Are We Taking Two Steps Forward and One Step Back?

Have you ever thought about the meaning of the words in the title of today's post? No? Well, try it. Pick two points in your home, in the firehouse, anywhere you choose. Now, walk with your regular gait and time how long it takes to travel from point A to point B. Easy, right? Now, do it again, but for every two steps forward, take one step backward, and time your journey again. Not so easy, eh? What was the difference in your times? Now, imagine living through your entire day, all your tasks, all your errands doing the same thing. For every two steps forward, you must take one step back!

The August 2015 edition of Firehouse^® Magazine notes that seven firefighters died with the classification of LODD. Each and every one of these deaths was classified as an LODD. Not one was a fireground or apparatus/vehicular occurrence. The magazine also has an article about the NFPA’s latest report of LODD’s from 2014. All together, we lost sixty-four brothers in 2014. This made 2014 the third year in the last four where LODD’s were below sixty-five and it was a significant reductions from 2013 where we lost ninety-seven firefighters.

As good as that news is the problem lies in the fact that over half of the deaths in 2014 were caused by sudden cardiac/health events. This was the highest number of health-related LODD’s since 2008.

We have been on our Twitter account (@DalmatProd) for approximately six months now. And we have made firefighter health one of our top priority topics that we look for and write about. As a matter of fact, we are so concerned about this that the subject will play an important role in the television program that we are currently working to sell in Hollywood. Moreover, if you have read this blog before, you know how important it is to us and how often we write about it.

The question remains if we are doing enough to prevent these types of LODD’s. I have no doubt that each and every industry magazine addresses this issue from time to time. Many departments have taken the issue to heart (pardon the pun) and developed excellent fitness programs for their firefighters, both current and future. However, many of those departments are larger, urban and suburban companies that may have a fitness line item in their budget or perhaps, they applied for and received a SAFER grant specifically for this purpose.

Yet two key issues remain. The first is the difficulty in promoting this health initiative in smaller, more rural departments, most of them being volunteer departments. As it is, they are having a difficult enough time just recruiting and retaining volunteers. Now, we push this health initiative on them and they back off because they simply do not have the resources to do so.

The second issue is how do we “encourage” the firefighters, mostly on-call and volunteers, who have been members of their departments for several years or longer and over the course of time have gained significant weight or developed other health issues that could lead to a morbidity level? And what about officers and command staff, who sometimes feel that since they are not performing any physical exertion at calls, their health is not of concern and they should not have to abide by a department’s health standards.

The issue of firefighter health is well publicized; there is no doubt about that. And we have some of the best leaders in this country working their tails off to bring this message to the masses. So, the question remains how we raise the level of attention of our target audience?

As I thought about this very question, the proverbial light bulb went off. How bright it is, well, that’s for you to decide. Every fire department in this country is well aware of the NFPA, its purpose, its mandates, etc. While we all realize that some departments are financially unable to employ each NFPA mandate, they do try to do their best. Why? Because they know in their hearts and minds that the NFPA is working to keep firefighters as safe as possible. Whether it is the semaphores on apparatus, PPE, standards for SCBA, etc. they are looking out for the safety of every one of us and the citizens we protect.

What if we can find a way to create a union of the NFPA and either an existing organization or a new one, even a new sub-department of NFPA to carry this health message to the boots on the ground, so that they see it as the same way the majority see the other safety mandates from the NFPA. Perhaps if we can create a Committee of Firefighter Health & Wellness as an offshoot of the NFPA, our messages will stop falling on deaf ears. Or, at the least, find a larger audience.

However, I sincerely believe that this must come from us, the firefighters, current and former, the departments and our own organizations. I do not want to see governmental bureaucracy involved in this endeavor. We have the experience, we have the knowledge and we have the influence that we can put to work to save our lives.

The goal is simple: let’s give the National Fallen Firefighters Foundation the least amount of work to do. Let’s do our best to live by our motto: #EveryOneGoesHome.

