Where firefighters come to talk training

我们是上游吗？社区健康，洒水器和伐木？

有一个伟大的焦点放在“upstreamist" thinking in the medical field. An "upstreamist" is one that focuses on preventing people from falling into the river of medical system over-use. They don't focus on only treating their patient's condition, they look at what caused it and what they can do to help remedy the situation so the patient can live a happier and healthier life. This in return lessens the burden placed on the medical system and allows attention to be focused on truly critical patients.

我们做了什么来拥抱火灾和EMS服务中的“上游”态度？有很多机构采用社区护理人员或扩展方案的实践。这是上游EMS的好开端。但是，一旦我们以更经济和感性的方式完成了患者的需求，我们就需要研究导致该患者首先打电话给我们的原因。你们中有多少人与当地社区健康团队建立了合作伙伴关系，并正在参加社区健康伙伴的会议。您可能会说：“我们不是社区卫生系统的一部分，我们接听911电话。”部分是事实，我们确实接听911通话。但是，我们与县卫生部门，精神卫生服务和卫生诊所一样是社区卫生系统的一部分。实际上，我认为，我们比这些机构更具参与度，因为我们被要求在最黑暗的时刻以及他们不知道该怎么做的情况下看到他们的所有客户。

我们的防火努力如何。那些自然界不是“上游”的人？是的，他们是。但是，您多久教一次停止，掉落和滚动？这个概念不是预防火灾模型，实际上是在教人们不小心地戴上衣服时该怎么办！我们不应该将更多的时间集中在如何真正防止火灾上吗？不要参加比赛，火灾背后的科学以及蜡烛安全是教授防火的例子。

Another area of prevention is being involved in the national movements that are occurring on capital hill and across the country. How familiar are you with the fire sprinkler push? Do you know who supports it in your community and who opposes it? Have you taken the opportunity to talk to your City Councils and executive boards about the need for fire sprinklers in all buildings? How familiar are you with the national organizations supporting sprinklers, like the National Fire Sprinkler Association?

How familiar are you with the push to allow the timber industry to get back into the woods and thin forests to reduce the spread of dangerous wildfires? What about prevention and preparedness programs that focus on Wildland-Urban Interface Zones? Do you know your Congressman and Senator's opinions on that program? These real issues facing the nation as a whole and we as a fire service need to be the ones the Senators and Congressmen go to to get information.

寻找社区和全国各地的机会，以参与“上游”运动。在这里，我们应该集中精力，以使社区充分利用他们的紧急服务。最终目标是帮助我们的社区成为一个安全，快乐和健康的生活，工作和娱乐场所。

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Comment byDevon Wells2015年1月6日下午2:57: 很棒的见识。再次感谢！

Comment by鲍比·霍尔顿2015年1月6日下午2:36: Devon,

Thank you very much for your kind words but I consider myself more of a fire service promoter then leader some people would call me a cheerleader which is a title I proudly accept and I'm honored to carry. But having been retired as long as I've been although I am still a volunteer in a nonactive training only status I'm always reluctant to consider myself a leader.

就您的评论而言，我认为您实际在做的是帮助人们控制变化，而不是掩盖变化。我认为，当您在问题点上游并插入选项和机会时，您允许实际的从业者指导变更，这是所有人的最佳变化。您正在做真正的消防员会赋予其他消防员和公民的能力，以创造我们想要生活的环境。

You're not mandating and you're not critiquing that's best left to those who really don't matter. What we do in the fire service creates an intellectual and moral dilemma for those people who don't have a lot of real-world experience /connection and by real-world I mean real fireground experience "up through the ranks"combined with a lifetime of study and introspection a self-awareness about the character of the firefighter.

That intellectual and moral dilemma we see being played out in inane comments and misguided initiatives. Almost a preoccupation with things that are inconsequential and a complete disconnect to the things that matter. There generally folks who don't understand that character and competence creates a philosophy of life that exceeds anything that they could ever vaguely understand. There generally opportunists, who are shallow disloyal and distrustful.

他们会被您的上游哲学完全困惑，但我认为所有认真的消防员都将在讨论中开始更多地使用上游。再次喜欢您写的每个单词，以至于聪明地写着

Comment byDevon Wells2015年1月6日下午2:28: 谢谢鲍比！这一直是我的渴望，希望尽可能地在上游。它具有改变事物的能力，甚至没有人看到变化的发生。不过很难实施。我正在尝试使2015年重点放在做我觉得正确的事情上，并说我觉得需要说的话。感谢您的客气话。很高兴听到像您这样的消防领袖！

Comment by鲍比·霍尔顿2015年1月6日下午2:13: Devon,

感谢您为我曾经读过的“点博客”写得最聪明的博客之一。我喜欢它的每个单词。我会添加我们正在做的教育人士，以便我们创造一种对洒水装置的渴望的天赋，而不仅仅是他们使用它们的任务。绝对喜欢这件作品，谢谢谢谢。谢谢。你的朋友鲍比

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