Firefighter Personal Protective Equipment Research Articles

Literature analysis on material selection and evaluation for firefighter gloves

PurposeFirefighter Personal Protective Equipment (PPE) is the only barrier between the firefighter and hazardous environment. Gloves are a crucial component of the multi-component PPE. Over time the gloves have reduced the intensity of hand injuries, yet further improvement in terms of material selection and glove design is required to strike the balance between protection and comfort. Focusing on the material aspect, the purpose of this study is to present literature analysis on material selection and testing for firefighter gloves.Design/methodology/approachThe study conducted a literature analysis on material selection and characterization of firefighter PPE. The review summarizes and evaluates past work addressing the characterization of firefighter gloves in accordance with NFPA 1971 requirements and points out found research gaps to aid with foundation of future research.FindingsThe study summarizes several research works to inform readers about the material selection and characterization of firefighter gloves. Based on the analyzed literature, the study resulted in material specification sheets for firefighter gloves. The developed material specification sheets provide information in terms of crucial material properties to be incorporated for accurate functioning of firefighter gloves, testing methods to validate those material properties and materials from analyzed literature exhibiting desired properties.Originality/valueWith large research addressing firefighter PPE, only limited studies focus specifically on gloves. Thus, this study provides a literature analysis covering material selection and testing for gloves. A consolidated firefighter gloves material specification document, which does not appear to be available in the literature, will provide a foundation for the development and characterization of firefighter gloves to better serve the functions along with ensuring user comfort.

Rapid heat stress causes increased delta spectral power 24 h post-exposure and altered reaction time in firefighters by its dynamic ability to generate heat storage

This experiment determined the duration that rapid heat stress (RHS) impacts neural function and reaction time. Previous research has discovered that RHS results in neural function changes immediately post-exposure. No studies have evaluated the duration that these variables are impacted. Additionally, research has not assessed the impact of RHS on reaction time. We hypothesized that RHS would lead to sustained electroencephalography (EEG) spectral power and reaction time changes. Twenty participants performed a treadmill protocol in an environmental chamber (35 °C; 45% humidity) in firefighter personal protective equipment until reaching a core temperature of 39 °C. The subjects performed a Go/No-Go (response inhibition) task (pre-, post-, 24, and 48 h post-RHS) while EEG and reaction time were recorded. Results from the Go/No-Go task revealed a difference between pre-RHS and post-RHS delta spectral power. These differences support previous literature. The first novel finding of this study is that delta power is still perturbed 24 h post-RHS exposure. The second novel finding is that reaction time is altered post-RHS, 24 h, and 48 h post-RHS. These cognitive changes could result in compounded consequences if two bouts of RHS occur in 24 h (e.g., two fires or other hyperthermic events), which could jeopardize critical life-saving missions.

Evaluating Exposure to VOCs and Naphthalene for Firefighters Wearing Different PPE Configurations through Measures in Air, Exhaled Breath, and Urine.

Firefighters are at an increased risk of cancer due to their occupational exposure to combustion byproducts, especially when those compounds penetrate the firefighter personal protective equipment (PPE) ensemble. This has led to questions about the impact of base layers (i.e., shorts vs. pants) under PPE ensembles. This study asked 23 firefighters to perform firefighting activities while wearing one of three different PPE ensembles with varying degrees of protection. Additionally, half of the firefighters unzipped their jackets after the scenario while the other half kept their jackets zipped for five additional minutes. Several volatile organic compound (VOC) and naphthalene air concentrations outside and inside of hoods, turnout jackets, and turnout pants were evaluated; biological (urinary and exhaled breath) samples were also collected. VOCs and naphthalene penetrated the three sampling areas (hoods, jackets, pants). Significant (p-value < 0.05) increases from pre- to post-fire for some metabolites of VOCs (e.g., benzene, toluene) and naphthalene were found. Firefighters wearing shorts and short sleeves absorbed higher amounts of certain compounds (p-value < 0.05), and the PPE designed with enhanced interface control features appeared to provide more protection from some compounds. These results suggest that firefighters can dermally absorb VOCs and naphthalene that penetrate the PPE ensemble.

Use of Preliminary Exposure Reduction Practices or Laundering to Mitigate Polycyclic Aromatic Hydrocarbon Contamination on Firefighter Personal Protective Equipment Ensembles.

