firefighters are required to routinely wear self-contained breathing apparatus (SCBA), yet little is known about the specific physiological and psychological demands associated with repeated exposure to tasks that require SCBA. A total of 12 experienced firefighters took part in a series of commonly encountered SCBA activities: free search, guideline search and live firefighting tasks under room temperature (～20°C) and extreme heat (～180°C) conditions to assess changes in heart rate, blood pressure, mood, perceived workload and air usage. Findings demonstrate that live firefighting is associated with greater perceived exhaustion than free search or guideline exercises; however, all tasks lead to high cardiovascular demand regardless of the presence of heat. No significant impact of task upon mood and no significant differences between the perceived demands of guideline, free search and live firefighting exercises were found.

Practitioner Summary: This study considered the physiological and psychological responses of firefighters undertaking SCBA exercises. Although live firefighting is associated with greater perceived exertion, the absence of differences in psychological domains between exercises demonstrates that task demands are not always dependent upon the presence of fire and that all tasks are mentally challenging.     

Effect of wearing personal protective clothing and self-contained breathing apparatus on heart rate,temperature and oxygen consumption during stepping exercise and live fire training exercises

Fire fighter breathing apparatus instructors (BAIs) must possess the ability to respond to both the extrinsic stress of a high temperature environment and the intrinsic stress from wearing personal protective equipment (PPE) and self-contained breathing apparatus (SCBA), repeatedly and regularly, whilst training recruits in live fire training exercises (LFTEs). There are few previous investigations on BAIs in hot environments such as LFTEs, since the main research focus has been on regular fire fighters undertaking exercises in temperate or fire conditions at a moderate to high exercise intensity. In this study, the intrinsic cardiovascular stress effects of wearing PPE + SCBA were first investigated using a step test whilst wearing gym kit (control), weighted gym kit (a rucksack weighted to the equivalent of PPE + SCBA) and full PPE + SCBA (weight plus the effects of protective clothing). The extrinsic effects of the very hot environment were investigated in BIAs in LFTEs compared to mock fire training exercises (MFTEs), where the fire was not ignited. There was an increase in heart rate due to the modest workload imposed on the BAIs through carrying out the MFTEs (25.0 (18.7)%) compared to resting. However, when exposed to fire during the LFTEs, heat storage appears to be significant as the heart rate increased by up to 39.8 (±20.1)% over that of the mock LFTEs at temperate conditions. Thus, being able to dissipate heat from the PPE is particularly important in reducing the cardiovascular responses for BAIs during LFTEs.     

Effect of wearing personal protective clothing and self-contained breathing apparatus on heart rate, temperature and oxygen consumption during stepping exercise and live fire training exercises

Fire fighter breathing apparatus instructors (BAIs) must possess the ability to respond to both the extrinsic stress of a high temperature environment and the intrinsic stress from wearing personal protective equipment (PPE) and self-contained breathing apparatus (SCBA), repeatedly and regularly, whilst training recruits in live fire training exercises (LFTEs). There are few previous investigations on BAIs in hot environments such as LFTEs, since the main research focus has been on regular fire fighters undertaking exercises in temperate or fire conditions at a moderate to high exercise intensity. In this study, the intrinsic cardiovascular stress effects of wearing PPE + SCBA were first investigated using a step test whilst wearing gym kit (control), weighted gym kit (a rucksack weighted to the equivalent of PPE + SCBA) and full PPE + SCBA (weight plus the effects of protective clothing). The extrinsic effects of the very hot environment were investigated in BIAs in LFTEs compared to mock fire training exercises (MFTEs), where the fire was not ignited. There was an increase in heart rate due to the modest workload imposed on the BAIs through carrying out the MFTEs (25.0 (18.7)%) compared to resting. However, when exposed to fire during the LFTEs, heat storage appears to be significant as the heart rate increased by up to 39.8 (+/-20.1)% over that of the mock LFTEs at temperate conditions. Thus, being able to dissipate heat from the PPE is particularly important in reducing the cardiovascular responses for BAIs during LFTEs.     

An evaluation of physiological demands and comfort between the use of conventional and lightweight self-contained breathing apparatus.

The additional physiological strain associated with the use of self-contained breathing apparatus (SCBA) is mostly linked to the additional weight. Lightweight and conventional SCBA were assessed in a submaximal step test performed in full firekit (total weights 15 and 27 kg, respectively). Factors assessed were: comparative energy expenditure of the two sets, relationship between comparative energy expenditure and aerobic fitness and subjective discomfort. Measured variables were: oxygen consumption, heart rate, estimated VO2max and subjective discomfort (body part discomfort scale). The lightweight SCBA displayed a significant oxygen consumption benefit, which was independent of dynamic workrate and valued at 0.2561 min(-1). Mean heart rate responses were significantly lower with the light set. No relationship was found between comparative energy expenditure and aerobic fitness. The light set was rated as significantly more comfortable than the heavy. Further research is required to assess the extent of the energy consumption benefit in realistic fire suppression protocols and the contribution of ergonomic factors to the energy and comfort benefits.     

