Research Is a Partner in Forward Focused Time

The complexities of modern society and the dynamic forces of progress necessitate that professionals in every discipline be forward-focused, which is believed to come from gaining higher education. This is becoming standard within the fire and emergency services professions and is commonly a factor regarding upward mobility. With that in mind, the U.S. Fire Administration/National Fire Academy (NFA) developed the Fire and Emergency Services Higher Education (FESHE) recognition certificate

Interactive 3-D Software in Aircraft Rescue and Fire Fighting Training

As the nexus between aviation, fire science, and emergency management becomes increasingly more complex, technology can be used to augment training and avoid risk while maintaining authenticity with situational reality. In Aircraft Rescue & Fire Fighting (ARFF), the manner in which the learning content is effectively imparted to the student-professional can make all the difference in a successful emergency response. The interactive 3-D software developed exclusively for Dallas/Fort Worth Fire Training Research Center (DFW FTRC) is part of a curriculum designed to educated and train ARFF professionals in life-saving strategies and tactics. Through a 2013 Memorandum of Understanding, the world’s leading aviation and aerospace university, Embry-Riddle Aeronautical University (ERAU), and DFW FTRC have created a unique partnership for the conduct of research to explore emerging issues in the discipline. Researchers from ERAU designed this collaborative study to examine how effectively the DFW FTRC virtual technology software in the classroom translated knowledge and accelerated haptic skill transfer to the hands-on portion of ARFF training at the facility. The qualitative approach integrated classroom observations with key informant interviews to create a single-case study exploratory research strategy. Emergent themes led to a richer understanding of experiential learning, particularly key differences among individual student characteristics and instructional culture that influence student proficiency and attitudes. Most noteworthy were: a larger interest among international over domestic students, age/generational difficulties with new technology, and an apprehension among ARFF professionals to transition from traditional tabletop exercises to virtual reality. Variability also existed within the instructional culture, including inconsistencies of software integration in the classroom, instructor proficiency with the software, and adult and group teaching theories. The study also found that knowledge and accelerated haptic skill transfer were positively associated with the virtual reality software, and that interactive participation and memory reinforcement were supported by the findings. Time required for curriculum development advancing further integration of the software into the training program was a significant administrative and operational challenge. Software recommendations included options that allow scenario-specific applications and variable incident conditions, thus enriching each classroom learning experience. Marketing of this software remains the final task for DFW FTRC, as cost-effective distribution could revolutionize training across public safety. Future research should also evaluate pedagogy to categorize learning constructivism using simulator-based and software-supported education and training. How this may be applied to public safety professions where risk is an inherent part of training is a crucial need in the industry

Learning from Asiana 214--Minimizing Strike/Rollover for Aircraft Rescue and Firefighting

Following the crash of Asiana flight 214 on July 6, 2013, the National Transportation Safety Board (NTSB) provided a recommendation to the Aircraft Rescue & Fire Fighting Working Group (ARFFWG) to develop best practices to avoid strike/rollover of seriously injured or deceased persons in mass casualty situations. This paper summarizes the research process and the technical committee’s conclusions. The qualitative inquiry used participatory research and evaluation from medico-legal professionals and the expert committee comprised of 21 aircraft rescue and firefighting experts. Key informants were complemented by documentary analysis, including FAA Advisory Circulars, regulations, standards, medical and aircraft rescue industry publications. The research provides specific committee recommendations for establishing control zones in the mass casualty environment, using START for triage, surveillance, transportation, training and certification of both ARFF personnel and incident command, and airport emergency planning strategies. A best practice for ARFF personnel, which is a tactical procedure for task prioritization at aircraft crash incidents, is also proposed. The authors suggest future pilot testing for evaluation of these best practices following NTSB’s consent with the committee’s recommendations

Psoriasis and Vascular Disease—Risk Factors and Outcomes: A Systematic Review of the Literature

BACKGROUND: Psoriasis afflicts 2-3% of the world’s population. Affected patients commonly have risk factors for cardiovascular disease (CVD). In addition, psoriasis is independently associated with CVD and mortality. PURPOSE: To determine which CVD risk factors are associated with psoriasis independent of confounders, whether psoriasis is associated with CVD independent of CVD risk factors, and whether there is increased mortality among patients with psoriasis. DATA SOURCES: MEDLINE, Embase, and Cochrane Collaborations from inception through October 2009. We reviewed bibliographies of retrieved articles for additional references. STUDY SELECTION: Cross-sectional, cohort-based, case-control, and randomized controlled trials which involved patients with psoriasis. DATA EXTRACTION: Two investigators independently reviewed studies and resolved any discrepancies by consensus. DATA SYNTHESIS: Of the 2,303 articles identified by literature search, 90 studies met inclusion criteria for this review; 15 were cohort-based studies, 45 were case-control, and 30 were cross-sectional. LIMITATIONS: The quality of evidence was limited by study heterogeneity and lack of large scale prospective studies with long-term follow-up. CONCLUSIONS: Patients with psoriasis demonstrate a higher prevalence of cardiovascular risk factors and appear to be at increased risk for ischemic heart disease, cerebrovascular disease, and peripheral arterial disease. This increase in vascular disease may be independent of shared risk factors and may contribute to the increase in all-cause mortality. Future research should aim to more confidently distinguish between a true causal relationship or merely an association resulting from multiple shared risk factors. Physicians should screen for and aggressively treat modifiable risk factors for CVD in patients with psoriasis