Chief Concerns Richard Marinucci
As I travel and interact with firefighters, either in classes or informally during discussions about the job, I will often ask them what they consider the most valuable resource of their fire department. The answer is always, “Our people.” I agree and then ask them for some proof. I will prod a bit to generate discussion.
What do you wash first after a fire? Your most valuable resource? Does your organization invest in the health of its firefighters with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, compliant physicals? Does everyone have two sets of turnout gear? I can go on, but you probably get the picture. In many cases, the actions of departments and individuals don’t match their statements about most valuable resources.
It is a bit of a trick question, but it is intended to get individuals and organizations to begin to truly evaluate their efforts to improve firefighter safety, health, and wellness. There must be a wholistic approach that looks at activities on emergency responses and all the other times. It will consider mental and physical well-being. The efforts begin with the hiring of the firefighters and continue until the individuals end their employment with the goal of a long and healthy retirement. Helping with this is the ongoing and ever-expanding research that provides valid reasons to take action.
Everyone should know the major threats to firefighters resulting from the work they are asked to perform. Annually, the leading cause of line-of-duty deaths (LODDs) listed by the United States Fire Administration is cardiac-related. This is only true because cancer-related deaths are only beginning to be counted as a cause. When added in, the LODD may include up to 80% related to occupational cancer. This information must drive decision making in fire departments and change operations to address these known threats.
There are things that can be done to help in these areas. Most of the actions that can be taken are preincident. Promotion of fitness/wellness programs will have a positive impact on reducing cardiac-related events. Annual NFPA 1982 physicals can identify risks and catch potential concerns early so corrective measures can be taken.
Turning to the emergency scene, solid rehab policies will improve outcomes. Simple things like rotation of personnel, hydration, and fuel replacement must become standard practices. Monitoring personnel and any deviation from normal expectations must be recognized by all personnel, especially officers. Pay attention to actions and what is being said. If an individual openly states that he doesn’t feel well, don’t leave him alone. Begin a medical assessment. Regarding things that can be done for cancer prevention and exposure, mandate gross decontamination on the scene, use some approved type of wipe to remove contaminants as soon as possible, have personnel shower within an hour of an event, and implement other simple yet cost-effec