Dead space in the breathing apparatus; interaction with ventilation

Dead space in breathing apparatus may cause increased ventilation and/or CO₂ retention. Interactions between ventilation and dead space were tested in the breathing apparatus of three divers: a full face mask with an oro-nasal cup (AGA), a full face mask without an oro-nasal cup (EXO-26) but designed to minimize dead space, and one mouthpiece. Experiments were performed at three depths; 0, 30 and 45 m seawater (msw). The breathing gas was air except at 30 msw where it was 36 O₂ in N₂. Five certified SCUBA divers were exercised at three levels (0, 50 and 100 W), Ventilation and gas exchange were measured. The dead space in the AGA mask was not influenced by either depth or exercise (mean 0·201). The mean dead space of the EXO-26 was 0·341, but it increased with exercise (p<0·001) and decreased with depth (p<0·03). Since the dead space can vary with ventilation levels it is not sufficient to test breathing apparatus only at rest as is required by the US National Institute of Occupational Safety and Health. The mean ventilation with the EXO-26 was higher than with the AGA by 10% at SOW (p<0·05) and by 12% (p < 0·01) at 100 W. The same comparison for end-tidal CO₂ showed mean increase by 0·30 kPa at the 100-W workload (P < 0·05); changes at other workloads were not statistically significant. Comparisons of the mean inspired PCO₂ to the maximum values considered acceptable by various organizations showed that the mouthpiece was always acceptable, the AGA mask was marginally acceptable or better, while sometimes the EXO-26 was not acceptable.     

Effects of firefighters' self-contained breathing apparatus' weight and its harness design on the physiological and subjective responses

To examine the effects of firefighters' self-contained breathing apparatus' (SCBA) weight and its harness design on the physiological and subjective responses, eight male students performed treadmill exercise under four conditions: the 8 kg firefighter protective clothing (PC) (Control), the PC + an 11 kg SCBA with an old harness (Test A), the PC + a 6.4 kg SCBA with an old harness (Test B) and the PC + a 6.4 kg SCBA with a new harness (Test C), at ambient temperatures (T(a)) of 22°C and 32°C. Besides highlighting the fact that a heavy SCBA had a significant effect on the oxygen consumption and metabolic rate, this experiment also found that in a T(a) of 32°C, in particular, the combined effect of 4.7 kg lighter SCBA and new harness design could reduce metabolic rate and improved subjective muscle fatigue and thermal discomfort. PRACTITIONER SUMMARY: An effort to alleviate the physiological and subjective burden of firefighters by reducing the weight of SCBA and by using the new harness design has provided satisfactory results in reduced oxygen consumption and in improved subjective responses in a hot air environment.     

The effect of posture on the responses to cycle ergometer exercise

Nine male subjects performed submaximal and maximal exercise on a cycle ergometer while sitting on the saddle or on a chair behind the cycle ergometer with the legs horizontal. Data for oxygen uptake, respiratory variables, heart rate, and systolic blood pressure during exercise showed that there are no essential differences between these two positions.     

The effect of handgrip span on isometric exercise performance

Fourteen male and eight female volunteers served as subjects in these experiments lo determine the effect of hand tool dimensions on isometric strength, endurance, the surface EMG above the active muscle, and the cardiovascular responses to isometric exercise. As reported by others, we found that for each individual, there existed one handgrip size at which he or she could exert the greatest isometric strength. Endurance was the same at any work load relative to the maximum strength for a given grip dimension. The EMG and blood pressure responses to isometric exercise were the same at any given grip span: however, the heart rate response was lowest when subjects worked with their muscles at the optimal grip span.     

The effect of pre-warming on performance during simulated firefighting exercise

This study examined the effect of active pre-warming on speed and quality of performance during simulated firefighting exercise. Twelve male firefighters performed two trials in counterbalanced order. They were either pre-warmed by 20-min cycling at 1.5 Watt kg⁻¹ body mass (WARM) or remained thermoneutral (CON) prior to a simulated firefighting activity. After the pre-warming, gastrointestinal temperature (P < 0.001), skin temperature (P = 0.002), and heart rate (P < 0.001) were higher in WARM than in CON. During the firefighting activity, rating of perceived exertion, thermal sensation and discomfort were higher for WARM than for CON. Finish time of the firefighting activity was similar, but the last task of the activity was completed slower in WARM than in CON (P = 0.04). In WARM, self-reported performance quality was lower than in CON (P = 0.04). It is concluded that pre-warming reduces the speed during the last part of simulated firefighting activity and reduces self-reported quality of performance.     

The effects of hyperoxia on performance during simulated firefighting work

This study evaluated the effects of hyperoxia (inspired oxygen fraction=40%) on performance during a simulated firefighting work circuit (SFWC) consisting of five events. On separate days, 17 subjects completed at least three orientation trials followed by two experimental trials while breathing either normoxic (NOX) and hyperoxic (HOX) gas mixtures that were randomly assigned in double-blind, cross-over design. Previously, ventilatory threshold (Tvent) and VO₂max had been determined during graded exercise (GXT) on a cycle ergometer. Lactate concentration in venous blood was assessed at exactly 5 min after both the experimental trials and after the GXT. Total time to complete the SFWC was decreased by 4% (p< 0.05) with HOX. No differences were observed in individual event times early in the circuit, however HOX resulted in a 12% improvement (p< 0.05) on the final event. A significantly decreased rating of perceived exertion (RPE) was also recorded immediately prior to the final event. No differences were observed in mean heart rate or post-exercise blood lactate when comparing NOX to HOX. Heart rates during the SFWC (both conditions) were higher than HR at Tvent, but lower than HR at VO₂max (p< 0.05). Post-SFWC lactate values were higher (p< 0.05) than post-VO₂max. These results demonstrate that hyperoxia provided a small but significant increase in performance during short duration, high intensity simulated firefighting work.