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PubMed1996

Surveillance and prevention of residential-fire injuries.

BACKGROUND: The majority of severe and fatal burn injuries result from residential fires. We studied the effectiveness of a smoke-alarm-giveaway program in the prevention of burn injuries in an area with a high rate of such injuries. METHODS: We collected data on burn injuries in Oklahoma City from September 1987 through April 1990. The target area for the intervention was an area of 24 square miles (62 km2) with the highest rate of injuries related to residential fires in the city. We distributed smoke alarms door to door in the target area and then surveyed alarm use and function in a sample of the homes that had received an alarm. We also calculated the rates of fire injury per 100,000 population and per 100 fires for both the target area and the rest of the city before and after the smoke-alarm giveaway. RESULTS: Before the intervention the rate of burn injuries per 100,000 population was 4.2 times higher in the target area than in the rest of Oklahoma City. An initial survey indicated that 11,881 of the 34,945 homes in the target area (34 percent) did not have smoke alarms. A total of 10,100 smoke alarms were distributed to 9291 homes; 45 percent were functioning four years later. The annualized fire-injury rates declined by 80 percent in the target area during the four years after the intervention (from 15.3 to 3.1 per 100,000 population), as compared with a small increase in the rest of the city (from 3.6 to 3.9 per 100,000 population). There was also a 74 percent decline in the target area in the injury rate per 100 fires (from 5.0 to 1.3; rate ratio, 0.3; 95 percent confidence interval, 0.1 to 0.6), as compared with a small increase in the rest of the city. CONCLUSIONS: A targeted intervention involving a smoke-alarm-giveaway program can reduce the incidence of injuries from residential fires.

Burns↗

PubMed2007

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.

Adult↗

PubMed2001

Fire in the operating room: a case report and laboratory study.

UNLABELLED: In July, 1998 a fire occurred in an operating room (OR) at the University Medical Center in Tucson, AZ. A patient was burned on the face, neck, and shoulders by the fire, which started during cranial burr-hole placement under monitored anesthesia care. This paper describes the actual case in some detail. The incident was simulated as accurately as possible in a laboratory experiment, in an attempt to determine specific risk factors for this event. The experiment found that a specific combination of factors was required to produce a fire similar in appearance to the one in the OR. The risk factors determined in these experiments are discussed in the context of previous reports of OR fires. Although other reports demonstrate some common characteristics of these events, the fire at the University Medical Center appears to be unique within the literature regarding the specific chain of events that led up to it. IMPLICATIONS: A patient was seriously burned in a fire that occurred during surgery. We performed laboratory experiments to re-create the fire, and found some of the key factors that led to this event.

Aged↗

PubMed1985

PCB-containing transformer fires: decontamination guidelines based on health considerations.

Realization that polychlorinated biphenyl-(PCB)-containing (askarel) transformer fires can produce toxic polychlorinated dibenzofuran (PCDF) and polychlorinated dibenzodioxin (PCDD) isomers has led to efforts to develop guidelines for cleanup of structures contaminated by soot from these fires. Two such fires have occurred in the United States in recent years, one in 1981 in Binghamton, N.Y., the other in 1983 in San Francisco. The phenomenon of PCB transformation to more toxic substances under conditions of uncontrolled combustion was studied in both locations, but much more extensively in New York. In terms of possible danger to human health, PCDFs comprise by far the most important PCB combustion products identified in the soot of both fires. PCDDs were not formed in sufficient quantity in either fire to constitute an important health hazard. The PCDF isomers of greatest health significance are the tetra-, penta-, and hexa- forms having all four lateral positions (2,3,7 and 8) chlorinated. Separate decontamination guidelines were established for each fire, based on different toxicity and exposure assumptions. One guideline was based on carcinogenic risk assessment of 2,3,7,8-TCDD and the other on experimental animal no-observed-effect level data for the same compound. More effort will be required to develop a generally accepted set of askarel fire decontamination guidelines.

California↗

PubMed2004

Ecological responses to el Niño-induced surface fires in central Brazilian Amazonia: management implications for flammable tropical forests.