Chronic health risks associated with firefighting continue to be documented and studied, however, the complexity of occupational exposures and the relationship between occupational exposure and contaminated personal protective equipment (PPE) remains unknown. Recent work has revealed that common PPE cleaning practices, which are becoming increasingly more common in the fire service, are not effective in removing certain contaminants, such as polycyclic aromatic hydrocarbons (PAHs), from PPE. To better understand the relationship between contaminated firefighter PPE and potential exposure to PAHs, and to gain further understanding of the efficacy of cleaning practices, we used a standardized fire exposure simulator that created repeatable conditions and measured PPE surface contamination levels via wipe sampling and filters attached to firefighter gear worn by standing mannequins. This study examined the effects of repeated (40 cycles) PPE cleaning (laundering and on-scene preliminary exposure reduction (PER) techniques) and repeated exposures on PAH concentration on different surfaces. Further exploration included examination of contamination breakthrough of turnout jackets (comparing outer shell and interior liner) and evaluation of off-gassing PAHs from used gear after different cleaning treatments. When compared by jacket closure type (zipper and hook and dee), total PAH concentration wiped from gear after exposure and cleanings showed no significant differences. Regression analysis indicated that there was no effect of repeated exposures on PAH contamination levels (all sampling sites combined; before fire 10, 20, and 40; after fire 1, 10, 20, and 40; p-value > 0.05). Both laundering and on-scene PER significantly reduced contamination levels on the exterior pants and helmets and were effective at reducing PAH contamination. The jacket outer shell had significantly higher PAH contamination than the jacket liner. Both laundering and wet soap PER methods (post-fire) are effective in reducing surface contamination and appear to prevent accumulation of contamination after repeated exposures. Semi-volatile PAHs deep within the fibers of bulky PPE are not effectively reduced via PER or machine laundering, therefore, permitting continued off-gassing of these compounds. Further research is needed to identify the most effective laundering methods for firefighter turnout gear that considers the broad spectrum of common contaminants.

Exploring the appropriate test methods to examine the effects of firefighter personal protective equipment on mobility

This study aimed to ascertain the appropriate test methods for the investigation of the effect of personal protective equipment on mobility of firefighters. Nine male volunteers performed a physical performance test (crawl, obstacle course, side-to-side jumps, heavy-object drag, and step-ups), functional balance test (functional reach, timed up and go, and wooden plank time), range of motion test, and subjective evaluation under four clothing conditions with different weights and combinations of personal protective equipment. The results showed that physical performance, functional balance ability, and joint angles significantly declined with increased weight of personal protective equipment. On subjective evaluation, wearing heavy personal protective equipment increased perceived exertion and discomfort on movement. Our results proved that some of our test methods, including the obstacle course, side-to-side jumps, functional reach, timed up and go, range of motion test, and subjective evaluation, can be used to examine the mobility of personal protective equipment wearers. The findings of this study provide an effective guide for researchers and firefighters regarding the evaluation of mobility with personal protective equipment, as well as for manufacturers in the development of enhanced, comfortable personal protective equipment.

Assessment of Volatile Compound Transference through Firefighter Turnout Gear.

There is high concern about the exposure of firefighters to toxic products or carcinogens resulting from combustion during fire interventions. Firefighter turnout gear is designed to protect against immediate fire hazards but not against chemical agents. Additionally, the decontamination of firefighter personal protective equipment remains unresolved. This study evaluated the feasibility of a screening method based on headspace-gas chromatography-ion mobility spectrometry (HS-GC-IMS) in combination with chemometrics (cluster analysis, principal component analysis, and linear discriminant analysis) for the assessment of the transference of volatile compounds through turnout gear. To achieve this, firefighter turnout gears exposed to two different fire scenes (with different combustion materials) were directly analyzed. We obtained a spectral fingerprint for turnout gears that were both exposed and non-exposed to fire scenes. The results showed that (i): the contamination of the turnout gears is different depending on the type of fire loading; and (ii) it is possible to determine if the turnout gear is free of volatile compounds. Based on the latest results, we concluded that HS-GC-IMS can be applied as a screening technique to assess the quality of turnout gear prior to a new fire intervention.

