> News of the day <

The job of a firefighter and connections to cancer

Mike Dubron, founder of the Firefighter Cancer Support Network, recently answered some questions concerning the job of a firefighter and connections to cancer. Dubron, himself a cancer survivor, said the experience opened his eyes to the ways in which firefighters are vulnerable to certain carcinogens in the workplace

May 2013
M T W T F S S
« Apr    
 12345
6789101112
13141516171819
20212223242526
2728293031  

Stress Management - A Firefighter’s Perspective

Stress Management - A Firefighter’s Perspective

Reprinted Thanks to:
Lisa Wimberger
Trance Personnel Consulting Group
TPCG specializes in training individuals and organizations to understand, identify and retrain stress patterns that un
Learn more at: www.tpconsultinggroup.com

I had the pleasure of gaining more insight into a firefighter’s world recently during an interview with Bryan, a Firefighter/EMT/HazMat professional from Texas. It seems painfully obvious to me that first responders, no matter what the nature of their stress, need preventative wellness programs to keep them productive and in a rewarding long-term career.

Bryan, like many firefighters, deals with survival threats on a scale most people don’t consider. Each time a call comes in he prepares as though it is a critical incident. And while it’s true that the occurrence of critical incidents is small, there is no way to predict that as he suits up. At the onset of a call comes a flood of adrenaline, which increases his reaction time. Bryan arrives on scene pumped on self-made chemicals. If the situation warrants, he responds as a superhero—saving homes, memories and lives. If the incident is benign, the adrenaline has no where to go; and he leaves the scene pumped but unable to use his skill set. In either scenario the adrenaline must return to a normal, sustainable level for him to come back to physical, emotional and mental equilibrium. This looks cut and dry, but the stress reaction is cumulative which adds a complexity to the healing process. Adrenaline levels don’t always return to normal, thus creating a need to spike higher the next time. If Bryan doesn’t reach equilibrium for any reason then his nervous system holds the stress and builds on it the next time. It might be years down the road when a seemingly small incident sets him off into a depression cycle—or worse.

For Bryan to have done a good job and get validation of his professional worth, someone has to suffer or be in harm’s way. Firefighters use gallows humor as a coping mechanism most people don’t understand. The lay person may think it callous that Bryan jokes about the uneventful call, or the disappointment he feels responding to “just a smoking toaster oven”. But many lay people don’t need others to suffer mortal threats in order to have done a good job at work that day.

Bryan’s stress is compounded by the different responsibilities he has as an EMT. Being bound by medical protocol means his options in a crisis are limited. It is his ability to follow these protocols, think quickly and creatively, and respond calmly under pressure that decides if a person lives or dies. Bryan deals with loss that sometimes has no justification or closure.

Firefighters and EMTs are heroes whose need to appear strong and in control still dominates the profession, making it difficult to openly ask for help. And while the buddy system works very well for one’s overall mental well-being, it is not a foolproof plan for wellness. Bryan maintains a dire need for preventative stress management and emotional survival training. He sees burnout first hand, and clearly identifies gaps in his own stress management methods. It’s Bryan’s description of his profession that highlights parallels to the law enforcement world. Although the nature of the stressors differ logistically, the result of unmitigated stress is the same: avoidance, repetition compulsion, depression, damaged family relationships, harmful coping habits, and sometimes suicide.

I am deeply grateful that Bryan took the time to share his experience with me, so that I may continue to expand my understanding of first responders and their unique situations. TPCG is committed to providing preventative stress management and emotional survival trainings to those individuals who sacrifice their lives to save others.

Reprinted courtesy of:
www.tpconsultinggroup.com

The Need For Rehab

Exhaustion on the fire ground is real. It must be addressed!

Exhaustion on the fire ground is real. It must be addressed!

The Need For Rehab
Sean F. Peck
FIF Development Team

We have all read the LODD’s as they come out. Our goals are to not allow history to repeat itself. You have to wonder how many deaths could be avoided or at least problems discovered before it is too late. The goal of this column is to talk about the importance of incident rehabilitation.

I know being assigned to rehab is not for the cool kids and every firefighter reading this wants to be in the fire saving the baby from the clutches of the fire like on TV, but here is an opportunity to truly help our own.

So the question begs, when do we implement rehab? According the NFPA 1584, “procedures shall be in place to ensure that rehabilitation operations commence whenever emergency operations pose the risk of members exceeding a safe level of physical or mental endurance”. Although there are no set rules as to when to establish rehab the NFPA does offer the following guideline:

• Members shall undergo rehabilitation following the use of a second 30-minute self-contained breathing apparatus (SCBA) cylinder, a single 45-minute or 60-minute SCBA cylinder, or 40 minutes of intense work without SCBA. A supervisor shall be permitted to adjust the time frames depending upon work or environmental conditions (NFPA, 2008).

Obviously weather plays a big part of rehab, so it is important that this is taken into account.

It is important to note that as your incident grows in size, it is imperative that your rehab sector is able to accommodate the influx of additional units. As the incident commander, you should locate your rehab based on 3 factors;
1. In the cold zone, uphill, up wind from hazard area
2. Reasonable distance from work area
3. Weather appropriate
Now, we will talk about what is required at rehab. Again if we reference the NFPA 1584, we learn that there are minimum abilities that need to be available;
1. Medical evaluation and treatment
2. Food and Fluid Replenishment
3. Relief from climatic conditions
4. Rest and recovery
5. Member Accountability

Of course things change depending where you are at, so be sure to be aware of your department’s policies and procedures. Over the next few columns we will address each of these abilities in detail. Please join us next time as we delve into medical evaluation and treatment.

Works Cited
NFPA. (2008). NFPA 1584: Standard on the Rehabilitation Process for Members During Emergency Operations and Training Exercises. Quincy: NFPA.
USFA. (2008). Emergency Incident Rehabilitation. FEMA.

Family: shield them or let them in?

Comment taken from FIF Discussion Forums:

“I saw that this topic had not had a post yet, so I figured I would throw one out there that is an important topic regarding the fire service and family life. Obviously, everyone in the fire service knows about the sometimes tragic and traumatic everts that we face throughout our careers. The reality is that at some point, there will be events that you will be deeply affected by. Something that upsets your normal behavior. The question is, do you keep these things buried inside in hopes to shield your spouse or other members of your family from these horrors? Or do you open up to your family for their support, even if that regards telling realities that you never want them to face? Do you believe in shielding them or letting them in?”