Firefighters' medical use and Korean Medicine experience in Korea: A qualitative study protocol.

INTRODUCTION: Firefighters, compared to other occupational groups, are exposed more frequently in their working environment not only to physical issues, such as musculoskeletal disease, respiratory disease, and burns but also to mental health issues, such as PTSD and depression. Specifically, Korean firefighters experience significantly higher rates of work-related injuries compared to those in other countries. Recent statistics from the Korea National Fire Agency indicate a steady increase in the number of firefighting work-related injuries. However, there is a shortage of measures in place to address these issues. This study aims to investigate the health needs, overall healthcare usage, and unmet needs of firefighters in Korea. We also aim to investigate, through in-depth interviews, perceptions and hindering factors for integrative medicine approaches to fulfilling unmet needs. METHOD: This study was conducted in accordance with the consolidated criteria for reporting qualitative research. Convenience and snowball sampling methods will be used to recruit firefighters to participate in the study, and interviews will be conducted using a semi-structured interview guide. The data will be analyzed in four stages using the qualitative analysis method of Krippendorff. DISCUSSION: In this study, we examine the state of health issues and healthcare usage among Korean firefighters and investigate their perceptions of and needs for integrative medicine. In this way, we aim to explore how integrative medicine and Korean medicine approaches could improve and assist healthcare services for firefighters. Furthermore, our findings will provide policymakers and healthcare providers with the necessary basic information to develop integrative medicine systems suited to firefighters.

Variability in weather and site properties affect fuel and fire behavior following fuel treatments in semiarid sagebrush-steppe.

Fuel-treatments targeting shrubs and fire-prone exotic annual grasses (EAGs) are increasingly used to mitigate increased wildfire risks in arid and semiarid environments, and understanding their response to natural factors is needed for effective landscape management. Using field-data collected over four years from fuel-break treatments in semiarid sagebrush-steppe, we asked 1) how the outcomes of EAG and sagebrush fuel treatments varied with site biophysical properties, climate, and weather, and 2) how predictions of fire behavior using the Fuel Characteristic Classification System fire model related to land-management objectives of maintaining fire behavior expected of low-load, dry-climate grasslands. Generalized linear mixed effect modeling with build-up model selection was used to determine best-fit models, and marginal effects plots to assess responses for each fuel type. EAG cover decreased as antecedent-fall precipitation increased and increased as antecedent-spring temperatures and surface soil clay contents increased. Herbicides targeting EAGs were less effective where pre-treatment EAG cover was >40 % and antecedent spring temperatures were >9.5 °C. Sagebrush cover was inversely related to soil clay content, especially where clay contents were >17 %. Predicted fire behavior exceeded management objectives under 1) average fire weather conditions when EAG or sagebrush cover was >50 % or >26 %, respectively, or 2) extreme fire weather conditions when EAG or sagebrush cover was >10 % or >8 %, respectively. Consideration of the strong effects of natural variability in site properties and antecedent weather can help in justifying, planning and implementing fuel-treatments.

Rethinking the focus on forest fires in federal wildland fire management: Landscape patterns and trends of non-forest and forest burned area.

For most of the 20th century and beyond, national wildland fire policies concerning fire suppression and fuels management have primarily focused on forested lands. Using summary statistics and landscape metrics, wildfire spatial patterns and trends for non-forest and forest burned area over the past two decades were examined across the U.S, and federal agency jurisdictions. This study found that wildfires burned more area of non-forest lands than forest lands at the scale of the conterminous and western U.S. and the Department of Interior (DOI). In an agency comparison, 74% of DOI burned area occurred on non-forest lands and 78% of U.S. Forest Service burned area occurred on forested lands. Landscape metrics revealed key differences between forest and non-forest fire patterns and trends in total burned area, burned patch size, distribution, and aggregation over time across the western U.S. Opposite fire patterns emerged between non-forest and forest burns when analyzed at the scale of federal agency jurisdictions. In addition, a fire regime departure analysis comparing current large fire probability with historic fire trends identified certain vegetation types and locations experiencing more fire than historically. These patterns were especially pronounced for cold desert shrublands, such as sagebrush where increases in annual area burned, and fire frequency, size, and juxtaposition have resulted in substantial losses over a twenty-year period. The emerging non-forest fire patterns are primarily due to the rapid expansion of non-native invasive grasses that increase fuel connectivity and fire spread. These invasions promote uncharacteristic frequent fire and loss of native ecosystems at large-scales, accelerating the need to place greater focus on managing invasive species in wildland fire management. Results can be used to inform wildfire management and policy aimed at reducing uncharacteristic wildfire processes and patterns for both non-forest and forest ecosystems as well as identify differing management strategies needed to address the unique wildfire issues each federal agency faces.

