Firefighter Health

Harness the Power of Anger

by Howard Cohen

Learning how to harness the power of anger in healthy ways is similar to fighting fires. Fire and anger are useful when safely and carefully managed, but extremely dangerous if they get out of control. In firefighting, the goal is to control the fire and manage the environment. In many ways, these are the same goals when dealing with anger. However, anger is about managing ourselves in situations or relationships where we are not getting what we want or need. We can express our anger in unhealthy and destructive ways or healthy and constructive ways that help us get what we want or need. Firefighters learn effective ways to control and manage the fireground. Unfortunately, anger management is not a standard part of firefighting training. This article presents a behavioral model for harnessing anger for healthy, constructive purposes.

Let me emphatically state that anger by itself is not a problem. Anger is a great motivating force for change when used constructively. For example, years ago, my neighbors and I were angry about drivers speeding on our street.  So we channeled our anger into a petition for town officials to put in a stop sign on the street to slow down the traffic. The US civil rights movement in the '60s is another example of constructively using anger. Unhealthy anger is often very destructive. A car crash as a result of road rage is an example of destructive anger. It is important to remember that anger is okay when expressed in healthy ways.

A fire occurs when an event causes an ignition. If the conditions are right, ignition leads to the fire spreading, which is called the incipient stage of the fire. The incipient stage is when a situation goes from "there is no problem to something is starting to happen." It is the same with anger. We transition from what I metaphorically describe as shifting from the "Green Light: Everything is Cool" stage to the "Yellow Light: Getting Angry" stage. The psychosocial characteristics of the "Green Light: Everything is Cool" stage include feeling in control of our lives, having fun, feeling confident, good, happy, and relaxed. The psychosocial characteristics of the "Yellow Light: Getting Angry" stage include a growing sense of losing control, power, authority, or freedom, a mix of unpleasant feelings, e.g., sadness, fear, rejection, and so forth, and an absence of fun. Just as there are many different causes of fire ignition, many elements cause a person to become angry.

An important difference between the incipient stages of a fire and anger is that we generally can't know the ignition source until after a thorough fire investigation; with anger, we can and need to know the ignition source before the anger becomes "fully developed."  There are many cues when a person has entered the "Yellow Light: Getting Angry" stage, metaphorically similar to the early phase of the growth stage in a fire.  Everyone has their cues that they are becoming angry.  In addition to experiencing unpleasant feelings, some people develop a quickened pulse, shallower breathing, stomach or headaches, reddening of the face, and nervous twitches.  Other signs of becoming angry include being sarcastic, sullen, quiet, restless, loud, tearful, and so on.  Sometimes, we aren't self-aware of any of these, but the people around us are. It can be beneficial to ask a trusted friend what signs they see that indicate we are in the "Yellow Light: Getting Angry" stage.

In the life cycle of a fire, the growth stage comes once the fire has established itself and burns self-sufficiently. As firefighters, we strive to catch fire early in this stage; unfortunately, due to the increase in plastics, glues, and hydrocarbon-based products, acceleration from the incipient stage to a fully developed fire happens nearly 8x faster than it used to. When managing anger, we also want to identify and address what propels us into the "Yellow Light: Getting Angry" stage as early as possible. How effectively and quickly we respond to the warning signs in this stage is critical to keeping our anger from turning into "fully developed" anger. 

A fire is "fully developed" when it reaches its hottest point and engulfs all the available fuel sources. This stage is the most dangerous moment in a fire's life. The same is true with anger. If we allow our anger to go unabated in the "Yellow Light: Getting Angry" stage, it will rapidly become "fully developed" unhealthy anger. Fully developed anger in this model is called "Red Light: Blow Up/In Angry." Fully developed anger, like a fully developed fire, is dangerous. The big difference is that many safe ways to fight a fully developed fire exist. When it comes to managing our anger, many of us lack the skills needed to keep ourselves in control so that we effectively resolve our conflict. Instead, what we do is often emotionally, psychologically, or physically destructive to those around us.  All too often, our actions have negative consequences, which come back and hurt us, too. Some of the psychosocial characteristics of fully developed anger are yelling, fighting, excessive drinking, abusing drugs, self-harm, and reckless driving. I call this stage "Red Light: Blow Up/In" because if we didn't slow down and heed the caution warnings in the "Yellow Light" stage, we would race headlong into the danger zone. While many people use force to express their anger toward others during the "Blow Up/In" stage, it is important to note that others use self-destructive means to channel their anger inward. 

Eventually, the fire will enter the decay stage when it runs out of oxygen or fuel to sustain itself.  This is true too of anger.  When our anger subsides, we enter the "Repair Shop/Cool Down" stage in the anger cycle. Eventually, anger subsides, though there is still a potential for flare-ups in the "Repair Shop/Cool Down" stage, just like in the decay stage of a fire. Generally, the psychosocial characteristics experienced here are remorse, guilt, embarrassment, and sadness at the pain and suffering our anger caused. Often, there are promises that such behavior will never happen again.

Unfortunately, without increasing self-awareness while in the "Yellow Light" stage and using anger management skills, the promises made in the "Repair Shop/Cool Down" stage do not last. In fire service terms, self-awareness is personal situational awareness. Thus, the first skill to develop is to pay attention to how you are feeling, acting/behaving, and what's missing that you need or want.  Personal situational awareness means you recognize that you are feeling stressed, annoyed, judged, disappointed, frustrated, hungry, tired, thirsty, and so forth. The earlier we recognize the signs of anger growth, the sooner we can address them. Often, we don't recognize our anger signs, so it can be helpful to ask someone who knows us what they have noticed about us when you are getting angry. 

