Cardiovasculardisease continues to be the leading cause of death both in the United States of America and globally. According to 2022 statistics from the American Heart Association, it is estimated that 121.5 million America’s have high blood pressure, 100 million are obese, 28 million have Type 2 diabetes, and only 25 percent are achieving the recommended amount of physical activity. Additionally, it is estimated that greater than 80 percent of all cardiovascular events could have been likely prevented with a healthy lifestyle and modification of known cardiovascular risk factors. The United States Fire Administration (USFA) and National Fire Protection Association (NFPA) continue to document that the leading cause of firefighter on-duty death is cardiac events, with non-fatal cardiac events being even higher.
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The American Heart Association recently added an updated metric recommendation to what it has previously termed “Life’s Essential Seven.” The seven modifiable risk factors for overall prevention and cardiac wellness included: nicotine exposure, physical activity, diet, weight, blood pressure, blood glucose, and cholesterol. Adding the eighth metric and now rebranding their preventative efforts at awareness as the “Life’s Essential Eight” added healthy睡觉作为心血管健康的关键总体。尤其是睡眠建议召集7-9个小时的每晚睡眠，以实现最佳心脏健康。
Sleep health may seem like an oxymoron to first responders. However, sleep hygiene can be taught and practices to aid in achieving optimal results. According to疾病控制与预防中心（CDC），睡眠卫生包括：
- 保持一致。每天晚上同时上床睡觉，每天早晨同一时间，包括周末；鉴于他们的时间表，消防员很难实现。
- 确保您的卧室安静，黑暗，放松，并在舒适的温度下。
- 从卧室中删除电视，计算机和智能手机等电子设备。
- 睡前避免大餐，咖啡因和酒精。
- 锻炼身体。白天身体活跃可以帮助您在晚上更容易入睡。
我们也从NFPA’s Better Heart project对于消防员来说，大多数火场心脏死亡和事件都具有亚临床冠状动脉和左心室肥大或结构性增大。这两者都可以并且应该在暴露于极端压力和热量严格的高风险患者人群中进行预防性筛查。这些筛选将包括有氧运动和基线心脏钙化评分。
此外，还可以使用睡眠监控系统，并且与链接到手机应用程序的生物量图一样简单。其他年度医学评估可以并且应该纳入循证筛查工具，以进行睡眠健康和健康，以及其他可修改的危险因素，患者教育和教练。
托德·莱德克（Todd Leduc）女士,首席财务官,FIFirE退休执行官assistant chief of Broward County, Florida, and joined Life Scan Wellness Centers as their Chief Strategy Officer. He is a reviewer or both professional credentialing and agency accreditation with the公共安全卓越中心and advisory board member of the First Responder Center of Excellence. He is a longtime board member of the International Association of Fire Chief’s Safety, Health & Survival Section and a technical committee member of the NFPA Standard on Occupational Health of First Responders. He is also the editor of the Fire Engineering book,Surviving the Fire Service。可以在todd.leduc@lifescanwellness.com。
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