Resiliencies of soil phosphorus fractions after natural summer fire are governed by microbial activity and cation availability in a semi-arid Inceptisol.

The unintended impact of natural summer fire on soil is complicated and rather less studied than its above-ground impact. Recognising the impact of a fire on silvopastoral soils and their resilience can aid in improving the management of silvopastoral systems. We studied the immediate (after 1 week (W)) and short-term (after 3 months (M)) recovery of different soil biological and chemical properties after the natural fire, with specific emphasis on phosphorus (P) dynamics. Soil samples were collected from four different layers (0-15, 15-30, 30-45, and 45-60 cm) of Morus alba, Leucaena leucocephala, and Ficus infectoria based silvopastoral systems. In the 0-15 cm soil layer, soil organic carbon (SOC) declined by ∼37, 42, and 30% after the fire in Morus-, Leucaena-, and Ficus-based systems, respectively within 1W of fire. However, after 3M of fire, Morus and Leucaena regained ∼6 and 11.5% SOC as compared to their status after 1W in the 0-15 cm soil layer. After 1W of the fire, soil nitrogen (N), sulfur (S), and potassium availability declined significantly at 0-15 cm soil layer in all systems. Iron and manganese availability improved significantly after 1W of the fire. Saloid bound P and aluminium bound P declined significantly immediately after the fire, increasing availability in all systems. However, calcium bound P did not change significantly after the fire. Dehydrogenase and alkaline phosphatase activity declined significantly after the fire, however, phenol oxidase and peroxidase activity were unaltered. Resiliencies of these soil properties were significantly impacted by soil depth and time. Path analysis indicated microbial activity and cationic micronutrients majorly governed the resilience of soil P fractions and P availability. Pasture yield was not significantly improved after the fire, so natural summer fire must be prevented to avoid loss of SOC, N, and S.

Estimates of fine fuel litter biomass in the northern Great Basin reveal increases during short fire-free intervals associated with invasive annual grasses.

Exotic annual grasses invasion across northern Great Basin rangelands has promoted a grass-fire cycle that threatens the sagebrush (Artemisia spp.) steppe ecosystem. In this sense, high accumulation rates and persistence of litter from annual species largely increase the amount and continuity of fine fuels. Here, we highlight the potential use and transferability of remote sensing-derived products to estimate litter biomass on sagebrush rangelands in southeastern Oregon, and link fire regime attributes (fire-free period) with litter biomass spatial patterns at the landscape scale. Every June, from 2018 to 2021, we measured litter biomass in 24 field plots (60 m × 60 m). Two remote sensing-derived datasets were used to predict litter biomass measured in the field plots. The first dataset used was the 30-m annual net primary production (NPP) product partitioned into plant functional traits (annual grass, perennial grass, shrub, and tree) from the Rangeland Analysis Platform (RAP). The second dataset included topographic variables (heat load index -HLI- and site exposure index -SEI-) computed from the USGS 30-m National Elevation Dataset. Through a frequentist model averaging approach (FMA), we determined that the NPP of annual and perennial grasses, as well as HLI and SEI, were important predictors of field-measured litter biomass in 2018, with the model featuring a high overall fit (R2 = 0.61). Model transferability based on extrapolating the FMA predictive relationships from 2018 to the following years provided similar overall fits (R2 ≈ 0.5). The fire-free period had a significant effect on the litter biomass accumulation on rangelands within the study site, with greater litter biomass in areas where the fire-free period was <10 years. Our findings suggest that the proposed remote sensing-derived products could be a key instrument to equip rangeland managers with additional information towards fuel management, fire management, and restoration efforts.

Integrated graph measures reveal survival likelihood for buildings in wildfire events.

