1. #1
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    Question Firefighter Hydration

    I'll apologize intitially if this topic has already been brought up. I did a "fourms" search and didn't come up with a whole lot.

    Can anyone point me to some good reccommendations and even perhaps any NFPA standards for the hydration of F/F's at incidents and trainings as well as rehab guidelines if they so exist. Any help would be greatly appreciated.

    Stay Safe!

    "In the kingdome of the blind, the one eye'd man is king"
    -Desiridus Erasimus

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    We just developed a rehab flow chart..I'll get a copy of it for ya.
    FF/NREMT-B

    FTM-PTB!!

    Brass does not equal brains.

    Courage is not the absence of fear, but rather the ability to control it.

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    I would also be interested in that flow chart. Perhaps you would be interested in posting it?

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    Another interested person here.

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    Default rehab info

    just got done revising rehab protocol for my departments, including rehab sector design, location, equipment, wind chill and heat stress indexes, as well as guidelines for cooling and re-hydration. I can send copies to anyone interested. Also am working on advanced hazardous materials life support SOGs to support my Haz Mat team (we are training paramedics as "TOX-MEDICS"). Am a vol firefighter/paramedic myself as well as family doc. Recently nationally certified as fire surgeon in Phoenix AZ and am active with our state prpearedness center Office of Homeland Security - New York State. We have a training center and I am conducting research in firefighter health & safety. Let me know if I can be of help. New to forum. Thanks.

    D J Horth, MD, MPH, AEMT-P, FAAFP, ABFM
    Deputy Chief & Fire Surgeon
    EMS Medical Director
    Utica Fire Dept (NY)

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    I would like a copy as well of this flow chart. You can email to me at ccrtf38@ptd.net .[





    QUOTE=pfd4life;575171]We just developed a rehab flow chart..I'll get a copy of it for ya.[/QUOTE]
    Lt.164
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    The Question of the day is!! "ARE WE HAVING FUN YET"

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    If you have any info that will help, I would like it for the Department I belong to and the Technical Search Search Team I belong to. Thanks for your time





    QUOTE=dan218;760722]just got done revising rehab protocol for my departments, including rehab sector design, location, equipment, wind chill and heat stress indexes, as well as guidelines for cooling and re-hydration. I can send copies to anyone interested. Also am working on advanced hazardous materials life support SOGs to support my Haz Mat team (we are training paramedics as "TOX-MEDICS"). Am a vol firefighter/paramedic myself as well as family doc. Recently nationally certified as fire surgeon in Phoenix AZ and am active with our state prpearedness center Office of Homeland Security - New York State. We have a training center and I am conducting research in firefighter health & safety. Let me know if I can be of help. New to forum. Thanks.

    D J Horth, MD, MPH, AEMT-P, FAAFP, ABFM
    Deputy Chief & Fire Surgeon
    EMS Medical Director
    Utica Fire Dept (NY)[/QUOTE]
    Lt.164
    Buckhorn Community Volunteer Fire Company Member 12
    Columbia County Rescue Task Force Training Officer
    Amateur Radio Operator : N3VMM
    FF/EMT/WEMT
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    Millville Community Fire Co. Member 38
    Bloomsburg Fire Dept Inc. Member 24


    The Question of the day is!! "ARE WE HAVING FUN YET"

    Second question of the day is! "WHERE IS THE COFFEE"

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    One thing should be made clear to everyone. If you are "re-hydrating" then you are already in a dehydrated state. Thirst is the first stage of dehydration. It is important to pre-hydrate before you get into a tough job. Have heard of some departments go as far as putting a water cooler on the apparatus floor so you can gulp down a cup of water before leaving the station. Many of us don't drink enough water during the day. I heard someone say that if you don't have a glass of water right now you probably are not getting enough water. Also from what I have read don't believe all the hype about sports drinks. Many have lots of sugar in them which can slow down the absorbtion of fluids. As far as the charts someone was talking about I too would be interested in seeing them. Because you can overdo it if your in a very thirsty state. You got to convince everyone that even if they don't feel thirsty when getting to rehab they need to drink at least one bottle of water, at least as far as I am concerned.
    Vintage Firefighter: The older I get, the braver I was.

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    Default Good point

    about pre-hydrating.
    I have my own ideas, but I love to learn...
    I would really be interested in those charts.

    drjen@fireagility.com

    Dr. Jen
    www.fireagility.com

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    Default Rehab Protocol

    Dan218: I'm interested in the rehab protocol you offered. Please send it to Jwil2321@aol.com.

