Physiological responses of Police Officers during job simulations wearing chemical, biological, radiological and nuclear personal protective equipment

The comfort and functional performance of personal protective equipment for police officers: a systematic scoping review

This scoping review aimed to identify and summarise evidence on the comfort and functional performance of police officer personal protective equipment (PPE). The Arksey and O'Malley (2005) five-stage framework for scoping reviews was followed. PubMed, CINAHL, Scopus, and Web of Science were searched, and 35 articles were included in the review. The findings show that increased police PPE mass increases heart rate, metabolic energy expenditure, and perceived exertion in response to exercise. Unisex armour designs cause increased discomfort for females with larger bra sizes. PPE reduces joint-specific range of motion, with the design and location impairing movement more than mass. Jumping and sprinting performance is decreased with heavy PPE but unaffected by lighter protection, while agility is compromised with most forms of protection. Future research is needed on the fit and function of PPE for specialist police units, such as mounted police, along with further investigations on how fit can affect functional performance.

Psychological, cognitive, and physiological impact of hazards casualties' trainings on first responders: the example of a chemical and radiological training. An exploratory study

Background

First responders are among the first to respond to hazards casualties. They might operate in volatile, uncertain, complex, and ambiguous (VUCA) environments. While they have underlined the need to improve their knowledge and training to face these environments, there are few data regarding the stress induced by these trainings. Chemical, biological, radiological, and nuclear (CBRN) hazards casualties' trainings seem to be a good model of "in vivo" stress. First responders must operate in a hostile and encountered environment with a CBRN protective equipment that places demand on their psychological, cognitive, and physiological capacities. Current research recognizes that the activity of the parasympathetic system (PSS) can be used as an objective marker of stress adaptation, measured as heart rate variability (HRV).

Objectives

To compare between baseline and simulation the evolution of the parasympathetic activity (primary outcome), anxiety, emotions, cognitive load, and body posture awareness (secondary outcomes).

Methods

A total of 28 first responders attended to three simulated scenarios requiring CBRN management of casualties. One day before simulation, we collected HRV data (baseline). The simulations' day (pre-, post-simulation) we collected anxiety score (STAI-Y B), emotions (SPANE), cognitive load (NASA TLX), body posture awareness (PAS) and HRV. The morning after we collected the PAS score (recovery). We compare data' evolution between different times of the simulation.

Results

(i) A high level of anxiety at baseline [Median 51 (46; 56)] which decreased between pre- and post-simulation (p = 0.04; F = 2.93); (ii) a post-simulation decrease in negative feelings (p = 0.03); (iii) a decrease in body awareness after simulation which returned to the initial level at recovery (p = 0.03; F = 3.48); (iv) a decrease in mean RR between baseline, pre- and post-simulation (p = 0.009; F = 5.11). There were no significant difference between times on others analysis of HRV.

Conclusion

Prior to simulation, participants experienced anticipatory anxiety. Simulations training practiced regularly could be one way to combat anticipatory anxiety.

Relationships Between Physical Fitness Assessment Measures and a Workplace Task-Specific Physical Assessment Among Police Officers: A Retrospective Cohort Study

ABSTRACT

Lockie, R, Dawes, JJ, Sakura, T, Schram, B, and Orr, RM. Relationships between physical fitness assessment measures and a workplace task-specific physical assessment among police officers: a retrospective cohort study. J Strength Cond Res 37(3): 678-683, 2023-Police officers are required to perform physically demanding occupational tasks and, as such, require an adequate level of fitness. The aim of this study was to investigate relationships between a physical fitness assessment test (PAT) and a task-specific physical competency test (PCT). Retrospective data for 307 police trainees who completed the PAT and the PCT were provided. The PAT comprised a 2.4-km run, vertical jump, push-ups, and grip strength measures. The PCT, a single timed event, consisted of 10 occupational specific tasks (e.g., trailer push, wall climb, window climb through), which were completed within a 400-m obstacle course. Pearson's correlations were used to investigate relationships between the PAT and the PCT. Linear regression analyses were conducted to determine whether PAT predicted PCT performance. All PAT measures significantly correlated with PCT performance with the strength of the correlations ranging from moderate (vertical jump; r = -0.420, p < 0.01) to strong (2.4 km run; r = 0.639, p < 0.01). The highest predictive relationship was observed with 2.4-km run ( r2 = 0.409), and the lowest predictive relationship was observed with the vertical jump ( r2 = 0.177). The results of this study highlight the importance of aerobic capacity (2.4 km run), muscular endurance (push-ups), strength (grip strength), and power (vertical jump) for successful performance during the PCT. These physical attributes should be developed in new police trainees before attending recruit training if viable and form part of any return-to-work reconditioning frameworks for both police trainees and officers.