Heat tolerance during uncompensable heat stress in men and women wearing firefighter personal protective equipment

Firefighters run a risk of heat strain during occupational tasks. The number of female firefighters has been increasing, but research relevant to this group is still scarce. We aimed to investigate whether there are any sex differences in heat tolerance or physiological responses during uncompensable heat stress while wearing firefighter personal protective equipment. Twelve female (28 ± 7 years, 66 ± 5 kg, 51.7 ± 4.7 mL kg−1 min−1) and 12 male (27 ± 7 years, 83 ± 8 kg, 58.8 ± 7.5 mL kg−1 min−1) participants performed walking (maximum of 60 min) at 6W·kg−1, 40 °C, and 14% relative humidity. No differences were observed between groups in heat tolerance, rectal temperature, heart rate, percent body mass loss, thermal sensation, and rate of perceived exertion. Thus, when personnel are selected using gender-neutral physical employment standards, sex is not an independent factor influencing heat tolerance when wearing firefighter personal protective equipment during uncompensable heat stress.

Identifying factors that contribute to structural firefighter heat strain in North America

This article describes results from a survey of firefighters designed to identify conditions that contribute to heat strain in structural firefighting. Based on responses from about 3000 firefighters across the USA and Canada, the article provides invaluable information about how firefighters associate environmental conditions, work tasks and other factors with heat strain. One-half of firefighters surveyed have experienced heat stress during their service. They can wear fully deployed turnout gear for 2 h or more at the fire scene, reinforcing the importance of turnout suit breathability as a factor in heat strain. Survey results are useful in weighing the comparative value of total heat loss (THL) and evaporative heat resistance (Ref) for predicting turnout-related heat strain. Survey findings support the inclusion of a performance criterion in the National Fire Protection Association 1971 standard for firefighter personal protective equipment based on limiting Ref of turnout materials along with current THL requirement.

Effects of environmental temperature and humidity on evaporative heat loss through firefighter suit materials made with semi-permeable and microporous moisture barriers

The goal of this research was to understand how firefighter protective suits perform in different operational environments. This study used a sweating guarded hotplate to examine the effect of environmental temperature (20–45°C) and relative humidity (25–85% RH) on evaporative heat loss through firefighter turnout materials. Four firefighter turnout composites containing three different bi-component (semi-permeable) and one microporous moisture barriers were selected. The results showed that the evaporative resistance of microporous moisture barrier systems was independent of environmental testing conditions. However, absorbed moisture strongly affected evaporative heat loss through semi-permeable moisture barriers coated with a layer of nonporous hydrophilic polymer. Moisture absorption in mild environment (20–25°C) tests, or when testing at high humidity (&gt;85% RH), significantly increased water vapor transmission in semi-permeable turnout systems. It was also found that environmental conditions used in the total heat loss (THL) test (25°C and 65% RH) produced moisture condensation in bi-component barrier systems, making them appear more breathable than could be expected when worn in hotter environments. Regression models successfully qualified the relationships between moisture uptake levels in semi-permeable barrier systems and evaporative resistance and THL. These findings reveal the limitations in relying on THL, the heat strain index currently called for by the NFPA 1971 Standard for Structural Firefighter personal protective equipment, and supports the need to measure turnout evaporative resistance at 35°C (Ret), in addition to THL at 25°C.

Effect of vented helmets on heat stress during wildland firefighter simulation

Uncompensable heat from wildland firefighter personal protective equipment decreases the physiological tolerance while exercising in the heat. Our previous work demonstrated that the standard wildland firefighter helmet significantly increases both perceived and actual head heat. This study compared heat accumulation under simulated working conditions while wearing a standard non-vented helmet versus a vented helmet. Ten male subjects randomly completed two trials separated by a 2-week washout. Subjects walked 180 min (5.6 km h−1, 5% grade) in a heat chamber (35°C, 30% relative humidity) broken into three segments of 50 min of exercise and 10 min rest, followed by a work capacity test to exhaustion. Each trial measured the physiological strain index, perceived head heat, helmet temperature and relative humidity, rating of perceived exertion and heart rate. At the end of the 3-h trial heart rate, physiological strain, perceived exertion, helmet temperature and humidity showed the main effects of time (P &lt; 0.05) but were not different between trials. Work capacity was significantly greater in the vented trial (P = 0.001). End-trial strain and heart rate were significantly related to work performed (r = –0.8, P &lt; 0.001). Elevated work, trends for changes in perceived exertion, helmet microenvironment and perceived head heat suggest greater heat dissipation and comfort with the vented helmet.

