Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION Date Location
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) DEHYDRATION & Firefighters Our overlooked condition
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) OBJECTIVES To define dehydration as it applies to firefighters To identify common hydration issues for firefighters To describe how hydration impacts firefighter health- including heart attack and stroke
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) To identify the signs and symptoms of dehydration To discuss what can be done to prevent and reduce dehydration conditions To identify and describe four main types of heat injuries Describe the five methods of fire ground rehabilitation. Discuss cooling methods of fire ground REHAB OBJECTIVES
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) FIREFIGHTER INJURIES IN THE U.S.
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION Is a bigger problem than we realize Has a significant impact on our cardiovascular system Heat stroke deaths are 2% of the LODD’s
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) FIREFIGHTER DEATHS
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) IS Heat Stroke LODD preventable?
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)
50% OF LODD’S ARE ATTRIBUTED TO SCD Of 440 deaths over a 10 year period, 308 (43.5%) had a known heart condition If you start with the number of deaths attributed to firefighters with a known heart condition, add in age, other health conditions and smoking, that number accounts for roughly 75% of all firefighter deaths
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) SUDDEN CARDIAC DEATH STUDY Between LODDs were due to SCD
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHAT WE NEED TO DO TO PREVENT SCD LODD (it is related to dehydration prevention) 1.Purposeful Standards 2.Policy 3.PPE/Safety Equipment 4.Training/Education 5.Changing Our Culture
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) NFPA 1584 Standard on the Rehabilitation Process for Members During Emergency Operations and Training Exercises Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WELLNESS-FITNESS INITIATIVE LABOR AND MANAGEMENT WORKING TOGETHER Medical Evaluation Fitness Rehabilitation Injury Prevention Behavioral Health Data Collection Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) PREVENTING Education Physical Fitness Nutrition Fluid Intake Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) PREVENTING Medical Screening Rehabilitation We need to care about our families Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHY WE BECOME DEHYDRATED Firefighters are at extreme risk because: We do extremely strenuous emergency activity Are exposed to extremely high temperatures Are wrapped in heavy, non-ventilated PPE Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHY WE BECOME DEHYDRATED Firefighters are at extreme risk because: We often start our shift already dehydrated We do not drink enough water We are not physically fit ITS hot out Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHY WE BECOME DEHYDRATED Firefighters are at extreme risk because: We have excessive body weight (muscle?) We do not understand the impact of dehydration on increased heart stress Purposeful Standards
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION We need to have a policy Multiple policies are available through an internet search The important point is to have an accepted policy POLICY
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION PPE/SAFETY EQUIPMENT Increases thermal impact on the body Reduces heat dissipation Must allow perspiration to be evaporated Full PPE must be worn at emergency scenes PPE
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION We need to know: Where heat comes from The impact of long term exposure to heat The effects of heat stress TRAINING EDUCATION
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION We need to know: Physiological Effects of Heat Stress Increased Risk Factors Symptoms of the Effects of Heat Stress TRAINING EDUCATION
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION We need to know: The Risk Factors ‒ Medical Issues ‒ Medications ‒ Alcohol/Caffeine TRAINING EDUCATION
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION We need to know: The Risk Factors ‒ Dehydration ‒ Fitness ‒ Heat Acclimation TRAINING EDUCATION
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HYDRATION Fluids Nutrition Fitness Medical Conditions CULTURE CHANGE
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURIES Miliaria (Prickly Heat) Cramps Heat Exhaustion Heat Stroke HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Miliaria (Prickly Heat) ‒Acute inflammation of the skin ‒Results from clogged sweat ducts ‒More annoying than anything ‒PPE or tight clothing ‒wet clothing HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Cramps Excessive sweating results in the loss of electrolytes Rubbing and stretching helps Fluid replacement Sign of a potentially more serious situation HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Heat Exhaustion Fainting Profuse sweating Headache Tingling in extremities Pale, ashen facial color Shortness of breath Vomiting HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Heat Exhaustion Treatment Move victim to a cool, shaded area Water replacement of intravenous fluid replacement Continual monitoring for deterioration of status May require medical intervention HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Heat Stroke ‒High probability of severe injury or death ‒Body cooling systems are not functioning ‒Skin is hot, flushed and dry, may later be wet and clammy ‒May be rapid onset with loss of consciousness, convulsions and delirium HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Heat Stroke ‒Rapid, strong pulse ‒Rapid, deep respirations ‒Shock symptoms are a sign of deterioration ‒Incontinence, vomiting, kidney failure, pulmonary edema and cardiac arrest may result HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEAT INJURY Treatment for Heat Stroke ‒Lower the body temperature a quickly as possible ‒Apply cold packs to carotid arteries ‒Elevate legs ‒Transport to a medical facility HEAT
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)
REHABILITATION IN THE OLD DAYS Firefighter rehab is absolutely necessary Did we really rehab
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) REHABILITATION Firefighter rehab is absolutely necessary Improvements in concept of rehab Two bottle theory Latest rehab theory
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) REHABILITATION Rest Hydration Active Cooling Medical Monitoring Refueling
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) COOLING METHODS Ambient Air Wet Towels
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) COOLING METHODS Misting Fans Cooling Chairs
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) FLUIDS Juice Caffeinated Drinks Soda Water Sports Drinks
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) ACTIVE REHABILITATION Latest Rehabilitation Theory wrap up
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) STUDIES Orange County Fire Authority, California U.S. Department of Agriculture United States Fire Administration/FEMA Indiana University Other available on-line sites
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)
Chief Owens FF Safety Video 1.avi dailydispatch.com firefighterclosecalls.com The Secret List firefighternearmiss.com firerescue1.com fireengineering.com firefighternation.com firefighterspot.com Resources
Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)