Risques nucléaires, radiologiques, biologiques et chimiques (NRBC) : la « chaîne de survie NRBC » et son acronyme « DUST DAHO », un outil cognitif destiné aux primo-intervenants non spécialistes pour la prise en charge des victimes les premières heures

Les risques terroristes nucléaires, radiologiques, biologiques et chimiques (NRBC) constituent une menace permanente. Les primo-intervenants seront probablement des personnels non spécialisés face à un événement de cette nature. À l’extérieur ou à l’accueil des hôpitaux, leur rôle sera pourtant décisif sur le plan tactique afin de mettre en œuvre les premières mesures et minimiser les effets sur la population. Acquérir et entretenir un niveau de formation suffisant pour un risque d’occurrence rare, pour agir efficacement en tenue de protection dans un contexte aussi stressant sont des défis pédagogiques et organisationnels pour nos services. En 2019, la brigade de sapeurs-pompiers de Paris conceptualise la « chaîne de survie NRBC » regroupant les cinq actions essentielles à mener par les primointervenants en cas d’événements NRBC. Ces tâches, indissociables, sont représentées sous la forme d’une chaîne constituée de cinq maillons : 1) Décontamination d’urgence pour limiter l’intoxication et la contamination ; 2) Recherche de symptômes pour identifier l’agent et alerter les secours ; 3) Administration précoce des traitements pour réduire la morbi mortalité ; 4) Décontamination approfondie pour protéger le système de santé ; 5) Évacuation vers l’hôpital. En 2020, l’acronyme « DUST DAHO » est ajouté pour optimiser la mémorisation et la restitution des cinq maillons de cette chaîne. Cet outil cognitif s’adresse à tous les acteurs, soignants ou non, à l’extérieur ou à l’accueil de l’hôpital, quel que soit l’agent NRBC en cause. Il pourrait également être un outil de communication précieux pour le grand public en cas de crise.

Physical Stress and Determinants of Shooting Performance Among Norwegian Special Forces Operators

However, there is a lack of conceptual understanding of the factors influencing performance decrements in prone shooting. The present study examines how one can simulate a combat scenario by inducing acute physical stress, ultimately impacting one's shooting performance (SP). The relationship between participants' physical level and SP was measured in several ways. The SP of members of the Norwegian Navy Special Operations Forces (SOF) (N = 30) was measured before and directly after acute exercise-induced stress caused by a 200-m uphill run (90% HRmax). Under acute physical stress, participants took less time to fire five rounds (total 15.5 ± 10.9 s faster), and the probability of hitting the target was unaffected (92%). In terms of more sensitive measures, score was significantly reduced and shot-group dispersion increased (64 ± 90 cm2, p < 0.01, d = 0.72), mainly due to increased vertical dispersion (2.5 ± 4.6 cm, p < 0.01, d = 0.53). Age, trait somatic anxiety and the Big Five Inventory item "openness" explained 45.2% of the variance in shooting score in the pre-physical stress condition. In the post-physical stress condition, pre-test shooting score, the number of months deployed, and shooting time predicted 32.9% of the variance in shooting score. The change in SP (pre-post) showed the concentration disruption scale was the best predictor of the reduction in shot score (20.1%). From a practical point of view, maintaining the probability of hitting the target with reduced shooting time post-physical stress could be viewed as superior performance for SOF.

Smart Superhydrophobic Textiles Utilizing a Long-Range Antenna Sensor for Hazardous Aqueous Droplet Detection plus Prevention

This paper demonstrates the feasibility of a long-range antenna sensor embedded underneath a liquid repellent fabric to be employed as a wearable sensor in personal protective fabrics. The sensor detects and monitors hazardous aqueous liquids on the outer layer of fabrics, to add an additional layer of safety for professionals working in hazardous environments. A modified patch antenna was designed to include a meandering-shaped resonant structure, which was embedded underneath the fabric. Superhydrophobic fabrics were prepared using silica nanoparticles and a low-surface-energy fluorosilane. 4 to 20 μL droplets representing hazardous aqueous solutions were drop-cast on the fabrics to investigate the performance of the embedded antenna sensor. Long-range (S₂₁) measurements at a distance of 2-3 m were performed using the antenna sensor with treated and untreated fabrics. The antenna sensor successfully detected the liquid for both types of fabrics. The resonant frequency sensitivity of the antenna sensor underneath the treated fabric exhibiting superhydrophobicity was measured as 370 kHz/μL, and 1 MHz/μL for the untreated fabric. The results demonstrate that the antenna sensor is a good candidate for wearable hazardous aqueous droplet detection on fabrics.