    Thanks

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    Dan218- can you send me the chart and protocol info as well. bdsechrist@earthlink.net

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    pfd4life- can you email me the flow chart to bdsechrist@earthlink.net

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    Lt tim hit the nail on the head. Pre hydrate and your half way there.
    The guys at my house are always walking around with a glass of water. Drink a lot during the day, No soda, or other cafinated drinks. The cafeine is just a diuretic. You should be peeing clear.

    I'd also like to see the rehab stuff
    wfldfire@firehousemail.com

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    As the dept im on is volunteer, i never know when ill get paged. so when i get to the fire hall i start the trucks throw my gear on, then grab 2 bottles of water and drink one maybe 2 on the way to the fire. really helps alot. as for rehydrating after a fire i just keep up with the water.

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    pfd4life and dan218, could I get a hold of that material as well please?

    LtTim556 is right about most of the commercial drinks being too high in sugar. But if you're really working, then sugar is exactly what your body needs.

    If hydration is your number one concern then a drink with 2-3% carbohydrate is great for optimizing absorption. For energy, 6-8% is best.
    So I tend to recommend something like a bottle of half strength Powerade or Gatorade pre-exertion i.e. in the truck, and also during an event. Afterwards drink 500-1000ml as soon as possible of either full strength sport drink, or water and simple carbs like candy, white bread, cereal bars, energy bars. The amount you take in depends on how long and how hard you've been working. Anything over 3 hrs plus of hard activity means you should spend about as long afterwards drinking some water every 15-20 mins.

    Cheers,
    Daz
    Strength and Nutrition Coach
    performancewellbeing@gmail.com

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    Default Hydration

    Daz makes a good point about carb intake and the use of sports drinks. You want to make sure that you are ingesting some type of electrolytes and carbs in order for the body to regulate the sodium in your blood stream and provide necessary energy to your body. The water will hydrate you but will not correctly regulate the sodium in your body and wil do nothing for replacing lost energy. Knowing how to properly treat someone who is dehydrated is key. A great article on preventing dehydration can be found here: http://www.gssiweb.com/Article_Detai...?articleID=701
    although its about athletes in pertains very much to ff's.

    Question: what does your department carry on your trucks to help hydrate members on a scene?

    TL
    ACSM HFI, NASM PES
    CTVFD FF
    Wellness Coordinator

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    DR. Dan

    You see these early season football games involving NCAA and high school level athletes that go down in the the August and early September games with cramps. They're in great condition but they don't appear to be properly hydrated. I've read some articles that their trainers are now hydrating these athletes sometimes 2 days before a game. Shouldn't we as firefighters start thinking along the same lines and be hydrating at least 1 day before a tour of duty?

    Dr. Jen

    I don't know if you remember but the neck is great.. new air traction and aggressive therapy!
    Last edited by R1SAlum; 07-18-2008 at 04:17 PM.

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    Hyponatremia is probably the most serious heat illness we suffer besides heat exhaustion.

    Firefighters dilute their blood by sweating out salt and replacing it with too much water. Ever get pounding headaches at a fire and especially after? It's not always dehydration. You've taken in plenty of fluids but failed to eat foods containing sodium. A plunging concentration of sodium in the blood drives fluid into you body's cells. In the brain, the swelling results in intracranial pressure causing an increase in neurological symptoms...like pounding headaches!

    Avoiding hyponatremia is easy, you just need to embrace what is seen as a dietary no-no...cheap salty snacks. Some of those orange PB crackers or salty pretzels are great for replacing sodium in the body after a hard fire. They're easy to keep on the truck along with you water.

    Good advice from many above...just don't be afraid of sodium in your quest to rehab.


    Be Safe

    JC
    http://www.ultimatefirefighterworkout.blogspot.com

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    Yep, JC is right. it's a science! that being said take a look at the guys that have been studying it for years, the Exercise Scientist's... Check out the ACE (American Council on Exercise) website, ACSM (American College of Sports Medicine) web site, and NSCA (National Strength and Conditioning Assoc.) site. Ace has alot of info for hydration.

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    Default rehab flow chart

    Quote Originally Posted by pfd4life View Post
    We just developed a rehab flow chart..I'll get a copy of it for ya.
    I would like a copy of this for the department I belong to. You can send it to my email address at. dennis_n@buckhornfirecompany.com .
    Lt.164
    Buckhorn Community Volunteer Fire Company Member 12
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    The Question of the day is!! "ARE WE HAVING FUN YET"

    Second question of the day is! "WHERE IS THE COFFEE"

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