Wildfire events have resulted in unprecedented social and economic losses worldwide in the last few years. Most studies on reducing wildfire risk to communities focused on modeling wildfire behavior in the wildland to aid in developing fuel reduction and fire suppression strategies. However, minimizing losses in communities and managing risk requires a holistic approach to understanding wildfire behavior that fully integrates the wildland's characteristics and the built environment's features. This complete integration is particularly critical for intermixed communities where the wildland and the built environment coalesce. Community-level wildfire behavior that captures the interaction between the wildland and the built environment, which is necessary for predicting structural damage, has not received sufficient attention. Predicting damage to the built environment is essential in understanding and developing fire mitigation strategies to make communities more resilient to wildfire events. In this study, we use integrated concepts from graph theory to establish a relative vulnerability metric capable of quantifying the survival likelihood of individual buildings within a wildfire-affected region. We test the framework by emulating the damage observed in the historic 2018 Camp Fire and the 2020 Glass Fire. We propose two formulations based on graph centralities to evaluate the vulnerability of buildings relative to each other. We then utilize the relative vulnerability values to determine the damage state of individual buildings. Based on a one-to-one comparison of the calculated and observed damages, the maximum predicted building survival accuracy for the two formulations ranged from [Formula: see text] for the historical wildfires tested. From the results, we observe that the modified random walk formulation can better identify nodes that lie at the extremes on the vulnerability scale. In contrast, the modified degree formulation provides better predictions for nodes with mid-range vulnerability values.

Effects of different amendments on the quality of burnt eucalypt forest soils - A strategy for ecosystem rehabilitation.

The magnitude of forest fires' impacts on the environment is directly related to the changes induced on soil physical, chemical and biological properties. Using available organic resources to rehabilitate burnt forest soils can help reduce post-fire soil fertility loss, accelerating ecosystem recovery. In the present study, the potential of four soil amendments: a mycotechnosol, a eucalypt residue mulch, dredged sediments from a freshwater lagoon and an organic-mineral biofertilizer, to improve the quality of burnt forest soils in terms of organic matter, carbon, nitrogen and phosphorus contents, was evaluated. Two experiments were set-up, one in a recently burnt eucalypt plantation and another in the laboratory using soils from the same area, to assess the effects of the amendments on soil quality, with both experiments lasting for 7 months. The effects of the amendments on nutrient leaching along the soil profile were also evaluated in the laboratory, to investigate possible negative impacts on groundwater and surface water quality. All amendments increased the organic matter and nutrient contents of burnt soils, confirming their potential for ecosystem rehabilitation. The biofertilizer, however, was found to promote nutrient losses by leaching, largely owing to its high solubility, increasing the risk of contamination of ground and surface waters. Using available organic resources to rehabilitate burnt forests as was done in the present work complies with the idea of a circular economy, being key for the sustainability of forest ecosystems.

Revealing and modeling of fire products in gas-phase for epoxy/black phosphorus-based nanocomposites.

This work aims at revealing and optimizing the mechanism, to promote the design of phosphorus-based flame retardants (PFRs) for controlling the spread of fire risk caused by the continuous spread of polymers. Herein, we synthesized about 10 nm TiO2 grown in situ on the surface of BP through a simple hydrothermal procedure to introduce it into epoxy (EP/BP-TiO2). In the first place, EP/BP-TiO22.0 nanocomposite achieves a reduction of 58.96% and 50.35% in PHRR and THR, respectively. Secondly, the pyrolysis of BP from Pn to P4, P3 and P2 is revealed. As a guide, P4 is established as a characteristic product of the analytical model for evaluating the effects in the gas phase for BP-based hybrids. Finally, this work clarifies the enhancement path for BP-TiO2 is optimized for the capturing of OH· and H· radicals by P4(POx). Crucially, this study reveals and controls the mechanism of the BP-based hybrids at the molecular level, which is expected to provide a promising analytical model for broad market PFRs design to address the risks and challenges of casualties and ecology caused by composites fire.

Statistical considerations of nonrandom treatment applications reveal region-wide benefits of widespread post-fire restoration action.

Accurate predictions of ecological restoration outcomes are needed across the increasingly large landscapes requiring treatment following disturbances. However, observational studies often fail to account for nonrandom treatment application, which can result in invalid inference. Examining a spatiotemporally extensive management treatment involving post-fire seeding of declining sagebrush shrubs across semiarid areas of the western USA over two decades, we quantify drivers and consequences of selection biases in restoration using remotely sensed data. From following more than 1,500 wildfires, we find treatments were disproportionately applied in more stressful, degraded ecological conditions. Failure to incorporate unmeasured drivers of treatment allocation led to the conclusion that costly, widespread seedings were unsuccessful; however, after considering sources of bias, restoration positively affected sagebrush recovery. Treatment effects varied with climate, indicating prioritization criteria for interventions. Our findings revise the perspective that post-fire sagebrush seedings have been broadly unsuccessful and demonstrate how selection biases can pose substantive inferential hazards in observational studies of restoration efficacy and the development of restoration theory.

