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Skidmore College
First Responder Health and Safety Laboratory


Recent scientific peer-reviewed publications

Horn, G.P., Kesler, R.M., Kerber, S., Fent, K.W., Schroeder, T.J., Scott, W.S., Fehling, P.C., Fernhall, B., Smith, D.L. (2017). Thermal response to firefighting activities in residential structure fires: impact of job assignment and suppression tactic. Ergonomics. Jul 31: 1–16 [epub ahead of print].

Fent, K.W., Alexander, B., Roberts, J., Robertson, S., Toennis, C., Sammons, D., Bertke, S., Kerber, S., Smith, D., Horn, G. (2017). Contamination of firefighter personal protective equipment and skin and the effectiveness of decontamination procedures. Journal of Occupational and Environmental Hygiene. Jun 21: 0 [epub ahead of print].

Kales, S.N., Smith, D.L. (2017). Firefighting and the heart: Implications for prevention. Circulation. 135(14): 1296–1299 (editorial).

Edmonds, R.C., Wilkinson, A. F., Fehling, P.C. (2017). Novel cooling device enhances autonomic nervous system recovery from live fire training: a pilot study. International Journal of Innovative Research in Medical Science. 2(1): 455–460.

Korre, M., Christiani, D.C., Christophi, C.A., Lombardi, D.A., Kovacs, R.J., Abbasi, Siddique, Steigner, M., Moffatt, S., Smith, D., Kales, S.N. (2016). "A review of left ventricular mass and heart weight assessment by cardiac MRI, echo, and autopsies in normal and diseased hearts." Journal of Integrative Cardiology. 2(6): 432–440.

Ives, S.J., Lefferts, W.K., Wharton, M., Fehling, P.C., Smith, D.L. (2016). Exercise-induced heat stress disrupts the shear-dilatory relationshipExperimental Physiology. 101(12): 1541–1551.

Korre, M., Porto, L.G.G., Farioli, A., Yang, J., Christiani, D.C., Christophi, C.A., Lombardi, D.A., Kovacs, R.J., Mastouri, R., Abbasi, S., Steigner, M., Moffat, S., Smith, D., Kales, S.N. (2016). Effect of body mass index on left ventricular mass in career male firefighters. American Journal of Cardiology. 118(11): 1769–1773.

Korre, M., Sampani, K., Porto, L., Farioli, A., Christiani, D.C., Christophi, C.A., Lombardi, D.A., Smith, D.L., Kales, S.N. (2016). Cardiac enlargement in US firefighters: Prevalence estimates by echocardiography, cardiac magnetic resonance and autopsies. Journal of Clinical & Experimental Cardiology. 7:7; DOI: 10.4172/2155–9880.1000459.

Ensari, I., Motl, R.W., Klaren, R.E., Fernhall, B., Smith, D.L., Horn, G.P. (2016). Firefighter exercise protocols conducted in an environmental chamber: developing a laboratory based simulated firefighting protocol. Ergonomics. 60(5): 657–668.

Smith, D.L., Horn, G.P., Woods, J., Ploutz-Snyder, R., Fernhall, B. (2016). Effect of aspirin supplementation on hemostatic responses in firefighters aged 40 to 60 years. American Journal of Cardiology. May 5 [Epub].

Smith, D.L., DeBlois, J.P., Kales, S.N., Horn, G.P. (2016). Cardiovascular strain of firefighting and the risk of sudden cardiac eventsExercise and Sport Sciences Reviews. 44(3): 90–97.

Barr, D., Haigh, C.A., Haller J., Smith, D.L. (2016). Medical monitoring during firefighter incident scene rehabilitationPrehospital Emergency Care. March 8 [Epub].

Smith, D.L., Haller, J.M., Benedict, R., Moore-Merrell, L. (2016). Firefighter incident rehabilitation: interpreting heart rate responsesPrehospital Emergency Care. 20(1): 28–36.

Smith D.L., DeBlois, J.P., Wharton, M., Rowland, T. (2015). Myocardial functional responses do not contribute to maximal exercise performance in the heat. Extreme Physiology and Medicine. 4:11.

Smith D.L., DeBlois, J.P., Wharton, M., Fehling, P.C., Randive, S. (2015). Effects of moderate exercise-induced heat stress on carotid wave intensity. European Journal of Applied Physiology. 115(10): 2223–2228.