Profiling the Injuries Sustained by Police Trainees Undergoing Initial Training: A Retrospective Cohort Study

The tasks performed by police officers are unique, varied and can be performed in unexpected situations. Initial police college training is used to prepare new police officers to conduct these tasks and is known to be a time when police trainees are at an elevated risk of injury. The aim of this study was to profile injuries occurring within a national Police Force during initial training to inform injury prevention strategies. Using a retrospective cohort design, point-of-care injury data including injury body site, nature, mechanism, and the activity being performed at the time of injury were provided. A total of 564 injuries were recorded over the 22-month period, with the mean age of recruits reporting an injury being 28.83 years ± 6.9 years. The incidence of injuries ranged across training periods, from 456.25 to 3079 injuries per 1000 person-years with an overall incidence rate of 1550.15 injuries per 1000 person-years. The shoulder was the most injured site (n = 113, 20% of injuries), with sprains and strains being the most common nature of injury (n = 287, 50.9% of injuries). Muscular stress with physical exercise was the most common mechanism of injury (n = 175, 31.0% of injuries) with the activity responsible for the largest proportion of injuries being “unknown” (n = 256, 45.4% of injuries), followed by police training (n = 215, 38.1%). Injuries appear to be typically joint related—commonly the shoulder—with police training being a primary known activity at the time of injury. Prescreening protocols may be of benefit, and efforts should be made to recruit and train physically resilient trainees. Injuries, whether they occurred pre-enlistment or during training, should be fully rehabilitated prior to the individual’s commencement as a qualified officer.

Soldier Load Carriage, Injuries, Rehabilitation and Physical Conditioning: An International Approach

Soldiers are often required to carry heavy loads that can exceed 45 kg. The physiological costs and biomechanical responses to these loads, whilst varying with the contexts in which they are carried, have led to soldier injuries. These injuries can range from musculoskeletal injuries (e.g., joint/ligamentous injuries and stress fractures) to neurological injuries (e.g., paresthesias), and impact on both the soldier and the army in which they serve. Following treatment to facilitate initial recovery from injuries, soldiers must be progressively reconditioned for load carriage. Optimal conditioning and reconditioning practices include load carriage sessions with a frequency of one session every 10-14 days in conjunction with a program of both resistance and aerobic training. Speed of march and grade and type of terrain covered are factors that can be adjusted to manipulate load carriage intensity, limiting the need to adjust load weight alone. Factors external to the load carriage program, such as other military duties, can also impart physical loading and must be considered as part of any load carriage conditioning/reconditioning program.

Profiling lower extremity injuries sustained in a state police population: a retrospective cohort study

Background

Tactical populations, such as military, firefighter and law enforcement populations, are known to suffer a relatively high number of musculoskeletal injuries, with the lower extremity of notable concern. The aim of this retrospective cohort study was to determine the profile of lower extremity musculoskeletal injuries within a state police agency.

Methods

Injury data were collected by an Australian state police force over a 7-year period (2009–2016) and records not meeting the definition for lower extremity musculoskeletal injury were excluded. Statistical analyses were descriptive, with frequencies, means and standard deviations calculated where applicable. Chi-square analysis was performed to compare injury profiles by gender. Ethics approval was granted by Bond University Human Research Ethics Committee (Research Protocol 15360).

Results

Of the initial 65,579 incident records, 12,452 (19%) related to lower extremity musculoskeletal injuries. The knee was the most commonly injured site (31.4%) with sprains/strains (42.3%) the most common nature of injury and arresting offenders (24.2%) the most common activity at time of injury. Slips/trips/falls (37.8%) was found to be the most common cause of injury. Variations were found between genders, most notably within the injury activity (p < .001). 27.1% of male officers were injured when arresting offenders compared to 16.5% for female officers. Walking/running contributed to 17.9% of female officer incidents compared to 9.3% for male officers. The mean number of hours worked prior to injury occurrence was 6.00 ± 3.56 h with significantly more injuries occurring in the middle third of the shift (4.34–8.67 h, p < 0.001).

Conclusions

While the proportion of injuries that affected the lower extremity was lower for police, the leading sites of injuries (knees and ankles) were similar to those of military and fire and rescue populations. Variations between genders suggest there may need to be differences in return-to-work rehabilitation.