Development of Fireground Exposure Simulator (FES) Prop for PPE Testing and Evaluation

Research on the performance of personal protective equipment (PPE) for the Fire Service is challenged by the ability to repeatedly and feasibly test new designs, interventions and wear trials in realistic conditions that appropriately simulate end use environments. To support firefighter PPE research and firefighter PPE acclimation/training, a multidisciplinary team has developed a low cost, easily replicable approach for simulating conditions commonly encountered by firefighters operating on the interior of a residential structure fire. The testing enclosure can be used with either stationary mannequins or firefighters conducting typical fireground activities, providing a method to study a wide range of PPE and physiological studies as well as training activities that may support developing new technologies and standardized testing opportunities. Environmental gas concentrations and firefighters’ local temperatures were measured during trials and compared to data collected from simulated fireground activities and fireground responses with good agreement.

Mathematical model to estimate the increase in firefighters' core temperature during firefighting activity with a portable calorimeter.

We developed a mathematical model to estimate the increase in firefighters' core body temperature from energy expenditure (EE) measured by accelerometry to prevent heat illness during firefighting. Wearing firefighter personal protective equipment, seven male subjects aged 23-42years underwent a graded walking test on a treadmill while esophageal temperature (Tes) and skin temperature were measured with thermocouples and EE was measured with a tri-axial accelerometer. To estimate the increase in Tes from EE, we proposed a mathematical model composed of the heat capacity of active muscles (C1, kcal·°C-1), the heat capacity of the sum of resting muscles and skin (C2), the resistance to heat flux from C1 to C2 (R1, °C·min·kcal-1), and the resistance from C2 to the skin surface (R2). We determined the parameters while minimizing the differences between the estimated and measured changes in Tes profiles during graded walking. We found that C1 and C2 in individuals were highly correlated with their body weight (kg) and body surface area (m2), respectively, whereas R1 and R2 were similar across subjects. When the profiles of measured Tes (y) and estimated Tes (x) were pooled in all subjects, they were almost identical and were described by a regression equation without an intercept, y = 0.96x (r = 0.96, P < 0.0001), with a mean difference of - 0.01 ± 0.12°C (mean ± SD) ranging from - 0.18 to 1.56°C of the increase in Tes by Bland-Altman analysis. Thus, the model can be used for firefighters to prevent heat illness during firefighting.

Analysis and Assessment of Hazards Caused by Chemicals Contaminating Selected Items of Firefighter Personal Protective Equipment – a Literature Review

Aim: The aim of the presented paper is to review the literature concerning the risks related to possible contamination with chemical substances of firefighter’s personal protective equipment (i.e. special clothing, special gloves, firefighter boots and balaclavas) during rescue operations. The authors focused on contamination resulting from the interaction of aromatic and aliphatic hydrocarbons, volatile organic compounds and phthalates. Introduction: During rescue operations, firefighters are exposed to chemicals which are inherent in fires in buildings and open spaces. The health hazards caused by chemicals accumulating on the surface of personal protective equipment, which can enter the firefighter’s body through the skin, posing a lethal threat, is becoming an increasingly recognized issue. Scientific research shows that chemicals generated during fires are harmful – a significant proportion of them has a confirmed carcinogenic and mutagenic effect. Methodology: The presented analysis of the issue of chemical contamination of personal protective equipment and the associated risks to the firefighter was prepared on the basis of a review of selected Polish and foreign literature. The main types of chemical pollutants with chemical substances and the determined levels of pollution were addressed in the paper, indicating the conditions under which they were obtained. Additionally, the properties of the most common groups of chemicals that contaminate personal protective equipment are described. The characteristics of firefighter’s personal protective equipment, with the particular focus on the materials used for special firefighter suit, are also presented. Conclusions: A review of relevant literature indicates that contamination of firefighter’s personal protective equipment were investigated mainly with respect to the presence of aromatic and aliphatic hydrocarbons, volatile organic compounds with a proven carcinogenic effect. Phthalates as substances posing a very high risk to fertility were less commonly studied. The high content of harmful chemicals in dirt present on the surface of the material of special clothing and on other personal protective equipment, as well as in the urine metabolites, indicates unequivocally the need for decontamination of personal protective equipment after every fire.

The effect of firefighter personal protective equipment on static and dynamic balance

Firefighters work in unpredictable conditions, necessitating the use of personal protective equipment (PPE). However, the additional weight from the PPE and self-contained breathing apparatus (SCBA) alters their centre of mass (COM), restricts movement and limits vision (face mask) contributing to a firefighters’ challenge of maintaining balance. Thus, the purpose of this study was to quantify the effects of firefighter PPE on static and dynamic balance. Participants performed two sets of three functional balance tests: (1) Static Single Leg (SSL); (2) Dynamic Single Leg (DSL); (3) Limits of Stability (LOS). The balance tests were performed under one control and three randomised PPE conditions: (1) athletic clothing; (2) turnouts; (3) turnouts + SCBA; (4) turnouts + SCBA + face mask. Our study found turnouts + SCBA both with and without the face mask negatively affected dynamic balance. These findings identify factors in fall-related injuries and strategies to reduce occupational risk.Practitioner summary: Slips, trips and falls are the most common cause of injury in firefighters. Our study investigated the effects of firefighter personal protective equipment (PPE) on static and dynamic balance utilising a computerised balance instrument. We found that turnouts with a self-contained breathing apparatus (SCBA) with or without face mask negatively affected balance.