Lane-Cordova, A.D., Ranadive, S.M., Yan, H., Kappus, R.M., Sun, P., Bunsawat, K., Smith, D.L., Horn, G.P., Ploutz-Snyder, R., Fernhall, B. (2015). Effect of aspirin supplementation on hemodynamics in older firefightersMedicine & Science in Sports & Exercise. 47(12): 2653–2659.

Smith, D.L., Haller, J.M., Benedict, R., Moore-Merrell, L. (2015). Firefighter incident rehabilitation: interpreting heart rate responsesPrehospital Emergency Care. May 15 [Epub ahead of print].

Lefferts, W.K., Heffernan, K.S, Hultquist, E.M., Fehling, P.C., Smith, D.L. (2015). Vascular and central hemodynamic changes following exercise-induced heat stress. Vascular Medicine. 20(3): 222–229.

Fehling, P.C., Haller, J.M., Lefferts, W.K., Hultquist, E.M., Wharton, M., Rowland, T.W., Smith, D.L. (2015). Effect of exercise, heat stress and dehydration on myocardial performance. Occupational Medicine. 65(4): 317–323.

Dolezal, B.A., Barr, D.A., Boland, D., Smith D.L., Cooper C.B. (2015). Validation of the firefighter WFI treadmill protocol for predicting VO2max. Occupational Medicine. 65(2): 143–146.

Smith, D.L., Haller, J.M., Benedict, R., Moore-Merrell, L. (2015). Cardiac strain associated with high-rise firefightingJournal of Occupational and Environmental Hygiene. 12(4): 213–221.

Smith, D.L., Horn, G.P., Petruzzello, S.J., Freund, G.G., Fernhall, B. (2014). Effect of obesity on acute hemostatic responses to live-fire training drillsAmerican Journal of Cardiology. 114(11): 1768–1771.

Farioli A., Yang, J., Teehan, D., Baur, D.M., Smith D.L., Kales S.N. (2014). Duty-related risk of sudden cardiac death among young U.S. firefighters. Occupational Medicine. 64(6): 428–435.

Dolezal, B.A., Boland, D., Carney, J., Abrazado, M., Smith D.L., Cooper C.B. (2014). Validation of heart rate derived from a physiological status monitor-embedded compression shirt against laboratory ECG. Journal of Occupational and Environmental Hygiene. 11(12): 833–839.

Greenlee, T.A, Horn, G., Smith, D.L., Fahey, G., Goldstein, E., Petruzzello, S.J. (2014). The influence of short-term firefighting activity on information processing performance. Ergonomics. 57(5): 764–773.

Dolezal, B.A., Abrazado M., Batalin M.A., Smith D., Cooper C.B. (2014). Deployment of remote advanced electrocardiography for improved cardiovascular risk assessment in career firefighters. Telemedicine and e-Health. 20(7): 1–4.

Smith, D.L., Horn, G.P., Petruzzello, S.J., Fahey, G., Woods, J., Fernhall, B. (2014). Clotting and fibrinolytic changes after firefighting activities. Medicine & Science in Sports & Exercise. 46(3): 448–454.

Storer, T.W., Dolezal, B.A., Abrazado, M.L., Smith, D.L., Batalin, M.A., Tseng, C.H., Cooper. C.B. (2014). Firefighter health and fitness assessment: a call to action. Journal of Strength and Conditioning Research, 28(3): 661–671.

Smith, D.L., Arena, L., DeBlois, J.P., Haller, J.M., Hultquist, E.M., Lefferts, W.K., Russell, T., Wu, A., Fehling, P.C. (2014). Effect of base layer materials on physiological and perceptual responses to exercise in personal protective equipment. Applied Ergonomics, 45(3): 428–436.

Hur, P., Rosengren, K.S., Horn, G.P., Smith, D.L., Hsiao-Wecksler, E.T. (2013). Effect of protective clothing and fatigue on functional balance of firefighters. Journal of Ergonomics. S2: 004.

Yang, J., Teehan, D., Farioli, A., Baur, D.M., Smith, D., Kales, S.N. (2013). Sudden cardiac death among firefighters ≤45 years of age in the United States. American Journal of Cardiology, 112(12): 1962–1967.