Over the past 20 years the combined effects of El Niño-induced droughts and land-use change have dramatically increased the frequency of fire in humid tropical forests. Despite the potential for rapid ecosystem alteration and the current prevalence of wildfire disturbance, the consequences of such fires for tropical forest biodiversity remain poorly understood. We provide a pan-tropical review of the current state of knowledge of these fires, and include data from a study in a seasonally dry terra firme forest of central Brazilian Amazonia. Overall, this study supports predictions that rates of tree mortality and changes in forest structure are strongly linked to burn severity. The potential consequences for biomass loss and carbon emissions are explored. Despite the paucity of data on faunal responses to tropical forest fires, some trends are becoming apparent; for example, large canopy frugivores and understorey insectivorous birds appear to be highly sensitive to changes in forest structure and composition during the first 3 years after fires. Finally, we appraise the management implications of fires and evaluate the viability of techniques and legislation that can be used to reduce forest flammability, prevent anthropogenic ignition sources from coming into contact with flammable forests and aid the post-fire recovery process.

Animals↗

PubMed2004

Toward improved communication about wildland fire: mental models research to identify information needs for natural resource management.

The management of natural- and human-induced wildland fires is an intricate process that must balance two considerations: that of fire as a necessary natural disturbance and that of the risks that fire poses. Reconciling tradeoffs between these risks and benefits is contingent upon informed, directed, and two-way communication between wildland fire managers and stakeholders. In an effort to aid with the design of such a communication effort, this study used mental models research to determine the unique wildland fire information and decision-making needs of stakeholders living at the wildland-urban interface of a fire-prone area. While the analysis revealed many similarities in how stakeholders conceptualized the risks and benefits of wildland fire, many misconceptions and important gaps in understanding on the part of both expert and nonexpert respondents were identified.

Adolescent↗

PubMed1989

Fire fighters: a study of stress and coping.

Fifty-eight non-professional fire fighters, 91% of all firefighters from different industries who participated in a hotel fire rescue operation, were investigated by means of a structured self-report questionnaire about their stress experience during and after the rescue action. Together with 57 professional fire fighters, they participated in rescuing hotel guests confined for as much as three hours in a 12 storeyed hotel building on fire. Fourteen persons (11%) died, 114 guests survived. Forty-seven percent of the non-professional fire fighters reported that the disaster experience was the worst they had ever experienced. Even so, 80% thought that they had coped with the job well to fairly well and for as many as 66% the rescue action represented something positive to them in retrospect. Ten percent claimed that stress reactions disturbed them in executing effective rescue work. Fifty-eight percent maintained that more preparation and training could have improved their effort. Fire fighters with previous practical experience seemed to "digest" the disaster experience more easily than inexperienced fire fighters as measured by the Impact of Event Scale. High level of competence and opportunity for debriefing as well as disaster characteristics are discussed as factors explaining the favourable coping with extreme stress.

Adaptation, Psychological↗

PubMed2002

Incidence of fires and related injuries after giving out free smoke alarms: cluster randomised controlled trial.

OBJECTIVE: To measure the effect of giving out free smoke alarms on rates of fires and rates of fire related injury in a deprived multiethnic urban population. DESIGN: Cluster randomised controlled trial. SETTING: Forty electoral wards in two boroughs of inner London, United Kingdom. PARTICIPANTS: Primarily households including elderly people or children and households that are in housing rented from the borough council. INTERVENTION: 20 050 smoke alarms, fittings, and educational brochures distributed free and installed on request. MAIN OUTCOME MEASURES: Rates of fires and related injuries during two years after the distribution; alarm ownership, installation, and function. RESULTS: Giving out free smoke alarms did not reduce injuries related to fire (rate ratio 1.3; 95% confidence interval 0.9 to 1.9), admissions to hospital and deaths (1.3; 0.7 to 2.3), or fires attended by the fire brigade (1.1; 0.96 to 1.3). Similar proportions of intervention and control households had installed alarms (36/119 (30%) v 35/109 (32%); odds ratio 0.9; 95% confidence interval 0.5 to 1.7) and working alarms (19/118 (16%) v 18/108 (17%); 0.9; 0.4 to 1.8). CONCLUSIONS: Giving out free smoke alarms in a deprived, multiethnic, urban community did not reduce injuries related to fire, mostly because few alarms had been installed or were maintained.

Burns↗

PubMed1996

Can child fatalities in house fires be prevented?

