Page 29 - 106年10月消防月刊
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Work Discussion 工作研討
不僅如此，我們更發現 SCD 發生的機率， 只正職消防員，義勇消防人員因 SCD 造成死亡
在執行火災搶救任務及體技能訓練時特別高，不 的人數也相當高。
Risk of SCD among young firefighters （age≤ 45（ emergency and strenuous duties
compared with firefighters engaged in non-emergency duties: Analysis stratified on job
position.
Volunteer firefighters Career firefighters
Observed Statistic deaths(N = 112) Observed Statistic deaths(N = 93)
n（％） E O/E IRR 95％ CI n（％） E O/E IRR 95％ CI
Fire station and
other non-emergency 24（21） 57.1 0.4 1.00 Ref. 28（30） 47.4 0.6 1.00 Ref.
duties
EMS and other non-
fire emergencies 8（7） 25.8 0.3 0.74 0.31.7 4 （4） 21.4 0.2 0.3 0.10.9
Physical training 15（13） 9.0 1.7 3.98 2.17.6 24（26） 7.4 3.3 5.5 3.29.4
Alarm return 25（22） 11.2 2.2 5.31 3.09.3 17（18） 9.3 1.8 3.1 1.75.7
Alarm response 16（14） 6.7 2.4 5.67 3.010.7 0 （0） 5.6 0.7 0.0 0.01.2
Fire suppression 24（21） 2.2 10.7 25.5 14.544.9 20（22） 1.9 10.8 18.2 10.332.3
E, expected; IRR, incidence rate ratio; Ref, reference category.
aData from the US Fire Administration (1996–2012) and NIOSH Fire Fighter Fatality Investigation and Prevention Program (1996–
2012).
bIncluding two trainees.
cThe death of one wildland firefighter was excluded.
dExpected deaths based on municipal data from the Cambridge Fire Department, Cambridge, MA [2].
eUpper bound of the 95 confidence limit.
fExact confidence interval.
消防工作中造成 SCD 的風險分析：
分析一：
Potential Occupational Cardiovascular Hazards in Firefighters
Chronic Acute
Long sedentary periods Irregular physical exertion
Smoke exposure Smoke exposure
（gaseous and particulate） （gaseous and particulate）
Noise Noise
Shift work/partial sleep deprivation Excess heat/dehydration
Fire house dietary patterns Duty-specific hazards
Occupational stress Firefighting activities
Post-traumatic stress disorders Physical training
High job demand and low decisional control Alarm response
消防月刊 2017.10 27