Characterization of the Physical Fitness of Police Officers: A Systematic Review

Marins, EF, David, GB, and Del Vecchio, FB. Characterization of the physical fitness of police officers: a systematic review. J Strength Cond Res 33(10): 2860-2874, 2019-Physical fitness tests (e.g., aerobic power, muscular endurance, and flexibility tests) are commonly used to assess the ability of police officers to perform work-related tasks. The purpose of this study was to describe, from a systematic literature review, data related to police physical fitness. The research was conducted in 5 electronic databases to search for original studies that measured physical fitness (aerobic and anaerobic capacity, strength, endurance, power, flexibility, agility, and speed) of police officers, as well as the article references. Original studies assessing objective measures of physical fitness in police officers were included, with no date restriction. Fifty-nine articles were included in the review. The studies mostly measured cardiorespiratory fitness indirectly, strength, and muscular endurance, as well as other performance components (body composition, power, flexibility, speed, agility, and anaerobic profile), with police officers generally presenting values similar or above the average of the general population. It can be concluded that intervention studies are needed to promote and incorporate programs related to improvement or maintenance of physical fitness in police officers, which would result in health benefits and specifically improvement in performance of specific tasks of police work. This review provides summary information to assist in the selection of physical fitness tests for police populations. Still, these findings have practical applications for public security agencies and its personnel responsible for the development and implementation of physical programs in policemen population.

Associations between Specialist Tactical Response Police Unit Selection Success and Urban Rush, along with 2.4 km and 10 km Loaded Carriage Events

Officers serving in specialist tactical response police teams are highly trained personnel who are required to carry heavy loads and perform explosive tasks. The aim of this study was to determine whether performance on a loaded explosive occupational task (urban rush) or distance-based load carriage tasks (2.4 km or 10 km) were indicative of officer success on a specialist selection course (SSC). Eighteen male police officers (mean age = 32.11 ± 5.04 years) participated in the SSC over five consecutive days. Data were categorized into Group 1 (successful applicants, n = 11) and Group 2 (unsuccessful applicants, n = 7). Independent sample t-tests were performed to determine differences between groups, along with point-biserial correlations to investigate associations between anthropometric and event performance data and course completion success. Alpha levels were set at p = 0.05 a priori. Height (p = 0.025), body weight (p = 0.007), and 2.4 km loaded performance (p = 0.013) were significantly different between groups, where being shorter (r_pb(16) = −0.526, p < 0.05), lighter (r_pb(16) = −0.615, p < 0.01), and faster (r_pb(16) = −0.572, p < 0.05) were associated with course success. While a loaded 2.4 km event is associated with success, a ceiling effect for an explosive anaerobic task and a longer 10 km task may exist, whereby increases in performance are not associated with selection success.

Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

The aim of this systematic review is to evaluate the impact of personal protective equipment (PPE) on medical device use during public health emergency responses. We conducted a systematic literature search of peer-reviewed journals in PubMed, Web of Science, and EBSCO databases. Twenty-nine of 92 articles published between 1984 and 2015 met the inclusion criteria for the review. Although many medical device use impacts were reported, they predominantly fell into 3 categories: airway management, drug administration, and diagnostics and monitoring. Chemical, biological, radiological, and nuclear (CBRN)-PPE increased completion times for emergency clinical procedures by as much as 130% and first attempt failure rates by 35% (anesthetist) versus 55% (non-anesthetist). Effects of CBRN-PPE use depend on device, CBRN-PPE level, and clinician experience and training. Continuous clinical training of responders in CBRN-PPE and device modifications can improve safety and effectiveness of medical device use during public health emergency response.

Effects of Personal Protective Equipment on Metabolism and Performance During an Occupational Physical Ability Test for Federal Highway Police Officers

Marins, EF, Cabistany, L, Farias, CB, Dawes, J, and Del Vecchio, FB. Effects of personal protective equipment on metabolism and performance during an Occupational Physical Ability Test for Federal Highway Police officers. J Strength Cond Res 34(4): 1093-1102, 2020-Federal Highway Police (FHP) officers perform their duties while wearing personal protective equipment (PPE). Given the need for officers to wear PPE, it is important to understand the effects this additional load can have on occupational performance. The objective of this study was to evaluate the effects of load carriage on physiological, perceptual, and performance responses during an Occupational Physical Ability Test (OPAT). Thirteen male FHP officers completed an OPAT with PPE (WPPE, load = 12.0 kg) and without PPE (NPPE, load = 5.2 kg) in 2 separate sessions in a randomized and counterbalanced order. Metabolic responses (heart rate [HR] and its variability, and blood lactate concentration [Lac]), perceptual (rating of perceived exertion [RPE]), and OPAT performance were measured. Paired t and Wilcoxon tests were used to identify differences between conditions, and 2-way analysis of variance with Bonferroni post hoc was performed to analyze the results of Lac between the conditions. Occupational Physical Ability Test completion time was significantly greater in the WPPE condition compared with the NPPE condition (125.9 ± 13.8 vs. 118.3 ± 11 seconds, p < 0.01). Lac after the OPAT was higher in the NPPE condition compared with the WPPE (respectively 11.7 ± 2.7 vs. 9.6 ± 1.5 mmol·L, p < 0.05). The HRmax (NPPE = 180.5 ± 8.9 vs. WPPE = 178.3 ± 6.6 b·min, p = 0.44) and RPE (NPPE = 8.6 ± 0.8 vs. WPPE = 8.7 ± 1.0, p = 0.77) were not different between conditions. Personal protective equipment reduces performance in specific occupational circuit, changing Lac but without affecting HR and RPE. Strength and conditioning programs for FHP should aim to reduce the negative impact of additional load associate with wearing PPE.

