Coming Q3 2026!
Meet the People Behind FRP

The People Behind First Responder Performance

Over 50 combined years of experience in exercise physiology, emergency medicine, and first responder health.

Our Staff

Independent Medical Director

Dr. Thomson serves as an independent contractor providing physician oversight and supervision during testing — he is not an employee of First Responder Performance.

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Tiffany Lipsey
President & CEO
First Responder Performance
M.Ed. ACSM Clinical Exercise Physiologist Exercise is Medicine Certified

Tiffany grew up on a small working cattle farm in Southeast Virginia, where she developed a strong work ethic and a passion for helping others. After completing her undergraduate degree in Biochemistry and Religious Studies at the University of Virginia, she discovered her true calling in exercise physiology while earning her Master's in the same field at UVA. During her time in college, Tiffany volunteered at a local rural rescue squad, earning her Cardiac Technician certification and serving as the squad's lieutenant.

Her first role after graduation was as an exercise physiologist for Phase III–IV and faculty/staff wellness at Towson University in Maryland. She later moved to Colorado, where she grew a novel heart disease prevention program and embraced the Colorado lifestyle. Over more than 25 years, her work has focused on improving first responder health — spanning cardiovascular disease risk assessment and lifestyle modification, cancer prevention, carcinogen exposure, temperature regulation, cooling mechanisms, noise exposure, and performance, particularly within the firefighting community.

Outside of work, Tiffany has two sons — one a senior in college and the other a sophomore in college. She loves sports and treasures her small collection of orchids.

Education

1995 — B.A., Chemistry with specialization in Biochemistry and Religious Studies. University of Virginia, Charlottesville, Virginia.
1997 — M.Ed., Kinesiology; Exercise Physiology with concentration in cardiac rehabilitation. University of Virginia, Charlottesville, Virginia.

Research Focus

  • Firefighter health, parameters that affect job performance, promotion of healthy lifestyles by addressing health attitudes and behaviors, and reduction of the incidence of heart disease morbidity and mortality in on-duty firefighters.
  • Early detection and treatment of cardiovascular disease through diet and exercise.
  • Incidence of hypothyroidism with cardiovascular disease.

Recent Publications

  • Schutt D, Lipsey T, Van Dyke M, Brazile WJ. Power saw noise levels during steel stud cutting tasks on commercial construction sites: a tool characterization from a work exposure standpoint. Annals of Work Exposure and Health. 2024. doi.org/10.1093/annweh/wxae054
  • Courtney JB, Lipsey T, Braun B, Henry K, Nelson TL, Li K. Using ecological momentary assessment to examine the effects of duty status on acute stress and tiredness in firefighters: A pilot study. Journal of Occupational and Environmental Medicine, 2020, Vol 62, Issue 10, p 859–870. DOI: 10.1097/JOM.0000000000001988
  • DeVoe D, Lipsey T, & Womack C. Resting metabolic rate and blood lipid changes of an experienced backpacker hiking the Appalachian Trail. Translational Sports Medicine, 2019, 2:376–379. DOI: 10.1002/tsm2.105
  • Li K, Ochoa E, Lipsey T, Nelson TL. Correlates of atherosclerotic cardiovascular disease risk in older Colorado firefighters. Occupational Medicine, 2018, 68(1):46–50. doi.org/10.1093/occmed/kqx192
  • Li K, Lipsey T, Leach HJ, Nelson TL. Cardiac health and fitness of Colorado male/female firefighters. Occupational Medicine, 2017, 67:4, 268–273. doi.org/10.1093/occmed/kqx033
  • Radtke C, Autenrieth DA, Lipsey T, Brazile WJ. Noise characterization of oil and gas operations. Journal of Occupational and Environmental Hygiene, 2017, 14:8, 659–667. DOI: 10.1080/15459624.2017.1316386
  • Amidon TR, Williams E, Lipsey T, Callahan R, Nuckols G, Rice S. Sensors and gizmos and data, oh my: Informating firefighters' protective personal equipment. Communication Design Quarterly, 2017, 5(4), 15–30. doi.org/10.1145/3188387.3188389
  • DeVoe D, Lipsey T, Womack C. Backpacking Normalizes Lipids without Medication: A Case Study on the Appalachian Trail. Journal of Exercise Physiology, 2014, 17(4).
  • Radman A, Sandfort D, Lipsey T, Brazile WJ. Case study: Noise Characterization and Exposure at a Ski Resort. Journal of Occupational and Environmental Hygiene, 11(1), 2014, D10–6. DOI: 10.1080/15459624.2013.839877
  • Root KS, Schwennker C, Autenrieth D, Sandfort DR, Lipsey T and Brazile W. Firefighter Noise Exposure During Training Activities and General Equipment Use. Journal of Occupational and Environmental Hygiene, 2013, 10(3). DOI: 10.1080/15459624.2012.753023
  • Autenrieth DA, Sandfort D, Lipsey T and Brazile WJ. Occupational Exposures to Noise Resulting from the Workplace Use of Personal Media Players at a Manufacturing Facility. Journal of Occupational and Environmental Hygiene, 2012, 9(10): 592–601. DOI: 10.1080/15459624.2012.713768

Honors & Awards

Non-Tenure-Track/Administrative Professional Faculty Scholarly Excellence Award
College of Health and Human Sciences — 2024–2025
Superior Faculty Service Award
College of Health and Human Sciences — 2015

Affiliations & Organizations

  • American College of Sports Medicine
  • National Fire Protection Agency
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David Thomson
Independent Medical Director
Affiliated Independent Provider
M.D. Emergency Medicine M.S. Human Bioenergetics M.P.A.

Dr. Thomson has been an EMS and Emergency Physician for over 30 years. After receiving his M.S. from the Human Performance Lab at Ball State, he worked in cardiac rehabilitation before attending medical school. He became interested in EMS during his residency at the University of Pittsburgh and has since served as medical director for several air ambulance and EMS services, as well as an emergency physician and faculty member at multiple university and community hospitals.

His clinical background in emergency and prehospital medicine — combined with his foundation in human performance — makes him uniquely equipped to provide physician oversight for comprehensive first responder evaluations. Dr. Thomson provides real-time physician supervision during maximal treadmill stress testing and reviews results alongside the clinical team.

Outside of work, Dr. Thomson enjoys flying, photography, and spending time with his wife, their dog, and their grown children.

Education

B.A., Chemistry — Wabash College
M.S., Human Bioenergetics — Ball State University
M.D. — University of Cincinnati College of Medicine
Residency, Emergency Medicine — University of Pittsburgh
M.P.A. — Maxwell School of Citizenship and Public Affairs, Syracuse University
Certificate of Advanced Study, Health Services Management and Policy — Maxwell School, Syracuse University

Clinical Role

  • Physician supervision of maximal treadmill stress testing and real-time ECG interpretation.
  • Clinical review of blood and urine panel results in the context of first responder cardiovascular risk.
  • Physician support across cardiovascular, metabolic, and occupational health research initiatives.