SynthesisInternational journal of environmental research and public health2023
Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review.
Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- A Systematic Review of Nutrition Interventions for Shift Workers, With Subgroup Analysis of First Responder Populations.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Pooled it
- Article
- Key Contributors to Fatigue in Disaster Responders: Analysis of the 2024 Noto Peninsula Earthquake.Safety and health at work · 2026Article
- Public Safety Heroes (PUSH) Workout: Task-Specific High-Intensity Functional Training for Emergency Readiness in Fire and Police-Proof of Concept.Journal of functional morphology and kinesiology · 2026Article
- A Selective RAG-Enhanced Hybrid ML-LLM Framework for Efficient and Explainable Fatigue Prediction Using Wearable Sensor Data.Bioengineering (Basel, Switzerland) · 2026Article
- Sleep and Substance Use Among Firefighters: Associations with Alcohol, Caffeine, and Nicotine Use.Nature and science of sleep · 2026Article
- Driving in emergency medical service settings: a cross-sectional study of clinical psychological factors and perceived stress in a sample of ambulance drivers.Frontiers in public health · 2026Article
- The psychological health of forensic investigators following mass fatality incidents: a cross-sectional study 9 months after the Jeju Air crash in South Korea.Frontiers in public health · 2026Article
- Occupational injury among firefighters in Canada: a trends analysis of fatality and time-loss injury claims (2007-2021).Injury epidemiology · 2025Article
- A profile of injuries within an Australian State Emergency Service Agency: a retrospective study.BMC emergency medicine · 2025Article
- Association between time of day and outcomes after out-of-hospital cardiac arrest in Poland: an analysis of the EuReCa registry.BMJ open · 2025Observational
- Designing Digital Mental Health Support for Paramedics Exposed to Trauma: Qualitative Study of Lived Experiences and Design Preferences.JMIR human factors · 2025Article
- Trauma Exposure, Insomnia, and Fatigue: A Cross-Sectional Study of the Pathways to Burnout Among South African First Responders.Health science reports · 2025Article
- Work-Related Fatigue: Relationship Between Perceived and Performance Fatigability in Career Firefighters.Journal of occupational and environmental medicine · 2025Article
- Contactless Fatigue Level Diagnosis System Through Multimodal Sensor Data.Bioengineering (Basel, Switzerland) · 2025Article
- Exploring the Effects of Sleep Deprivation on Physical Performance: An EEG Study in the Context of High-Intensity Endurance.Sports medicine - open · 2025Article
- Relationship between days of work and presenteeism, and mediation of this relationship by fatigue among disaster responders.Journal of occupational health · 2025Article
- Fatigue state and external load effects on firefighter sprinting biomechanics.Frontiers in bioengineering and biotechnology · 2025Article
- The impact of shift work on paramedics and their practice: Protocol for a simulated paramedic shift work study.PloS one · 2025Article
- Impact of perceived fatigue on sleep quality among critical care nurses in a selected hospital.Journal of education and health promotion · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fatigue in emergency first responders (EFRs) is known to affect performance abilities and safety outcomes for both patients and EFRs. The primary aim of this review was to determine the main contributors to occupation-induced fatigue in EFRs and its subsequent impacts. Following the PRIMSA checklist, academic databases (Medline, Embase, CINAHL, and SPORTDiscus) were searched using key terms with results subjected to inclusion and exclusion criteria. Populations of interest were firefighters, paramedics, or emergency call centre personnel. Of the 5633 records identified, 43 studies, which reported on 186 unique measures from a total population of 6373 participants, informed the review. Synthesis revealed fatigue was caused by lack of sleep during the shift and consistent poor sleep quality which negatively impacted cognitive function, alertness, and physical and mental health while increasing safety-compromising behaviours and injuries. Both subjective and objective assessments of fatigue are necessary for effective risk management in EFRs. EFRs that are consistently fatigued are at a greater risk of poor physical and mental health, reduced cognitive function, and increased injuries. No studies reported on fatigue in emergency call centre personnel, highlighting a literature gap. Funding was provided by the Australian Capital Territory Emergency Services Agency. Preregistration was filed in OSF: osf.io/26f3s.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.