Does Gender Influence Physiological Tolerance in Resuscitators When Using Personal Protection Equipment against Biological Hazards?

Introduction

Certain professions, such as those related to emergency services, have usually been performed by men, progressively incorporating women into these professions. The main objective of our study was to determine, according to gender, how the use of level D biohazard personal protection equipment (PPE) affects emergency professionals during the performance of resuscitation.

Materials and Methods

An uncontrolled quasi-experimental study was performed on 96 volunteers selected by means of random sampling stratified by gender. Baseline and final vital signs of the assessment activity were analyzed. This activity involves volunteers performing a simulated resuscitation in a controlled environment whilst wearing personal protective suits in a biohazard situation.

Results

Analyzing the physiological tolerance pattern parameter by parameter, and according to gender, through a univariate model, we can observe that there is no interaction between tolerance and gender; that is, having good or bad tolerance does not depend on gender. Conclusion. This specialized skilled work can be performed by any properly trained professional.

Practical pre-cooling methods for occupational heat exposure

This study aimed to identify a pre-cooling method to reduce the physiological and perceptual strain, and the inflammatory response, experienced by individuals who wear personal protective equipment. Eleven males (age 20 ± 2 years, weight 75.8 ± 9.3 kg, height 177.1 ± 5.0 cm) completed 15min pre-cooling (phase change vest [PCV], forearm cooling [ARM], ice slurry consumption [ICE], or a no cooling control [CON]) and 45min intermittent walk (4  km h^-1, 1% gradient) in 49.5 ± 0.6 °C and 15.4 ± 1.0% RH, whilst wearing firefighter ensemble. ICE reduced rectal temperature (T_re) before heat exposure compared to CON (ΔT_re: 0.24 ± 0.09 °C, p < 0.001, d = 0.38) and during exercise compared to CON, ARM, and PCV (p = 0.026, η_p² = 0.145). Thermal sensation was reduced in ICE and ARM vs. CON (p = 0.018, η_p² = 0.150). Interleukin-6 was not affected by pre-cooling (p = 0.648, η_p² = 0.032). It is recommended that those wearing protective equipment consume 500 ml of ice slurry 15min prior to work to reduce physiological and perceptual strain.

Identifying and characterising the physical demands for an Australian specialist policing unit

Many police organisations incorporate specialist policing roles where incumbents are tasked with providing operational response capabilities above and beyond the general duties policing role. The current research utilised subjective job task analysis methods to identify and characterise the physically demanding, frequently occurring, and operationally important tasks, as well as the dominant fitness component for each task, inherent to specialist policing roles in an Australian policing organisation. This was achieved through engagement with subject matter experts and online survey responses from specialist police incumbents. In total, 11 criterion tasks were identified, which covered a range of physical capacities including muscular strength, muscular endurance, and aerobic power. The most physically demanding tasks included those with an arrest component, requiring high muscular strength and power capacities. Having identified the criterion tasks, three operational scenarios were constructed, which incorporated each of the 11 tasks in different operational contexts. The criterion tasks and composite scenarios will allow practitioners within specialised police units to develop evidence-based strategies, including physical selection procedures and physical training programs, specific to the demands of their work.

Skin Temperature Measurement Using Contact Thermometry: A Systematic Review of Setup Variables and Their Effects on Measured Values