ALOS-2 L-band SAR backscatter data improves the estimation and temporal transferability of wildfire effects on soil properties under different post-fire vegetation responses.

Remote sensing techniques are of particular interest for monitoring wildfire effects on soil properties, which may be highly context-dependent in large and heterogeneous burned landscapes. Despite the physical sense of synthetic aperture radar (SAR) backscatter data for characterizing soil spatial variability in burned areas, this approach remains completely unexplored. This study aimed to evaluate the performance of SAR backscatter data in C-band (Sentinel-1) and L-band (ALOS-2) for monitoring fire effects on soil organic carbon and nutrients (total nitrogen and available phosphorous) at short term in a heterogeneous Mediterranean landscape mosaic made of shrublands and forests that was affected by a large wildfire. The ability of SAR backscatter coefficients and several band transformations of both sensors for retrieving soil properties measured in the field in immediate post-fire situation (one month after fire) was tested through a model averaging approach. The temporal transferability of SAR-based models from one month to one year after wildfire was also evaluated, which allowed to assess short-term changes in soil properties at large scale as a function of pre-fire plant community type. The retrieval of soil properties in immediate post-fire conditions featured a higher overall fit and predictive capacity from ALOS-2 L-band SAR backscatter data than from Sentinel-1 C-band SAR data, with the absence of noticeable under and overestimation effects. The transferability of the ALOS-2 based model to one year after wildfire exhibited similar performance to that of the model calibration scenario (immediate post-fire conditions). Soil organic carbon and available phosphorous content was significantly higher one year after wildfire than immediately after the fire disturbance. Conversely, the short-term change in soil total nitrogen was ecosystem-dependent. Our results support the applicability of L-band SAR backscatter data for monitoring short-term variability of fire effects on soil properties, reducing data gathering costs within large and heterogeneous burned landscapes.

Effects of various artificial agarwood-induction techniques on the metabolome of Aquilaria sinensis.

BACKGROUND: Agarwood is a highly sought-after resinous wood for uses in medicine, incense, and perfume production. To overcome challenges associated with agarwood production in Aquilaria sinensis, several artificial agarwood-induction treatments have been developed. However, the effects of these techniques on the metabolome of the treated wood samples are unknown. Therefore, the present study was conducted to evaluate the effects of four treatments: fire drill treatment (F), fire drill + brine treatment (FS), cold drill treatment (D) and cold drill + brine treatment (DS)) on ethanol-extracted oil content and metabolome profiles of treated wood samples from A. sinensis. RESULTS: The ethanol-extracted oil content obtained from the four treatments differed significantly (F < D < DS < FS). A total of 712 metabolites composed mostly of alkaloids, amino acids and derivatives, flavonoids, lipids, phenolic acids, organic acids, nucleotides and derivatives, and terpenoids were detected. In pairwise comparisons, 302, 155, 271 and 363 differentially accumulated metabolites (DAM) were detected in F_vs_FS, D_vs_DS, F_vs_D and FS_vs_DS, respectively. The DAMs were enriched in flavonoid/flavone and flavonol biosynthesis, sesquiterpenoid and triterpenoid biosynthesis. Generally, addition of brine to either fire or cold drill treatments reduced the abundance of most of the metabolites. CONCLUSION: The results from this study offer valuable insights into synthetically-induced agarwood production in A. sinensis.

Radioactive microparticles related to the Woolsey Fire in Simi Valley, CA.

