Extinguish

An exposure tracking app for long term firefighter health

UI/UX

Mobile

Research

Ensuring long term health among firefighters

Exposure tracking in a mobile through sensors for health analysis post fire incidents

Extinguish emerged from the need to safeguard firefighters. Developed during my MS HCI program at

Indiana University, the goal of this app is to address the challenge of monitoring and managing firefighter's

exposure levels, ensuring their long-term well-being.

Role

Responsible for primary and white paper

research, conceptualization, visual

design, prototyping and user testing

Timeline

September’ 23 - October’ 23

6 weeks 

Team

2 UX researchers , 2 UX designers

Problem Space Identified

Firefighters face the exposure to hazardous materials, gases, smoke, and a lack of real-time health

monitoring. Currently, there is no comprehensive system in place to track their vital health metrics,

and exposure levels during fire incidents.

“How might we simplify the process of reporting and documenting environmental hazards and exposures faced by firefighters to support long-term health monitoring?”

Our Solution

The core solution involves an app that, offers insights into health and exposure metrics and

enabling efficient data sharing with healthcare professionals.

The project's key objectives include enhancing firefighter safety, improving vital health metric

monitoring, and enabling timely medical interventions.

Exposure Tracking

Firefighters can track their exposure levels

and time in smoke according to the run

they’ve been in.

Appointment booking 

Firefighters can book a doctor or test

appointment when they get alerts on their

exposure is high

Past medical records

The records of past appointments and

tests can be viewed at any time for

reference 

Empathize

Empathize

Define

Ideate

Design

Test

Observations

User Interviews

Research

Affinity Mapping

Stakeholder Mapping

User Persona

Brainstorming

Storyboarding

Information

Architecture

Sketching

Wireframing

Prototyping

Usability Testing

Think Aloud

Heuristic Analysis

My Design Process

Empathize

“Firefighters are more than three times as likely to

die from certain cancers than the general population”

Secondary Research

Occupational Perils

During our secondary research we learned that firefighters are exposed to highly toxic substances in virtually

every fire and that some toxins can accumulate in the body after repeated exposures.

"Firefighters are exposed to a variety of carcinogens during their work,....These exposures can lead to an

increased risk of developing cancer."

Cancer Incidence and Mortality among Firefighters: (2023) by MDPI

Firefighter Cancer Support Network

Cancer caused 66 percent of the career firefighter line-of-duty deaths from 2002 to 2019

Discovery of firefighter chemical exposures using military-style silicone dog tags

"Firefighters are exposed to a variety of hazards during their work, including heat, smoke, and toxic gases.

These hazards can lead to a number of health problems, including cancer, respiratory problems, and heart

disease."

User interviews and observations

Seeing past the smoke

We conducted observations and interviews as our primary research to gain deeper insights into firefighters'

experiences and challenges. 

Majority of the observation was done in fire stations.

I also went on non emergency runs with the firefighters to understand their procedures before and after

incident runs.

“Firefighters are highly prone to various cancers, skin, lung tongue and esophagus, testicular cancer."

"I have skin cancer, and I can contribute it to my line of work.”

"It can be very, very nerve-wracking."

Early Insights from the Field

These are our main findings from the primary research

Exposure Concerns

There is a prevalent concern

regarding the exposure to gases

and environmental hazards

during firefighting.

Documentation Demand

All interviewees emphasized the

need for better documentation

regarding exposure and health

impacts.

System Gap

There is no comprehensive system

to document their exposure to

gases and environmental hazards.

Unpredictability

Firefighters have very

unpredictable incident runs which

leads to firefighters having less

time to take care of their health.

One interviewee, diagnosed with skin cancer, attributed it to his profession.

Define

Who are our users ? What do they value ?

Making sense of the data

Digging through the ashes

How Might We Statement

To give more clarity and design direction we came up with a how might we statement

“How might we simplify the process of reporting and documenting environmental hazards and exposures faced by firefighters to support long-term health monitoring?”

8 interviews

8 observations

192 data points

We used an affinity diagram to streamline and put the data in themes

Affinity Mapping

Influence

Low

High

Interest

Low

High

Family

members

Friends

Private

Doctor

Firefighter

Health and

wellness

Squad

Members

Officer in

charge

Fire

department

Keep Satisfied

Actively Engaged

Keep Informed

Monitor

Are we leaving out potential stakeholders?

To add layers of motivation for firefighters fully incorporate the solution we identified other stakeholders who might have interest

and influence over the user.

Stakeholder Mapping

Key themes of the interviews identified which directed our design solution were:

Multiple emergency calls per day,

Protocols and tasks post-fire incident

consume valuable time. They have

limited time for extensive data

reporting.

Time Constraints:

Firefighters are “set in their ways” and

they have resistance to changing

established practices.