Background: Skin temperature (T_skin) is commonly measured using T_skin sensors affixed directly to the skin surface, although the influence of setup variables on the measured outcome requires clarification. Objectives: The two distinct objectives of this systematic review were (1) to examine measurements from contact T_skin sensors considering equilibrium temperature and temperature disturbance, sensor attachments, pressure, environmental temperature, and sensor type, and (2) to characterise the contact T_skin sensors used, conditions of use, and subsequent reporting in studies investigating sports, exercise, and other physical activity. Data sources and study selection: For the measurement comparison objective, Ovid Medline and Scopus were used (1960 to July 2016) and studies comparing contact T_skin sensor measurements in vivo or using appropriate physical models were included. For the survey of use, Ovid Medline was used (2011 to July 2016) and studies using contact temperature sensors for the measurement of human T_skinin vivo during sport, exercise, and other physical activity were included. Study appraisal and synthesis methods: For measurement comparisons, assessments of risk of bias were made according to an adapted version of the Cochrane Collaboration's risk of bias tool. Comparisons of temperature measurements were expressed, where possible, as mean difference and 95% limits of agreement (LoA). Meta-analyses were not performed due to the lack of a common reference condition. For the survey of use, extracted information was summarised in text and tabular form. Results: For measurement comparisons, 21 studies were included. Results from these studies indicated minor (<0.5°C) to practically meaningful (>0.5°C) measurement bias within the subgroups of attachment type, applied pressure, environmental conditions, and sensor type. The 95% LoA were often within 1.0°C for in vivo studies and 0.5°C for physical models. For the survey of use, 172 studies were included. Details about T_skin sensor setup were often poorly reported and, from those reporting setup information, it was evident that setups widely varied in terms of type of sensors, attachments, and locations used. Conclusions: Setup variables and conditions of use can influence the measured temperature from contact T_skin sensors and thus key setup variables need to be appropriately considered and consistently reported.

Skin Temperature Measurement Using Contact Thermometry: A Systematic Review of Setup Variables and Their Effects on Measured Values

Background: Skin temperature (Tskin) is commonly measured using Tskin sensors affixed directly to the skin surface, although the influence of setup variables on the measured outcome requires clarification. Objectives: The two distinct objectives of this systematic review were (1) to examine measurements from contact Tskin sensors considering equilibrium temperature and temperature disturbance, sensor attachments, pressure, environmental temperature, and sensor type, and (2) to characterise the contact Tskin sensors used, conditions of use, and subsequent reporting in studies investigating sports, exercise, and other physical activity. Data sources and study selection: For the measurement comparison objective, Ovid Medline and Scopus were used (1960 to July 2016) and studies comparing contact Tskin sensor measurements in vivo or using appropriate physical models were included. For the survey of use, Ovid Medline was used (2011 to July 2016) and studies using contact temperature sensors for the measurement of human Tskinin vivo during sport, exercise, and other physical activity were included. Study appraisal and synthesis methods: For measurement comparisons, assessments of risk of bias were made according to an adapted version of the Cochrane Collaboration's risk of bias tool. Comparisons of temperature measurements were expressed, where possible, as mean difference and 95% limits of agreement (LoA). Meta-analyses were not performed due to the lack of a common reference condition. For the survey of use, extracted information was summarised in text and tabular form. Results: For measurement comparisons, 21 studies were included. Results from these studies indicated minor (<0.5°C) to practically meaningful (>0.5°C) measurement bias within the subgroups of attachment type, applied pressure, environmental conditions, and sensor type. The 95% LoA were often within 1.0°C for in vivo studies and 0.5°C for physical models. For the survey of use, 172 studies were included. Details about Tskin sensor setup were often poorly reported and, from those reporting setup information, it was evident that setups widely varied in terms of type of sensors, attachments, and locations used. Conclusions: Setup variables and conditions of use can influence the measured temperature from contact Tskin sensors and thus key setup variables need to be appropriately considered and consistently reported.

The Impact of Load Carriage on Measures of Power and Agility in Tactical Occupations: A Critical Review

The current literature suggests that load carriage can impact on a tactical officer’s mobility, and that survival in the field may rely on the officer’s mobility. The ability for humans to generate power and agility is critical for performance of the high-intensity movements required in the field of duty. The aims of this review were to critically examine the literature investigating the impacts of load carriage on measures of power and agility and to synthesize the findings. The authors completed a search of the literature using key search terms in four databases. After relevant studies were located using strict inclusion and exclusion criteria, the studies were critically appraised using the Downs and Black Checklist and relevant data were extracted and tabled. Fourteen studies were deemed relevant for this review, ranging in percentage quality scores from 42.85% to 71.43%. Outcome measures used in these studies to indicate levels of power and agility included short-distance sprints, vertical jumps, and agility runs, among others. Performance of both power and agility was shown to decrease when tactical load was added to the participants. This suggests that the increase in weight carried by tactical officers may put this population at risk of injury or fatality in the line of duty.

An Overt Chemical Protective Garment Reduces Thermal Strain Compared with a Covert Garment in Warm-Wet but Not Hot-Dry Environments

Objectives: A commercial chemical, biological, radiological and nuclear (CBRN) protective covert garment has recently been developed with the aim of reducing thermal strain. A covert CBRN protective layer can be worn under other clothing, with equipment added for full chemical protection when needed. However, it is unknown whether the covert garment offers any alleviation to thermal strain during work compared with a traditional overt ensemble. Therefore, the aim of this study was to compare thermal strain and work tolerance times during work in an overt and covert ensemble offering the same level of CBRN protection.