OBJECTIVES: To analyse all child deaths in house fires in Scotland between 1980 and 1990. METHODS: Retrospective study of all child house fire fatalities based on the 'sudden death' investigation instigated by the procurator fiscal in whose jurisdiction the death occurred. The necropsy, toxicology, police, and fire brigade reports were examined in each case. RESULTS: There were 168 child deaths occurring in 118 house fires. In the 0-5 years age group 40% of deaths occurred in fires started as a direct result of the actions of children. The careless disposal of smoking materials was the most frequent cause of fatal fires killing older children. Upholstery and bedding were common materials of first ignition, accounting for over half the incidents. The majority of children were dead before the arrival of the emergency services and most died as a result of the inhalation of smoke. CONCLUSIONS: This survey emphasises the importance of 'self escape' which, particularly in the case of young children, requires the assistance of adult carers. The number of fires started as a result of children playing with sources of ignition raises important questions of supervision and the provision of a safe environment. There is, we contend, a need to highlight the importance of individual behaviour and responsibility while recognising the need to develop measures that are relevant to, and effective in, a particular socioeconomic context.

Adult↗

PubMed1991

Child, adolescent, and adult victims of residential fire. Psychosocial consequences.

Behavior of children, adolescents, and adults during and after a residential fire was objectively assessed. Antecedents, behaviors, and consequences of the nighttime residential fire immediately and 1 month following the fire were obtained. Also, the extent of agreement between children/adolescent and adult functioning was determined. Eight children and adolescents and 12 adults were individually interviewed. Results showed that individuals' reactions to residential fire could be assessed, and several PTSD-related symptoms were expressed. A follow-up study in which 25 adolescent boys whose dormitory had been totally destroyed by fire were compared to 13 boys who had not experienced the fire showed similar findings. These findings add to the dearth of literature concerning children and adolescents in fire-related disasters.

Adaptation, Psychological↗

PubMed2006

Scale-dependent interaction of fire and grazing on community heterogeneity in tallgrass prairie.

Natural disturbances affect spatial and temporal heterogeneity in plant communities, but effects vary depending on type of disturbance and scale of analysis. In this study, we examined the effects of fire frequency (1-, 4-, and 20-yr intervals) and grazing by bison on spatial and temporal heterogeneity in species composition in tallgrass prairie plant communities. Compositional heterogeneity was estimated at 10-, 50-, and 200-m2 scales. For each measurement scale, we used the average Euclidean Distance (ED) between samples within a year (2000) to measure spatial heterogeneity and between all time steps (1993-2000) for each sample to measure temporal heterogeneity. The main effects of fire and grazing were scale independent. Spatial and temporal heterogeneity were lowest on annually burned sites and highest on infrequently burned (20-yr) sites at all scales. Grazing reduced spatial heterogeneity and increased temporal heterogeneity at all scales. The rate of community change over time decreased as fire frequency increased at all scales, whereas grazing had no effect on rate of community change over time at any spatial scale. The interactive effects of fire and grazing on spatial and temporal heterogeneity differed with scale. At the 10-m2 scale, grazing increased spatial heterogeneity in annually burned grassland but decreased heterogeneity in less frequently burned areas. At the 50-m2 scale, grazing decreased spatial heterogeneity on 4-yr burns but had no effect at other fire frequencies. At the 10-m scale, grazing increased temporal heterogeneity only on 1- and 20-yr burn sites. Our results show that the individual effects of fire and grazing on spatial and temporal heterogeneity in mesic prairie are scale independent, but the interactive effects of these disturbances on community heterogeneity change with scale of measurement. These patterns reflect the homogenizing impact of fire at all spatial scales, and the different frequency, intensity, and scale of patch grazing by bison in frequently burned vs. infrequently burned areas.

Animals↗

PubMed2006

The influence of aridity and fire on holocene prairie communities in the eastern Prairie Peninsula.