Behavioral Challenges:

Numerous tasks post-incident

contribute to workload. Limited

capacity for additional

documentation efforts

Reporting Challenges:

Who are we building for?

To further refine our understanding of user needs, we created user a persona. This persona served as

detailed representations of our target users, helping us maintain a user-centric approach throughout

the design process.

Eric Jones

Demographics

Age: 34 years old

Education: High School

Hometown: Indianapolis, US

Family: Married , 2 Kids

Occupation: Firefighter

Bio

👤

Eric is a firefighter who spends most of his time performing different tasks when he

is not on the run. He likes working out and going to fire incidents.

"It is not a job, but a team work where we all work

together and have each other's backs as we spend 1/3rd

life in the fire department it is our second home”

Fustrations

😡

👎 He had a difficult time reporting the

injury for the first time.

👎 He feels that the heavy suits limits

mobility.

👎 He feels that wearing a mask should

be mandatory.

Goals

📌

👍 He wishes for more fire runs as it is exciting.

👍 He feels very supported through peer group.

👍 He wishes for a mandatory workout routine.

Our key user and design requirements were

What did we learn ?

1. Simplifying the process of reporting and tracking exposure incidents.

2. Eliminating the need for manual entry of exposure data

3.Providing the user with steps after analysis for their long-term health.

4. Avoiding any additional weight burden on their already heavy gear

Brainstorming and Sketching

Crazy 8s and storyboarding 

Keeping our how might we statement in mind we began to brainstorm our ideas using the crazy 8 method

This allowed us to have a large volume of ideas in a short time with our goal being to push beyond our first ideas, which are often the least

innovative, and to generate a wide variety of solutions to our problem space

Some of the ideas we came up with

Design Solution

After the brainstorming session, three ideas were shortlisted. After a social, economic and technical feasibility study our final solution is:

A health-tracking wearable with sensors, providing real-time data

for post-analysis. 

How it works 

The firefighter monitoring app will integrate wearable sensors to collect real-time exposure data during firefighting. 

The system aims to provide insights into health and exposure metrics, facilitating data sharing with healthcare professionals.

Storyboard

Design and Testing

Design Exploration

Wireframes

With the design solution idea in mind we started creating wireframes which we iterated based on user 

feedback following a participatory design method

USABILITY TESTING

Tweaking and fixing design issues 

We conducted think aloud sessions with 8 firefighters. They were tasked to:

Look at their exposure for a particular day

Book an appointment with the doctor

Option to select run

It is important for firefighters to select the run while reporting an injury which was not in the previous design

“Ya, I’ll need to report according to the specific run, that's the current protocol”

Improved the graph readability

The graph to track the exposure was not readable for specific days. 

I added a component which highlights the day you would want to 

be looking at.

“Its kinda difficult to see for a particular day, say i 

want to view for Sunday, I can’t view the exact 

amount”

Made the exposure screen more intuitive

Changed the date select option to a slider for more visibility.

Removed the motivation text because it used up the limited attention

and was not relevant to the design goal which was tot display the

exposure

Made the “Time in smoke” and “Total Exposure” more inviting to click

on

Final Designs

Tracking Exposure

Firefighters can view and track their exposure and time in smoke for a particular day and take timely action like book an appointment or test

Introducing

Extinguish

Viewing past records

The past appoints and tests are stored in the app for the firefighters to view at any time

Booking an appointment

Firefighters can have the ability to book appointments and tests on the app after viewing their exposure levels

Future Scope

Expanded User Base: As the initial app addresses the needs of firefighters, the future scope could involve expanding the user base to other

professions or industries that face similar environmental hazards. This could include industrial workers, emergency responders, or construction

workers.

Data Analytics and Research: The data collected through the app could be a valuable resource for research on the long-term health effects of

environmental exposures. Future scope might involve collaborations with researchers and institutions to analyze the data and contribute to

scientific understanding.

Training and Education: The app could be a valuable tool for training new firefighters on environmental hazards and safety protocols. Future

scope could involve developing educational modules and partnerships with training academies.

If we had more time

Explore other stakeholder’s interface: We would have liked to interview doctors and try to understand what data they might need to better treat

the users. Also we would have liked to explore the possibility of the doctors themselves having an interface with access to the users records and

what that might have looked like

More research on the protocol of manual entry : We would have liked to better understand the required fields and data that the fire department

might need in the manual entry process

Data and privacy : More research on how to safeguard their health data and keep their information secure

Better adhere to the WACG standards : We would have liked to follow the accessibility guidelines more , considering that other people apart from

firefighters might use this app

This Case study has been parked since 2023.

This was one of my first case studies and although I am proud of my work and the learnings I gained I can see many opportunities of improvement and growth here.