Methods: Eleven male participants wore an overt (OVERT) or covert (COVERT) CBRN ensemble and walked (4 km·h⁻¹, 1% grade) for a maximum of 120 min in either a wet bulb globe temperature [WBGT] of 21, 30, or 37°C (Neutral, WarmWet and HotDry, respectively). The trials were ceased if the participants' gastrointestinal temperature reached 39°C, heart rate reached 90% of maximum, walking time reached 120 min or due to self-termination.

Results: All participants completed 120 min of walking in Neutral. Work tolerance time was greater in OVERT compared with COVERT in WarmWet (P < 0.001, 116.5[9.9] vs. 88.9[12.2] min, respectively), though this order was reversed in HotDry (P = 0.003, 37.3[5.3] vs. 48.4[4.6] min, respectively). The rate of change in mean body temperature and mean skin temperature was greater in COVERT (0.025[0.004] and 0.045[0.010]°C·min⁻¹, respectively) compared with OVERT (0.014[0.004] and 0.027[0.007]°C·min⁻¹, respectively) in WarmWet (P < 0.001 and P = 0.028, respectively). However, the rate of change in mean body temperature and mean skin temperature was greater in OVERT (0.068[0.010] and 0.170[0.026]°C·min⁻¹, respectively) compared with COVERT (0.059[0.004] and 0.120[0.017]°C·min⁻¹, respectively) in HotDry (P = 0.002 and P < 0.001, respectively). Thermal sensation, thermal comfort, and ratings of perceived exertion did not differ between garments at trial cessation (P > 0.05).

Conclusion: Those dressed in OVERT experienced lower thermal strain and longer work tolerance times compared with COVERT in a warm-wet environment. However, COVERT may be an optimal choice in a hot-dry environment. These findings have practical implications for those making decisions on the choice of CBRN ensemble to be used during work.

Grip Strength and Its Relationship to Police Recruit Task Performance and Injury Risk: A Retrospective Cohort Study

Suitable grip strength is a police occupational requirement. The aim of this study was to investigate the association between grip strength, task performance and injury risk in a police population. Retrospective data of police recruits (n = 169) who had undergone basic recruit training were provided, including handgrip strength results, occupational task performance measures (consisting of police task simulations [SIM], tactical options [TACOPS] and marksmanship assessments) and injury records. Left hand grip strength (41.91 ± 8.29 kg) measures showed a stronger correlation than right hand grip strength (42.15 ± 8.53 kg) with all outcome measures. Recruits whose grip strength scores were lower were significantly more susceptible to failing the TACOPS occupational task assessment than those with greater grip strength scores, with significant (p ≤ 0.003) weak to moderate, positive correlations found between grip strength and TACOPS performance. A significant (p < 0.0001) correlation was found between grip strength, most notably of the left hand, and marksmanship performance, with those performing better in marksmanship having higher grip strength. Left hand grip strength was significantly associated with injury risk (r = -0.181, p = 0.018) but right hand grip strength was not. A positive association exists between handgrip strength and police recruit task performance (notably TACOPS and marksmanship) with recruits who scored poorly on grip strength being at greatest risk of occupational assessment task failure.

A functional movement screen profile of an Australian state police force: a retrospective cohort study

BACKGROUND

Police officers are required to perform dynamic movements in unpredictable environments, the results of which can lead to injury. Early identification of poor movement patterns of a police population, and potential sub groups within this population, may provide opportunities to treat and minimise injury risks. The aim of this study was to profile the functional movement capabilities of an Australian state police force and potential sub groups through a retrospective cohort study.

METHODS

Retrospective data from an Australian State Police Force were provided for analysis (♂ n = 1155, mean (±SD) age = 31.34 ± 8.41 years: ♀ n = 357, mean age = 27.99 ± 8.02 years). Data consisted of Functional Movement Screen (FMS) assessment results of male and female trainees and qualified police officers with all assessments conducted by a qualified Police Physical Training Instructor.

RESULTS

Significantly higher (U = 253863, p < .001) FMS total scores were found for recruits (mean 15.23 ± SD 2.01 points) when compared to attested officers (14.57 ± 2.96 points) and differences in FMS total scores also approached significance for females (15.24 ± 2.35 points) when compared to males (14.84 ± 2.55 points, U = 186926, p = .007), with age found to be a key, significant factor in explaining these observed differences (F (1,1507) = 23.519, p < .001). The FMS components demonstrating poorest movement performance across all groups were the hurdle step and rotary stability.

CONCLUSIONS

Generally, police personnel (both attested officers and recruits of both genders) of greater age have a lower functional movement capability when compared to younger personnel, with greater percentages scoring 14 or below on the FMS. Specific conditioning programs to improve strength, range of motion and stability during identified key movement types in those demonstrating poorer movement performance may serve to reduce injuries in police personnel.

