Evaluating Firefighter On-Scene Decontamination Practices Using a National Fire Records Management System.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational and Environmental Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-03 DOI:10.1097/JOM.0000000000002927

Antonio R Fernandez, Alison Treichel, J Brent Myers, Scott S Bourn, Remle P Crowe, Bill Gardner

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引用次数: 0

Abstract

Objective: This study describes firefighters' on-scene decontamination procedure use post-working fire and frequency of adherence to best practice.

Methods: This retrospective analysis of working fires was conducted using records from the ESO Data Collaborative (Austin, TX) national research database from January 1, 2021, to December 31, 2021. Documentation of decontamination procedures was examined among records with smoke or combustion products exposure. Firefighter and incident characteristics were evaluated. Descriptive statistics and univariable odds ratios were calculated.

Results: Among the 31,281 firefighters included in the study, 8.0% documented a fire-related exposure. Of those, 82% performed at least one on-scene decontamination procedure; 5% documented all decontamination procedures defined as best practices. The odds of documenting any decontamination procedure were significantly decreased among firefighters responding to incidents in rural areas compared with urban areas (odds ratio, 0.70).

Conclusions: Fire personnel may not be taking all necessary decontamination steps post-working fires.

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使用国家消防记录管理系统评估消防员现场去污实践。

目的：本研究描述了消防员使用工作后消防的现场去污程序以及遵守最佳实践的频率。方法：使用ESO数据合作组织（德克萨斯州奥斯汀）国家研究数据库2021年1月1日至2021年12月31日的记录，对工作火灾进行回顾性分析。在烟雾或燃烧产物暴露的记录中检查了去污程序的文件。对消防员和事故特征进行了评估。计算描述性统计和单变量比值比。结果：在纳入研究的31281名消防员中，8.0%的人记录了与火灾有关的暴露。其中，82%的人至少进行了一次现场去污程序；5%记录了定义为最佳实践的所有去污程序。与城市地区相比，在农村地区应对事故的消防员中，记录任何去污程序的几率显著降低（比值比为0.70）。结论：消防人员可能没有在火灾后采取所有必要的去污步骤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

9.40%

发文量

402

审稿时长

3-8 weeks

期刊介绍： Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.