Consequences of police-related personal protective equipment and physical training status on thermoregulation and exercise energy expenditure

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.

Wilderness First Responder Medical Clearance - A Scoping Review with Recommendations

BACKGROUND AND PURPOSE

Due to environmental extremes, as well as the nature of the work itself, wilderness first responders are at risk of incurring medical events in the line of duty. There currently do not exist standardized and scientifically supported methods to screen for a wilderness first responder's risk of incurring a medical event.

METHODS

We performed multiple scoping reviews using PubMed and CINAHL. The reviews covered six medical screening criteria based on previous recommendations from the National Fire Protection Association (NFPA) and the US Forest Service, and we grouped our reviews into two categories: articles that addressed objective screening criteria, and articles that addressed subjective findings with the first responder.

RESULTS

Of the objective criteria, our reviews identified 21 articles addressing the ability to screen for risk of incurring a medical event by evaluation of a first responder's heart rate, 12 by blood pressure assessment, and 56 by assessment of body temperature. Of the subjective criteria we identified 19 articles focused on self-assessment, 34 articles on the use of standardized tools to assess for fatigue and sleepiness, and two articles on assessment of a first responder's urine to determine level of dehydration. We also identified seven additional articles through a hand search. Overall, there were 151 articles identified in our scoping reviews. These articles were largely of low quality, consisting mostly of case series without comparison groups.

CONCLUSION

There is a dearth of high-quality research into the medical assessment of first responders. We recommend that this paper, and measures discussed within it, be used as a starting point in the development of an evidence-based assessment protocol for wilderness first responders. We also recommend the development of a national database of medical events incurred by wilderness first responders to facilitate higher-quality research of screening protocols in this community.

How Fit Are Special Operations Police Officers? A Comparison With Elite Athletes From Olympic Disciplines

The diverse tasks of special operations police (SOP) units place high physical demands on every officer. Being fit for duty requires a wide range of motor abilities which must be trained regularly and in a structured manner. But SOP operators have to plan and manage large proportions of their training alone, which makes it difficult to control. Therefore, this study aimed to highlight strengths and deficits of the SOP operators' fitness by comparing them to elite athletes, and to define future training goals. Retrospective data of 189 male SOP operators were used, who completed several isometric strength tests, a graded exercise test to determine maximal oxygen uptake, and countermovement jumps to determine leg muscle power. On the basis of a literature search, performance data were then compared to a total of 3,028 elite male athletes from 36 Summer Olympic disciplines. Pooled means and standard deviations were calculated for each discipline and effect sizes were used to analyze their similarities and differences to the SOP unit. On average, SOP operators were taller, heavier, and stronger than elite athletes. But both the ability to convert this strength into explosive movement and aerobic power was significantly less developed. From this point of view, SOP operators should consider polarized endurance training to work efficiently on improving aerobic performance. In addition, regular plyometric training seems necessary to improve leg muscle power and agility.