Protective clothing ensembles and physical employment standards

Physical employment standards (PESs) exist for certain occupational groups that also require the use of protective clothing ensembles (PCEs) during their normal work. This review addresses whether these current PESs appropriately incorporate the physiological burden associated with wearing PCEs during respective tasks. Metabolic heat production increases because of wearing PCE; this increase is greater than that because of simply the weight of the clothing and can vary 2-fold among individuals. This variation negates a simple adjustment to the PES for the effect of the clothing on metabolic rate. As a result, PES testing that only simulates the weight of the clothing and protective equipment does not adequately accommodate this effect. The physiological heat strain associated with the use of PCEs is also not addressed with current PESs. Typically the selection tests of a PES lasts less than 20 min, whereas the requirement for use of PCE in the workplace may approach 1 h before cooling strategies can be employed. One option that might be considered is to construct a heat stress test that requires new recruits and incumbents to work for a predetermined duration while exposed to a warm environmental temperature while wearing the PCE.

The Functional Movement Screen as a predictor of police recruit occupational task performance

AIM

The aim of this study was to determine whether poor movement patterns impact on police recruit task performance.

METHODS

Fifty-three volunteers were randomly selected from a pool of 173 police recruits attending basic recruit training. Relationships between movement performance, as measured by the Functional Movement Screen, and four occupational tasks were investigated.

RESULTS

Eleven percent failed the marksmanship and baton strike assessments, 21% failed defensive tactics and 36% failed the tactical options assessment. Mean Functional Movement Screen score was 13.96 points (±1.99 points). Only the tactical options assessment approached a significant difference (p = 0.077) between pass/fail recruits. When Functional Movement Screen scores when graded as pass (14+) or fail (<14) again only the tactical options assessment approached significance (p = 0.057).

CONCLUSION

The results of this study suggest that a relationship between an officer's movement patterns and occupational performance, most notably choice of tactical options, may exist.

The effects of metabolic work rate and ambient environment on physiological tolerance times while wearing explosive and chemical personal protective equipment

This study evaluated the physiological tolerance times when wearing explosive and chemical (>35 kg) personal protective equipment (PPE) in simulated environmental extremes across a range of differing work intensities. Twelve healthy males undertook nine trials which involved walking on a treadmill at 2.5, 4, and 5.5 km·h⁻¹ in the following environmental conditions, 21, 30, and 37°C wet bulb globe temperature (WBGT). Participants exercised for 60 min or until volitional fatigue, core temperature reached 39°C, or heart rate exceeded 90% of maximum. Tolerance time, core temperature, skin temperature, mean body temperature, heart rate, and body mass loss were measured. Exercise time was reduced in the higher WBGT environments (WBGT37 < WBGT30 < WBGT21; P < 0.05) and work intensities (5.5 < 4 < 2.5 km·h⁻¹; P < 0.001). The majority of trials (85/108; 78.7%) were terminated due to participant's heart rate exceeding 90% of their maximum. A total of eight trials (7.4%) lasted the full duration. Only nine (8.3%) trials were terminated due to volitional fatigue and six (5.6%) due to core temperatures in excess of 39°C. These results demonstrate that physiological tolerance times are influenced by the external environment and workload and that cardiovascular strain is the limiting factor to work tolerance when wearing this heavy multilayered PPE.

Thermal-work strain in law enforcement personnel during chemical, biological, radiological, and nuclear (CBRN) training

Background:

Thermal safety standards for the use of chemical, biological, radiological, and nuclear (CBRN) ensembles have been established for various US occupations, but not for law enforcement personnel.

Objectives:

We examined thermal strain levels of 30 male US law enforcement personnel who participated in CBRN field training in Arizona, Florida, and Massachusetts.

Methods:

Physiological responses were examined using unobtrusive heart rate (HR) monitors and a simple thermoregulatory model to predict core temperature (T_c) using HR and environment.

Results:

Thermal strain levels varied by environments, activity levels, and type of CBRN ensemble. Arizona and Florida volunteers working in hot-dry and hot-humid environment indicated high heat strain (predicted max T_c>38.5°C). The cool environment of Massachusetts reduced thermal strain although thermal strains were occasionally moderate.

Conclusions:

The non-invasive method of using physiological monitoring and thermoregulatory modeling could improve law enforcement mission to reduce the risk of heat illness or injury.

Soldier occupational load carriage: a narrative review of associated injuries

This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage has the potential to cause injuries that impact on force generation and force sustainment. Through understanding the nature of these injuries targeted interventions, like improved physical conditioning and support to specialised organisations, can be employed.