Effects of 7-Day Ketone Ingestion and a Physiological Workload on Postural Stability, Cognitive, and Muscular Exertion Measures in Professional Firefighters

Background: Postural stability and cognitive performance are challenged in firefighters. The purpose of this investigation was to examine the impact of 7-day ketone supplementation on postural stability, cognitive performance, and muscular activation before and after a physiological workload. Methods: Nine professional firefighters completed two experimental sessions (pre- and post-workload) in a counterbalanced, double-blind design. Participants ingested either a ketone salt (KS) or placebo (PLA) daily for seven days, and had an eighth ingestion 30 min prior to testing. Each experimental testing consisted of maximal voluntary contractions (MVIC) for four muscles (knee flexors—BF, extensor—VM, ankle dorsiflexors—TA, and plantar flexors—MG) using electromyography and postural stability testing (eyes open (EO), eyes closed (EC), and eyes open-dual-task using a FitLight™ system (EOT)), before (pre-workload) and after (post-workload) a simulated physiological workload. The workload consisted of 35 min steady state exercise at 60% of peak oxygen consumption wearing firefighter personal protective equipment (PPE). Results: Significant differences were limited to time effects (pre-workload vs. post-workload), with no differences between groups (KS vs. PLA). Significantly lower muscle activity in VM, TA, and MG during MVIC, greater postural sway and muscle activity in BF during EC and EOT, and slower response time during EOT were evident post-workload. Conclusions: A 7-day ketone supplementation does not impact postural stability, muscle activity, and cognitive tasks, but a fatiguing workload causes significant performance reduction.

Investigation efficiency of protection firemens in conditions of influence of low temperatures

Goal. Development of methodology and technical support for investigating the level of protective properties of personal protective equipment (PPE) of firefighters under the influence of low temperatures. Method. Method of studying the protective properties of firefighters' protective clothing in conditions of low temperatures. Results. The imperfection of normative-technical support and the lack of methods for defining the protective properties of firefighters' PPE in conditions of low temperatures influence are established. An algorithm for the study of protective properties of special PPE materials and instrument was developed. Scientific novelty. The developed device and method for determining the protective properties of a firefighter's PPE during the influence of low temperatures allowed to determine and predict the fire time of a fireman under conditions of influence of low temperatures, under conditions of probable temperature regimes during the elimination of the consequences of emergencies with the release (outflow) of ammonia, a set of his protective clothing should correspond to the total thermal resistance with an index of 1,5 ’ 2,4 m2 • K / W, which will ensure that the comfort temperature reaches the level of supercoiling of the human skin surface an d to the probable This ergonomic overload. Practical significance. The proposed equipment provides low temperature measurements with a magnitude of exposure up to -35 ° С.

Contamination of firefighter personal protective equipment and skin and the effectiveness of decontamination procedures

ABSTRACTFirefighters' skin may be exposed to chemicals via permeation/penetration of combustion byproducts through or around personal protective equipment (PPE) or from the cross-transfer of contaminants on PPE to the skin. Additionally, volatile contaminants can evaporate from PPE following a response and be inhaled by firefighters. Using polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) as respective markers for non-volatile and volatile substances, we investigated the contamination of firefighters' turnout gear and skin following controlled residential fire responses. Participants were grouped into three crews of twelve firefighters. Each crew was deployed to a fire scenario (one per day, four total) and then paired up to complete six fireground job assignments. Wipe sampling of the exterior of the turnout gear was conducted pre- and post-fire. Wipe samples were also collected from a subset of the gear after field decontamination. VOCs off-gassing from gear were also measured pre-fire, post-fire, and post-decon. Wipe sampling of the firefighters' hands and neck was conducted pre- and post-fire. Additional wipes were collected after cleaning neck skin. PAH levels on turnout gear increased after each response and were greatest for gear worn by firefighters assigned to fire attack and to search and rescue activities. Field decontamination using dish soap, water, and scrubbing was able to reduce PAH contamination on turnout jackets by a median of 85%. Off-gassing VOC levels increased post-fire and then decreased 17–36 min later regardless of whether field decontamination was performed. Median post-fire PAH levels on the neck were near or below the limit of detection (< 24 micrograms per square meter [µg/m2]) for all positions. For firefighters assigned to attack, search, and outside ventilation, the 75th percentile values on the neck were 152, 71.7, and 39.3 µg/m2, respectively. Firefighters assigned to attack and search had higher post-fire median hand contamination (135 and 226 µg/m2, respectively) than other positions (< 10.5 µg/m2). Cleansing wipes were able to reduce PAH contamination on neck skin by a median of 54%.

