Nearly half of on-duty firefighter deaths are due to overexertion. This includes deaths from heart attacks as well as heat stress. Rehabilitation should be part of any department's health and safety program, as a proper incident rehab program can help reduce adverse events to the health of the...
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NFPA Technical Committee on Fire Service Safety and Health. (2008). NFPA 1584, Recommended practice on the rehabilitation of members operating at incident scene operations and training exercises.
United States Fire Administration. (2008). Emergency incident rehabilitation.
DR. RAYMOND BASRI, MD, FACP, is in the private practices of internal medicine and diagnostic cardiology in Middletown, NY. Dr. Basri is a Diplomate of the American Board of Internal Medicine and president of the Mid-Hudson Section. He received the 2008 Laureate Award of the American College of Physicians, of which he is a Fellow. Dr. Basri also is clinical assistant professor of medicine at New York Medical College, attending physician in the Department of Internal Medicine at Orange Regional Medical Center and on the consulting staff in cardiology at The Valley Hospital in Ridgewood, NJ. He is a member of the Excelsior Hook and Ladder Company in Middletown and a deputy fire coordinator for Orange County. Dr. Basri is the senior physician of the Disaster Medical Assistance Team (DMAT NY-4). He is a senior aviation medical examiner for the Federal Aviation Administration (FAA) and chief physician for Health & Safety Specialists in Medicine, which does onsite medical examinations for the fire service and consultant to FirePhysicals.com. ERIC BERGMAN, PA-C, is a physician assistant practicing internal medicine at Hartford Hospital in Hartford, CT. He earned a bachelor of science degree in allied health from the University of Connecticut and a master's degree from Albany Medical College. He is a member of the Killingworth, CT, Volunteer Fire Company; a past company officer and life member of the Avon, CT, Volunteer Fire Department; and a past member of the Shaker Road-Loudonville Fire Department in Colonie, NY.
• Relief from environmental conditions
• Rest and recovery
• Cooling or re-warming
• Food and fluid replacement
• Medical monitoring and treatment
• Persistent tachycardia (heart rate over 120 for greater than 10 minutes)
• Persistent hypertension (systolic blood pressure greater than 140 for greater than 10 minutes)
• Chest pain
• Shortness of breath/respiratory distress (respirations greater than 20 for more than a 10-minute period)
• Body temperature greater than 100.5 Fahrenheit
• Altered mental status
• Extreme fatigue
• Cool, clammy skin
• Extreme diaphoresis (excessive sweating)
• Minimum 20-minute rest period
• Minimum consumption of 8 ounces of water or sports drink
• Normalized vital signs
- Pulse 80 or lower
- Systolic blood pressure below 140
- Respirations 20 or lower
- Temperature 99.5 Fahrenheit or lower
• Absence of other "Red Flag Signs" as listed in Table 2