An american perspective on firefighter health and fitness

An american perspective on firefighter health and fitness

An american perspective on firefighter health and fitness

Lorem Ipsum Dolor An american perspective on firefighter health and fitness Dan Kerrigan MS, EFO, CFO, PFT

An american perspective on firefighter health and fitness

About me ❖ 32+ Year Fire Service Veteran ❖ Co-Author of Best-Selling Book Firefighter Functional Fitness ❖ At-Large Director, IAFC Safety, Health and Survival Section Board of Directors ❖ Certified Peer Fitness Trainer

An american perspective on firefighter health and fitness
An american perspective on firefighter health and fitness

agenda ❖ Definitions and Statistics ❖ Relevant Research ❖ The Problem ❖ What Are We Doing About it?

An american perspective on firefighter health and fitness

definitions ❖ Firefighter (USFA): Firefighter in an organized fire department assigned in the 50 states, DC, Virgin Islands, Guam, American Samoa, Northern Mariana Islands ❖ Also includes private, contract, industrial fire brigade members, and direct support personnel such as air tanker pilots ❖ NFFF adds seasonal and full-time federal employees, inmates, an civilian FFs serving on military bases

An american perspective on firefighter health and fitness

on duty ❖ USFA: Being involved in operations at the scene of an emergency, fire, or non-fire; responding to, returning from, other assigned duties, on-stand by (not at home) ❖ FFs who become ill performing duties and have a heart attack shortly after returning home may be considered “on duty”

An american perspective on firefighter health and fitness

line of duty ❖ NFFF: LODD is that which occurs during an activity or action where a firefighter is obligated or authorized to perform and the action is legally recognized. Documentation must show direct link between incident and death ❖ Hometown Heroes Act of 2003: Adds presumption.

Heart attack or stroke within 24 hours of stressful or strenuous activity ❖ NFPA does not recognize Hometown Heroes for the purposes of statistics

An american perspective on firefighter health and fitness

PSOB ❖ Public Safety Officers’ Benefits Act of 1976: Guarantees a one-time financial payment to eligible survivors of PSOs whose deaths are considered a direct result of traumatic injury sustained in the line of duty. A claim must be filed. ❖ As of October 1, 2018, the amount of the benefit is $359,316.00

An american perspective on firefighter health and fitness

the data

An american perspective on firefighter health and fitness

Heart attacks by type of activity - A snapshot ❖ 1 while burning storm debris ❖ 1 while burning flood debris ❖ 1 outside abandoned structure fire ❖ 1 outside structure fire ❖ 1 during odor investigation ❖ 2 during search and rescue training ❖ 45.7% of overall on-duty deaths categorized as not on scene or not incident related due to Hometown heroes act and definitions ❖ Data assimilated by Bill Carey

Heart attacks - who’s having them? ❖ 51 heart attacks in 2017 (52 overall in stress/overexertion category including strokes) ❖ Career: 27 ❖ Average age: 49 (3 under 40) ❖ Volunteer: 24 ❖ Average age: 58 (6 over 65) Data assimilated by Bill Carey

The Fire Service Cardiovascular Epidemic

Source: Dr. Denise Smith pushed to the limits

Sudden cardiac Death Obesity = 3.1 times High Cholesterol = 4.4 times Smoking Tobacco = 8.6 times Diabetes = 10.2 times Hypertension = 12 times Age > 45 Years Old = 18 times Diagnosis of CHD = 35 times

27%

solutions? ❖ No national mandates for health and fitness in the U.S. fire service ❖ Multi-Faceted Approach ❖ Individual ❖ Company Officer Level ❖ Organizational Level

everyone’s responsibility ❖ Individual Accountability ❖ You are held to a higher standard! ❖ Company Officer Level ❖ What are you going to do today to improve the health and fitness of your crew? ❖ Executive Level ❖ It’s all about priorities! ❖ Chiefs are not exempt from the “shalls”

comprehensive approach ❖ Annual Medical Evaluations ❖ Functional Physical Fitness ❖ Proper Hydration ❖ Sensible Nutrition ❖ Rest and Recovery ❖ Exposure Reduction ❖ Behavioral Health Resources

❖ Incentives ❖ Discount on health insurance premiums ❖ Gift cards to health stores ❖ Extra compensation days ❖ Health Savings Account funds ❖ Fitness items (FitBit, Apple Watch) ❖ Paid gym memberships

❖ Fitness Challenges (company and department level) ❖ Rowing—meters per month ❖ Push-ups ❖ Steps (FitBit) or “total stories climbed” on step mill ❖ Miles ran ❖ Weight or fat loss (%) ❖ ???

–Dan Kerrigan and Jim Moss “Being fit for duty is the most basic requirement for every firefighter, both career and volunteer.”

references ❖ Carey, Bill.

(2103). On duty & line of duty: What is the difference? FireRescue Magazine. ❖ Federal Emergency Management Agency. Firefighter fatalities in the United States in 2017. Retrieved from: https:// www.google.com/url? sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=2ahUKEwjn5fW5xc_eAh XvYt8KHZTvAEEQFjABegQIChAC &url=https%3A%2F%2Fwww.usfa.fema.gov%2Fdownloads%2Fpdf%2Fpublications%2Fff_ fat17.pdf&usg=AOvVaw2sjeefbCMuL xyFcnukLm9Z ❖ International Association of Firefighters (2013). Heart disease in the fire service. Retrieved from: http://www.iaff.org/hs/PDF/ HeartDiseaseManual_2013.pdf ❖ International Association of Firefighters (2017).

The fire service joint labor management wellness-fitness initiative. (4th ed.). Retrieved from: https://www.iafc.org/docs/default-source/1safehealthshs/wfi-manual.pdf?sfvr sn=7931df0d_5 ❖ Kales, S. et. al. (2007). Emergency duties and deaths from heart disease among firefighters in the United States. Retrieved from: https:// www.nejm.org/doi/full/10.1056/NEJMoa060357 ❖ Kerrigan, D., & Moss, Jim (2016). Firefighter functional fitness: The essential guide to optimal firefighter performance and longevity. Firefighter Toolbox.

❖ National Fallen Firefighters Foundation. (2017). Cardiac enlargement in U.S. firefighters. Retrieved from: http:// www.everyonegoeshome.com/wp-content/uploads/sites/2/2017/07/cardiac-wp-2017 -FINAL.pdf ❖ Smith, D., Liebig, J.P., Steward, N.M., & Fehling, P.C. (2010). Sudden cardiac events in the fire service: Understanding the cause and mitigating the risks.

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