Acute Chemical Incidents With Injured First Responders, 2002-2012.

We analyzed 2002-2012 data on acute chemical incidents with injured responders from 2 Agency for Toxic Substances and Disease Registry chemical incident surveillance programs. To learn more about such injuries, we performed descriptive analysis and looked for trends. The percentage of responders among all injured people in chemical incidents has not changed over the years. Firefighters were the most frequently injured group of responders, followed by police officers. Respiratory system problems were the most often reported injury, and the respiratory irritants, ammonia, methamphetamine-related chemicals, and carbon monoxide were the chemicals more often associated with injuries. Most of the incidents with responder injuries were caused by human error or equipment failure. Firefighters wore personal protective equipment (PPE) most frequently and police officers did so rarely. Police officers' injuries were mostly associated with exposure to ammonia and methamphetamine-related chemicals. Most responders did not receive basic awareness-level hazardous material training. All responders should have at least basic awareness-level hazardous material training to recognize and avoid exposure. Research on improving firefighter PPE should continue. (Disaster Med Public Health Preparedness. 2018;12:211-221).

Characterizing a Firefighter’s Immediate Thermal Environment in Live-Fire Training Scenarios

Detailed characterization of a firefighter’s typical thermal exposures during live-fire training and responses can provide important insights into the risks faced and the necessary protections, protocols, and standards required. In order to gather data on representative thermal conditions from a firefighter’s continually varying local environment in a live-fire training exercise, a portable heat flux and gas temperature measurement system was created, calibrated, and integrated into firefighter personal protective equipment (PPE). Data were collected from 25 live-fire training exposures during seven different types of scenarios. Based on the collected data, mild training environments generally exposed firefighters to temperatures around 50°C and heat fluxes around 1 kW/m2, while severe training conditions generally resulted in temperatures between 150°C and 200°C with heat fluxes between 3 kW/m2 and 6 kW/m2. For every scenario investigated, the heat flux data portrayed a more severe environment than the temperature data when interpreted using established thermal classes developed by the National Institute for Standards and Technology for electronic equipment used by first responders. Local temperatures from the portable measurement system were compared with temperatures measured by stationary thermocouples installed in the training structure for 14 different exposures. It was determined the stationary temperatures represented only a rough approximate bound of the actual temperature of the immediate training environment due to the typically coarse distribution of these sensors throughout the structure and their relative (fixed) distance from the fire sets. The portable thermal measurement system has provided new insights into the integration of electronic sensors with firefighter PPE and the conditions experienced by firefighters in live-fire training scenarios, which has promise to improve the safety and health of the fire service.

Vascular and central hemodynamic changes following exercise-induced heat stress

This study examined the effects of moderate exercise-induced heat stress (EIHS) on vascular function, central hemodynamic load and indices of coronary perfusion. Vascular-hemodynamic measures were collected in 12 healthy men (aged 22±3 years) pre and post 100 minutes of moderate, intermittent exercise in two randomized conditions: heat stress (HS; wearing firefighter personal protective equipment (PPE)), and no heat stress (NHS; wearing a cooling shirt and equivalent PPE weight). Aortic blood pressure, reflected wave pressure (Pb), systolic (SPTI) and diastolic pressure time-integral (DPTI), and aortic stiffness were assessed before and after each condition. SPTI was significantly greater, and DPTI and Pb were significantly lower for HS-post compared to NHS-post (p<0.05). Pulse wave velocity was not different between conditions. In conclusion, EIHS does not affect aortic stiffness, but increases indices of myocardial work and reduces indices of coronary perfusion which may be related to chronotropic responses to EIHS. The mismatch between oxygen demand and oxygen supply may increase cardiac vulnerability to ischemia during strenuous work in the heat.