In November 2018, the Woolsey Fire burned north of Los Angeles, CA, USA, potentially remobilizing radioactive contaminants at the former Santa Susana Field Laboratory, a shuttered nuclear research facility contaminated by chemical and radiochemical releases. Wildfire in radiologically contaminated zones is a global concern; contaminated areas around Chernobyl, Fukushima, Los Alamos, and the Nevada Nuclear Test Site have all experienced wildfires. Three weeks after the Woolsey Fire was controlled, sampling of dusts, ashes, and surface soils (n = 360) began and were analyzed by alpha- and beta-radiation counting. Samples were collected up to a 16 km radius from the perimeter of the laboratory. Controls and samples with activities 1σ greater than background were also examined by alpha and/or gamma spectroscopy or Scanning Electron Microscopy with Energy Dispersive X-ray analysis. Of the 360 samples collected, 97% showed activities at or close to site-specific background levels. However, offsite samples collected in publicly-accessible areas nearest to the SSFL site perimeter had the highest alpha-emitting radionuclides radium, thorium, and uranium activities, indicating site-related radioactive material has escaped the confines of the laboratory. In two geographically-separated locations, one as far away as 15 km, radioactive microparticles containing percent-concentrations of thorium were detected in ashes and dusts that were likely related to deposition from the Woolsey fire. These offsite radioactive microparticles were colocated with alpha and beta activity maxima. Data did not support a finding of widespread deposition of radioactive particles. However, two radioactive deposition hotspots and significant offsite contamination were detected near the site perimeter.

The History of Carbon Monoxide Intoxication.

Intoxication with carbon monoxide in organisms needing oxygen has probably existed on Earth as long as fire and its smoke. What was observed in antiquity and the Middle Ages, and usually ended fatally, was first successfully treated in the last century. Since then, diagnostics and treatments have undergone exciting developments, in particular specific treatments such as hyperbaric oxygen therapy. In this review, different historic aspects of the etiology, diagnosis and treatment of carbon monoxide intoxication are described and discussed.

Living with exotic annual grasses in the sagebrush ecosystem.

Exotic annual grasses dominate millions of hectares and increase fire frequency in the sagebrush ecosystem of North America. This devastating invasion is so costly and challenging to revegetate with perennial vegetation that restoration efforts need to be prioritized and strategically implemented. Management needs to break the annual grass-fire cycle and prevent invasion of new areas, while research is needed to improve restoration success. Under current land management and climate regimes, extensive areas will remain annual grasslands, because of their expansiveness and the low probability of transition to perennial dominance. We propose referring to these communities as Intermountain West Annual Grasslands, recognizing that they are a stable state and require different management goals and objectives than perennial-dominated systems. We need to learn to live with annual grasslands, reducing their costs and increasing benefits derived from them, at the same time maintaining landscape-level plant diversity that could allow transition to perennial dominance under future scenarios. To accomplish this task, we propose a framework and research to improve our ability to live with exotic annual grasses in the sagebrush biome.

Characteristic time in highly motivated movements of children and adults through bottlenecks.

Current codes for fire protection of buildings are mainly based on the movement of adults and neglect the movement characteristic of pre-school children. Having a profound comprehension of the difference between children and adults passing bottlenecks is of great help to improve the safety levels of preschool children. This paper presents an experimental study on the bottleneck flow of pre-school children in a room. The movement characteristics of children's and adults' bottleneck flow are investigated with two macroscopic properties: density and speed profiles as well as microscopic characteristic time: motion activation time, relaxation time, exit travel time and time gap. Arch-like density distributions are observed both for highly motivated children and adults, while the distance between the peak density region and the exit location is shorter for children and longer for adults. Children's movement is less flexible manifested as longer motion activation time and longer relaxation time compared to that of adults. The findings from this study could enhance the understanding of crowd dynamics among the children population and provide supports for the scientific building design for children's facilities.

Prey exclusion combined with simulated fire increases subsequent prey-capture potential in the pale pitcher plant, Sarracenia alata.

PREMISE: The association of carnivory (an adaptation to nutrient-poor soils) with fire has been described as a paradox, given increases in nutrient availability that often accompany fire. The nutrients that increase in availability following fire, however, may not be the same as those provided by prey and may not reduce nutrient limitation if accompanied by even greater increases in light. METHODS: Using a factorial experiment in the field, we examined how simulated fire (clipping plus nitrogen-free fertilizer addition) and prey-derived nutrient availability (prey exclusion) interacted to influence carnivorous potential in Sarracenia alata and belowground competition with its neighbors (manipulated via trenching). We hypothesized that simulated fire combined with prey exclusion would (1) increase the potential for prey capture relative to shade avoidance, hereafter, relative prey-capture potential (RPCP), and/or (2) increase belowground competition with neighboring plants. RESULTS: Sarracenia alata increased RPCP in response to the combination of simulated fire and prey exclusion, despite increases in phosphorus and other nutrients associated with the simulated fire treatment, suggesting that prey capture potential increases in response to increased nitrogen limitation resulting from increases in light and/or phosphorus after fire. We found no evidence of belowground competition. CONCLUSIONS: The potential importance of carnivory in Sarracenia alata increases following fire. This result helps to explain the paradoxical association of carnivorous plants with fire by demonstrating the potential for prey-derived nutrient limitation to increase rather than decrease in response to increases in light and nutrients other than nitrogen following fire.