The role of climate and fire in the development, maintenance, and species composition of prairie in the eastern axis of the tallgrass Prairie Peninsula intrigued early North American ecologists. However, evaluation of the long-standing hypotheses about the region's environmental history has been hampered by the scarcity of paleorecords. We conducted multiproxy analyses on early and middle Holocene sediments from two Illinois, USA, lakes to assess long-term climatic, vegetational, and fire variability in the region. Sediment mineral composition, carbonate delta18O, ostracode assemblages, and diatom assemblages were integrated to infer fluctuations in moisture availability. Pollen and charcoal delta13C were used to reconstruct vegetation composition, and charcoal influx was used to reconstruct fire. Results indicate that fire-sensitive trees (e.g., Ulmus, Ostrya, Fraxinus, and Acer saccharum) declined and prairie taxa expanded with increased aridity from 10,000 yr BP to 8500 yr BP. Between approximately 8500 yr BP and approximately 6200 yr BP, aridity declined, and prairie coexisted with fire-sensitive and fire-tolerant (e.g., Quercus and Carya) trees. After approximately 6200 yr BP, prairie taxa became dominant, although aridity was not more severe than it was around 8500 yr BP. Along with aridity, fire appears to have played an important role in the establishment and maintenance of prairie communities in the eastern Prairie Peninsula, consistent with the speculations of the early ecologists. Comparison of our data with results from elsewhere in the North American midcontinent indicates that spatial heterogeneity is a characteristic feature of climatic and vegetational variations on millennial time scales.

Animals↗

PubMed2006

Biotic and abiotic regulation of lightning fire initiation in the mixedwood boreal forest.

Lightning fire is the dominant natural disturbance of the western mixedwood boreal forest of North America. We quantified the independent effects of weather and forest composition on lightning fire initiation (a detected and recorded fire start) patterns in Alberta, Canada, to demonstrate how these biotic and abiotic components contribute to ecosystem dynamics in the mixedwood boreal forest. We used logistic regression to describe variation in annual initiation occurrence among 10,000-ha landscape units (voxels) covering a 9 million-ha study region over 11 years. At a voxel scale, forest composition explained more variation in annual initiation than did weather indices. Initiations occurred more frequently in landscapes with more conifer fuels (Picea spp.), and less in aspen-dominated (Populus spp.) ones. Initiations were less frequent in landscapes that had recently burned. Variation in initiation was also influenced by joint weather-lightning indices, but to a lesser degree. For each voxel, these indices quantified the number of days in the fire season when moisture levels were low and lightning was detected. Regional indices of fire weather severity explained substantial interannual variation of initiation, and the effect of forest composition was stronger in years with more severe fire weather. Our study is a conclusive demonstration of biotic and abiotic regulation of lightning fire initiation in the mixedwood boreal forest. The independent effects of forest composition emphasize that vegetation feedbacks strongly regulate disturbance dynamics in the region.

Alberta↗

PubMed2006

Soil carbon and nitrogen storage in response to fire in a temperate mixed-grass savanna.

Vegetation fires may alter the quantity and quality of organic matter inputs to soil, rates of organic matter decay, and environmental factors that influence those processes. However, few studies have evaluated the impacts of this land management technique on soil organic carbon (SOC) and total N in grasslands and savannas. We evaluated the impact of repeated fires and their season of occurrence on SOC and total N storage in a temperate mixed-grass-mesquite savanna where fire is used to control woody plant encroachment. Four fire treatments varying in season of occurrence were examined: summer only (SF), winter only (WF), alternate summer and winter fires (SWF), and unburned controls. In each treatment, soils were sampled to 1 m under three vegetation types: C3 grasses, C4 grasses, and mesquite trees. The SOC storage at 0 to 20 cm was significantly greater in SF (2693 g C m(-2)) and SWF (2708 g C m(-2)) compared to WF (2446 g C m(-2)) and controls (2445 g C m(-2)). The SWF treatment also increased soil total N (271 g N m(-2)) relative to all other treatments (228-244 g N m(-2)) at 0 to 20 cm. Fire had no effect on SOC or total N at depths of > 20 cm. Vegetation type had no significant influence on SOC or total N stocks. The delta13C value of SOC was not affected by fire, but increased from -21 per thousand at 0 to 10 cm to -15 per thousand at depths of > 20 cm indicating that all treatments were once dominated by C4 grasses before woody plant encroachment during the past century. These results have implications for scientists, land managers, and policymakers who are now evaluating the potential for land uses to alter ecosystem C storage and influence atmospheric CO2 concentrations and global climate.

Carbon↗

PubMed1981

Howard University Hospital fire, Washington, D.C.--successful construction and reactions prevent fatalities.