 

The Sadness of Coincidences

I've been writing this blog plus another for several years now. I don't write every day or every week, and usually, not every month. But as it turns out, I'm writing this post one month after my last. So, what would bring me to this point?

Some of you may know that under our Twitter handle of @DalmatProd. All too often, my Tweets begin with the hash-tag, #LODD (Line Of Duty Death). I send out the info only upon confirmation of the loss and it includes the person's name, age, department, date of last alarm, and a compressed URL with details of the notice.

Sadly, all four of the line-of-duty-deaths that have occurred over the past five days have been health-related. No one died while battling a massive blaze; no one died in a collapse. Apparently, all four of our brothers were lost due to medical causes. And this is exactly what I wrote about in last month's column. For goodness sakes, just a month or so ago, we lost a firefighter who was 22 years old, to a health-related cause. 

Last week I was watching, "The View," and actor Kevin Sorbo, who used to play Hercules in a show of the same name, was appearing as a guest host. And during his segment, he mentioned that near the end of the show's sixth season, he suffered  several small strokes, due to a ruptured aneurism near his shoulder. He talked about having to relearn to coordinate his motor skills so he could walk again and speech therapy to help him re-tune his speaking ability. He considers himself one lucky guy and has even written a book about what he has been through, "True Strength: My Journey from Hercules to Mere Mortal & How Nearly Dying Saved My Life."

For at least a decade many of us connected with fire-rescue and EMS, along with many in various specialties of the medical community, have worked hard to promote stroke awareness through the re-phrasing from "stroke," to "brain attack." And the reason is simple. Almost everyone older than 13 knows a little about the symptoms of a "heart attack." However, ask them, "What is a stroke?" and many will be lost. However, most of the time, a stroke is exactly the same medical occurrence as a heart attack, except that it happens in the brain, to wit, a blockage of blood flow to the organ. 

Now in Sorbo's case, his stroke was caused by an rupture in an artery near his shoulder. When the artery ruptures, it allows blood to escape its normal path. When that happens, the blood cells don't have the "flow" behind them to push them along. The cells start to "crowd up" and eventually, like the proverbial snowball rolling down the hill, a mass of these loose cells get sucked up back into the blood vessel. The problem is that the vessel is built to handle a certain size cell, the like lanes on a highway. When this "clump" of cells re-enter the vessel, the clump is too big for the vessel and stops it up, like your bathroom seek. That stoppage, interferes with the blood flow the brain needs and BANGO! you have a "brain attack!"

While aneurisms can occur on their own due to a weakness in the blood vessel's walls, they are often the by-product of HTN or "hypertension," which we know is a curable and preventable medical condition. You can't walk into most supermarkets or pharmacies and not see one of the blood pressure machines. While they are not always the most accurate readings, they can provide you with a range that you may want to advise your doctor of. Additionally, brain-attacks are often a sign of CAD (Coronary Artery Disease). But all too often, people often relate CAD to heart disease, not brain disease. 

Worst of all, too many of us, male and female alike, still suffer from this "macho" image that we are invincible and that the only danger to us is on the fireground. Do you still fight a fully-involved car fire without wearing SCBA (Self-Contained Breathing Apparatus)? Or a dark, smoke-charged 2nd story window  of an apartment building? Why are you willing to take care of yourself on the fireground, but fail to care enough about your health to do so off the fireground?

If you have a family, do you make sure your kids get their shots? Take their vitamins? Do you call the doctor if their running a fever and complaining about ear pain? If so, why? Because you want the best for your children, the best for your family. Are you not a member of that same family? Are you not one of its very leaders? Then don't you owe yourself the very same diligence for your own health that you demand for your significant other and children!

It's time for us to put on our "big-boy" pants and schedule a visit with your family doctor or the department surgeon. Find out what your blood pressure is; learn what your total cholesterol is and if you need to change your food and alcohol intake, as well as salt, exercise, etc. to get it under control. If you are already on blood pressure or cholesterol meds, you owe to yourself, your family, and your colleagues, to do what you need to do to clean up your physical act and get as healthy as you can!

I never want send a Tweet about you!