Horn, G., Blevins, S., Fernhall, B., and Smith, D. (2013). Core temperature and heart rate responses to repeated bouts of firefighting activity. Ergonomics, 56(9): 1465–1473.

Smith, D.L., Haller, J.M., Hultquist, E.M., Lefferts, W.K., Fehling, P.C. (2013). Effect of clothing layers in combination with fire fighting personal protective clothing on physiological and perceptual responses to intermittent work and on materials performance test results. Journal of Occupational and Environmental Hygiene, 10: 259–269.

Smith, D.L., Barr, D, Kales, S.N. (2013). Extreme sacrifice: sudden cardiac death in the US Fire Service. Extreme Physiology & Medicine, 2: 6.

Smith, D.L., Fehling, P.C., Hultquist, E.M., Lefferts, W.K., Barr, D.A., Storer, T.W., Cooper, C.B. (2012). Firefighter’s personal protective equipment and the chronotropic indexErgonomics, 55(10): 1243–1251.

Horn G.P., DeBlois J., Shalmyeva I., Smith D.L. (2012). Quantifying dehydration in the Fire Service using field methods and novel devices. Prehospital Emergency Care, 16: 347–355.

Yan, H., Fahs, C.A., Ranadive, S., Rossow, L.M., Lane, A.D., Agiovlasitis, S., Echols, G., Smith, D., Horn, G., Rowland, T., Fernhall, B.  (2012). Evaluation of carotid wave intensity in firefighters following firefighting. European Journal of Applied Physiology, 112(7): 2385–2391.

Smith, D.L., Shalmiyeva, I., DeBlois, J., Winke, M.  (2012). Use of salivary osmolality to assess dehydration. Prehospital Emergency Care, 16: 128–135.

Smith, D.L., Fehling, P.C., Frisch, A., Haller, J.M., Winke, M, Dailey, M.W. (2012). The prevalence of cardiovascular disease risk factors and obesity in firefighters. Journal of Obesity, Volume 2012, Article ID 908267, 9 pages.

Fernhall, B., Fahs, C.A., Horn, G.P., Rowland, T., Smith, D.L. (2012). Acute effects of firefighting on cardiac performance. European Journal of Applied Physiology, 112(2): 735–741.

Soteriades, E.S., Smith, D.L., Tsismenakis, A.J., Baur, D.M., Kales, S.N. (2011). Cardiovascular disease in US firefighters: a systematic review. Cardiology in Review, 19(4): 202–215.

Smith, D.L. (2011). Firefighter fitness: improving performance and preventing injuries and fatalities. Current Sports Medicine Reports, 10(3): 167–172.

Smith, D.L., Petruzzello, S.J., Goldstein, E., Ahmad, U., Tangella, K., Freund, G.G., Horn, G.P. (2011). Effect of live-fire training drills on firefighters’ platelet number and function. Prehospital Emergency Care, 15(2): 233–239.

Horn, G., Gutzmer, S., Fahs, C.A., Petruzzello, S.J., Goldstein, E., Fahey, G.C., Fernhall, B., Smith, D.L. (2011). Physiological recovery from firefighting activities in rehabilitation and beyond. Prehospital Emergency Care, 15(2): 214–225.

Park, K., Rosengren, K.S., Horn, G.P., Smith, D.L., Hsiao-Wecksler, E.T. (2011). Assessing gait changes in firefighters due to fatigue and protective clothing. Safety Science, 49(5): 719–726.

Fahs, C.A., Yan, H., Ranadive, S., Rossow, L.M., Agiovlasitis, S., Echols, G., Smith, D., Horn, G.P., Rowland, T., Lane, A., Fernhall, B. (2011). Acute effects of firefighting on arterial stiffness and blood flow. Vascular Medicine, 16(2): 113–118.

Fahs, C.A., Smith, D.L., Horn, G.P.,  Agiovlasitis, S., Rossow, L.M., Echols, G., Heffernan, K.S., Fernhall, B. (2009).  Impact of excess body weight on arterial structure, function, and blood pressure in firefighters. American Journal of Cardiology, 104: 1441–1445.

Petruzzello, S.J., Gapin, J.I., Snook, E., Smith, D.L. (2009). Perceptual and physiological heat strain: examination in firefighters in laboratory- and field-based studies. Ergonomics, 52(6): 747–754.