If the arsonist who set fire to the fourth floor of this hospital intended to destroy the whole hospital, his plans were foiled by the hospital's lifesafety systems and the quick action of the hospital staff. Corridor smoke detectors activated the building fire alarm system, notified the hospital fire brigade and staff, notified the fire department, and closed the corridor smokestop doors. Members of the staff immediately closed the doors to all patient rooms in the area of the fire that were exposed to smoke and heat, and then began evacuating patients from the area. There were no fatalities in this fire. Although this fire is four years old, we think it is worth studying for its contrasts with Mississauga.

District of Columbia↗

PubMed2001

Sustained combustion of an animal carcass and its implications for the consumption of human bodies in fires.

When a human body is found with significant portions of its torso and limbs destroyed yet with comparatively minor damage to head, hands and feet, the mechanism of such destruction defies ready explanation, since exposure to external fires, particularly those involving flammable liquids, usually results in the destruction of hands, feet, limbs, and head prior to significant combustion of the large mass of the torso. Previous tests by these authors have demonstrated the conditions necessary to promote combustion of a body: the presence of adequate body fat, presence of a porous, rigid char to act as a wick, and an external flame source sustained for several minutes to char the body and cause the subcutaneous fat to begin rendering. In the test reported here, a freshly-slaughtered pig carcass with a net weight of 215 lb. (95 kg) was wrapped in a cotton blanket and placed on a carpet-covered plywood panel. The fire was initiated using 1 L of gasoline poured on the shoulder area of the blanket-wrapped carcass. The gasoline burned off within 4 min, having ignited a large area of the blanket and adjoining carpet. Flames from those fuel packages resulted in the establishment of a steady-state fire sustained by the rendering of the body fat, with the necessary wick provided by the charred cotton blanket and carpet. The heat release rate of this fire was 60+/-10 kW, with flames less than 12 in. (0.35 m) high for its duration. The fire sustained itself by the rendering process for more than 6 1/2 h from ignition, at which time it was extinguished. An average mass loss rate of 1.5 g/s (5.3 kg/h) was observed during the self-sustained fire. Extensive destruction of the carcass (more than 60% by weight) included reduction of large bones to a fragile, ashen state. Other test data will demonstrate the similarity between subcutaneous fat from human and porcine sources. The implications for the reconstruction of accidental and homicidal fires involving such destruction will be discussed.

Adipose Tissue↗

PubMed1995

Testicular cancer in fire fighters: a cluster investigation.

AIM: To investigate an apparent cluster of four testicular cancer cases in Wellington fire fighters with a view to determining whether there was a common causal factor, and whether the cluster was indicative of an occupational risk for fire fighters generally. METHOD: Subjects were interviewed about possible risk factors and occupational histories using a structured questionnaire; medical records were reviewed, and diagnoses were verified from the original histological slides. Data on testicular cancer in fire fighters were obtained from the New Zealand cancer registry. Standardised incidence ratios were calculated to assess the likelihood that the cluster had arisen by chance. RESULTS: All four cancers were verified as germ cell testicular cancers. No common risk factors were apparent from the review of the medical records or from the questionnaire interviews. The only testicular cancers known to have occurred in Wellington fire fighters in the 1980s were the four investigated in this study. Only two of the four cases investigated were registered with the New Zealand cancer registry. The relative risk estimate for Wellington fire fighters for the period 1980-91 was 8.2, with an approximate 95% confidence interval of 2.2-21 (p = 0.002). CONCLUSION: There was an unusually high risk of testicular cancer in Wellington fire fighters in the 1980s, with no obvious explanations, although chance could not be excluded. Whether this high risk continues in the 1990s would require a separate investigation. At present the weight of evidence does not indicate that fire fighters in other areas of New Zealand also experienced an elevated testicular cancer incidence rate.

Adult↗

PubMedDate not supplied

Staff education can prevent OR fires.

1. Every operating room has the elements necessary to start a fire: oxidants (O2, N2O), ignition sources, and fuel. 2. A team approach, including nursing, anesthesia and surgery members, should be used in assessing fire safety in the operating room. 3. Staff knowledge of fire safety can be assessed by written tests. An appropriate fire safety program can be developed based on the test results. 4. Fire evacuation drills and hands-on use of fire extinguishers should be included in any OR fire safety program.

Education, Continuing↗