Response by Hunter and Mills to Letters Regarding Article, “Fire Simulation and Cardiovascular Health in Firefighters”
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We thank the correspondents for their interesting and thoughtful comments on our recent study,1 and we are pleased that they found our work to be clinically important and a useful contribution to the field.
We agree with Drs Jin-Shan and Xue-Bin that fire suppression duties are usually preceded by an alarm response. The emotional stresses of firefighting are numerous and include being called into unforeseeable circumstances with unpredictable risks, time pressure, and the burden of being responsible for the lives of others. The combination of these stressors activates the adrenocortical axis, which is known to increase platelet numbers and to induce aggregation.2 We attempted to delineate the factors that pose the greatest threat to the cardiovascular health of firefighters; therefore, we examined the effects of exposure to high temperatures and physical …