Comparison of Liquefied Petroleum Gas Cookstoves and Wood Cooking Fires on PM2.5 Trends in Brick Workers' Homes in Nepal.

Prior studies document a high prevalence of respiratory symptoms among brick workers in Nepal, which may be partially caused by non-occupational exposure to fine particulate matter (PM2.5) from cooking. In this study, we compared PM2.5 levels and 24 h trends in brick workers' homes that used wood or liquefied petroleum gas (LPG) cooking fuel. PM2.5 filter-based and real-time nephelometer data were collected for approximately 24 h in homes and outdoors. PM2.5 was significantly associated with fuel type and location (p < 0.0001). Pairwise comparisons found significant differences between gas, indoor (geometric mean (GM): 79.32 µg/m3), and wood, indoor (GM: 541.14 µg/m3; p = 0.0002), and between wood, indoor, and outdoor (GM: 48.38 µg/m3; p = 0.0006) but not between gas, indoor, and outdoor (p = 0.56). For wood fuel homes, exposure peaks coincided with mealtimes. For LPG fuel homes, indoor levels may be explained by infiltration of ambient air pollution. In both wood and LPG fuel homes, PM2.5 levels exceeded the 24 h limit (25.0 µg/m3) proposed by the World Health Organization. Our findings suggest that increasing the adoption of LPG cookstoves and decreasing ambient air pollution in the Kathmandu valley will significantly lower daily PM2.5 exposures of brick workers and their families.

Climate-driven risks to the climate mitigation potential of forests.

Forests have considerable potential to help mitigate human-caused climate change and provide society with many cobenefits. However, climate-driven risks may fundamentally compromise forest carbon sinks in the 21st century. Here, we synthesize the current understanding of climate-driven risks to forest stability from fire, drought, biotic agents, and other disturbances. We review how efforts to use forests as natural climate solutions presently consider and could more fully embrace current scientific knowledge to account for these climate-driven risks. Recent advances in vegetation physiology, disturbance ecology, mechanistic vegetation modeling, large-scale ecological observation networks, and remote sensing are improving current estimates and forecasts of the risks to forest stability. A more holistic understanding and quantification of such risks will help policy-makers and other stakeholders effectively use forests as natural climate solutions.

Safety of a continuous glucose monitoring device during hyperbaric exposure.

Background: Hyperbaric oxygen therapy has been demonstrated to lower blood glucose levels in patients with diabetes. Continuous glucose monitoring (CGM) allows glucose monitoring in real time. Battery-operated CGM transmitters have yet to be formally tested and given safety approval for use in a hyperbaric environment. Materials and Methods: We evaluated and tested commercially available Dexcom® G6 CGM transmitters under hyperbaric conditions. Each transmitter contains a 3V, 130-mAh (0.39 Wh) lithium manganese dioxide battery (IEC CR1632) and circuit board that are fully encapsulated in epoxy. Each transmitter is pressurized to 90 pounds per square inch (psi) in an autoclave at 40°C for up to 72 hours during manufacturing to ensure that all enclosed air spaces are eliminated from the epoxy. We compared the CGM components against section 14.2.9.3.17.5 of the 2018 National Fire Protection Association 99 (NFPA 99) Health Care Facilities Code requirements. Six CGM transmitters attached to estimated glucose value generators (EGVGs) underwent 11 pressurization cycles to 45 feet of seawater (fsw). All transmitters were returned to the manufacturer to assess post-exposure structural integrity. G6 sensors, which contain no electrical components or compressible air spaces, do not pose a risk in the hyperbaric environment. Results: There was no observed change in preset EGVG readings during hyperbaric exposures. Post-exposure testing revealed no structural compromise after repeated hyperbaric exposures. Conclusions: The CGM transmitter meets section 14.2.9.3.17.5 of the 2018 NFPA 99 requirements for battery-operated devices allowed for use in a hyperbaric environment. This analysis revealed no significant safety concerns with subjecting Dexcom G6 CGM transmitters to hyperbaric environments.