Does your doctor understand the unique health threats facing firefighters?
Firefightersare unique, especially when it comes to our occupational health risk. We have certainly all heard the phrase “tactical athlete” to describe the human performance and conditioning needed to safety perform the essential job functions required of firefighters. However, much work remains to educate health care providers in the unique and specific health risks that first responders face and how that equates perhaps to a different clinical and screening approach than general populations.
During a recent taping of my joint podcast of the Life Scan Learning Lab edition of the与我的共同主持人Donnie博士保持平衡，我听到了一位名叫布兰登（Brandon）的消防员的故事，讲述了他的健康风险和医疗经验。在他的年度医疗消防部门的物理上，成像发现了膀胱质量异常。这位消防员将其介绍给了他的初级保健提供者，据报道，由于他的年龄，家族史缺乏和其他危险因素，该患者的风险很低。尽管如此，消防员还是自己健康的坚定倡导者，并指出according to the 2010 NIOSH report findings, firefighters had an overall 9% higher prevalence of cancer combined with a 14% higher mortality than general population. In Brandon’s case, the primary relented and gave a referral for Brandon to be examined in consultation by urology. After a two-month wait to be seen by urology, the patient’s presentation was met with similar skepticism and the same provider education by the patient occurred as to the heightened occupational risk of cancer was had. Finally, an exploratory diagnostic test was ordered and pathology confirmed a Stage One bladder. Two takeaways from this experience: First, firefighters must be their own strong health acre advocates, and second, the fire service must educate health care providers as to the fact that first responders are a unique health risk and special population group and what that means clinically.
幸运的是，这位兄弟消防员没有癌症，重新开始工作！但是，有些观点值得讨论。首先，根据National Fire Protection Association (NFPA) recently released its fifth needs assessment, and much work remains to be done to ensure that every fire department in the United States is providing its members with an NFPA 1582-compliant medical examination annually and an NFPA 1583 fitness assessment. Additionally, some component of behavior health screening. These should be provided by health care providers that are specifically attuned to the unique occupational health risks that first responders face. This includes remaining educated on NFPA guidelines and evolving health research and actively participating in first responder health research.
For clinicians that may manage our primary care or specialists, NFPA 1582 remains a resource. Additionally, the International Association of Fire Chiefs has developed, with FEMA AFG funding, aHealth Care Providers Guide to Firefighter Physicals与您的临床提供商共享这是免费的和可下载的，以帮助提高他们对独特的第一响应者健康风险的认识。同样重要的是要认识到，美国预防卫生工作队的筛查建议并非旨在指导职业筛查独特和特殊的风险人群。
拥有准确的信息并成为您自己的健康倡导者，这是确保安全健康的消防旅程的两个大步！
Todd LeDuc, MS, CFO, FIFirE retired as the executive assistant chief of Broward County, Florida, and joined Life Scan Wellness Centers as their Chief Strategy Officer. He is a reviewer or both professional credentialing and agency accreditation with the公共安全卓越中心以及第一响应者卓越中心的顾问委员会成员。他是国际消防局长协会安全，健康与生存部门的长期董事会成员，也是NFPA急救人员职业健康标准的技术委员会成员。他还是《消防工程书》的编辑，188金宝搏是正规吗幸存消防服务. He can be contacted attodd.leduc@lifescanwellness.com.
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这168博金宝 反映作者的观点，不一定是188金宝搏是正规吗.