Once we notice the warning signs, we should pause and ask ourselves questions like, "What's wrong? What's the problem? What am I not getting that I need or want?" These questions help diffuse the negative feelings characteristic of the "Yellow Light: Getting Angry" stage. In addition, there are several proven tactical ways to slow down the anger growth process to avoid big blow-ups. These include talking with a friend, paying attention to self-care (adequate sleep, hydrating, food, and fun), exercising, meditating, yoga, journaling, mini vacations/time outs, and deep breathing exercises.  These are not problem-solving skills. They are helpful self-control tactics.  By utilizing self-situational awareness and one or more tactical skills for managing anger, it is possible to turn the unhealthy anger cycle into a healthy one. Once the anger growth is under control, we can enter the transformed "Red Light: Healthy Problem Solving" stage. 

It is important to remember that anger is often a secondary emotion, masking vulnerable feelings like fear or frustration. It is often helpful to identify the deeper feelings manifesting as anger.  One way to do this is by asking, "How does it feel to feel angry?" Sometimes, this is doable when we are in the Yellow Light stage or when we are in the healthy Red Light stage. This line of questioning often helps to reveal the unmet needs, wants, or concerns.

Fire and anger share a similar life cycle. Both require skills, tactics, strategies, and an understanding of the underlying dynamics. Firefighters train using their skills, tactics, and strategies in controlled environments, not during actual fires. Unfortunately, most of us wait until we are angry before we practice anger management skills. An excellent exercise is reflecting on past anger experiences in your life. What was physically happening to us as we were becoming angry? How did we react? Were our responses helpful? Reimagine how we responded; only this time, imagine using one or more of the anger management skills described above. Ask a trusted friend what they notice about us when we become angry. 

The more self-aware we are (personal situational awareness), the earlier we can identify that "ignition" occurred and that we are entering the "growth" stage of anger. With our increased self-awareness and anger management skills, we can continue onto the "Red Light: Healthy Problem Solving" stage of the anger cycle. Instead of responding in an unhealthy way, we are now harnessing the power of our anger to find a peaceful and meaningful resolution to whatever was the "ignition" or cause of the conflict.


Howard Cohen is a retired deputy chief with 20 years of experience in the fire service. He entered the fire service as a chaplain and still acts as a rabbi and leadership coach for first responders. Howard has been volunteering with Africa Fire Mission since 2020.

Advocacy and Action After Disaster

by Mike Kull

If you've been in the Fire Service for long enough, your Fire Brigade has experienced an incident that overwhelmed your capabilities. It's happened to all of us. Despite our best efforts, we couldn’t perform at the level we wanted, or the level we were expected to perform at. It may have been a technical rescue that you didn't have the proper equipment to make the rescue, or it may have been a large fire that you couldn’t stop because you didn’t have enough fire engines, enough manpower, or enough water. The result after the incident may be the loss of life or a large value of property damage. So, what do we do now?

Fire Brigades everywhere are facing challenges with funding, equipment and manpower. Some places are much better off than others but there are very few places in the world where firefighters will tell you they have everything they need. A Fire Brigade must be prepared for every possible disaster or emergency that you could ever imagine. Accidents, vehicle crashes, fires, electrical emergencies, agricultural emergencies, industrial accidents, weather related emergencies, victims trapped or lost, water rescue -- the list goes on and on. It is almost impossible to have specialized equipment and training for absolutely every type of incident you may be called to. Again, we must ask ourselves, what do we do now?

One of the first things that we need to do is to take care of ourselves. The job of a firefighter is stressful and can be very detrimental to our mental health. We need to look after each other, we need to talk to someone if we are feeling depressed and we need to support each other in both our professional and personal lives. Make sure everyone is alright and staying healthy, both physically and mentally. Once we are sure everyone is alright, we need to make ourselves better.

Learning is a lifelong process. There will always be new skills and new knowledge to learn. Technology is always changing, and the world is always changing so there will always be something new that will help us to be better firefighters. There is a vast number of resources available to firefighters that have access to the internet. Simple internet searches will turn up large volumes of information on every topic imaginable. Read and learn as much as you can about the types of threats you will face. After an incident where you’ve faced something new or something you’ve never seen before, you need to research it. Learn as much as you can about it so that you are better prepared to handle it in the future. This makes for some great Company Level Drills during which you can share this knowledge with everyone in your Fire Brigade.

Finally, what can fire service leaders do after an incident that overwhelms your Fire Brigade. The first step is to ensure that you utilized all the resources that you had available. Ensure that you have mutual aid agreements with other resources in your area that may have equipment or resources that you may need. This could include other Fire Brigades, police agencies, military units or civilian resources with access to heavy machinery, water bowsers or other resources. Arrangements should be made to outline how to activate or call upon these resources and other details such as how billing or payments will be managed if necessary.

Once you have ensured that all local resources available have been accounted for, advocacy must begin. Many times, these types of incidents will be reported in the media and on social media. The Fire Brigade may be blamed for the outcome of the incident even if they have done everything to the best of their ability. It is critical to accurately document every shortcoming experienced. Did you have enough manpower? How many more were needed? Did you have enough of the proper equipment? What equipment do you need to change the outcome? Did you have enough resources such as water? What would have helped with a lack of water?  Everything must be documented, and that list of needs must be provided to the local authority having jurisdiction over the Fire Brigade. To supply you with the equipment you need, the local government must know exactly what your needs are, as well as having justification for the expense. Try to find reports or news stories about other similar events that had a better outcome due to the Fire Brigade having the resources it needs. Use these as an example of how your incident could have had a better outcome with the appropriate resources. Advocate for whatever your needs may be, whether it is more manpower, more fire engines, more fire hose, breathing apparatus, rescue tools or an adequate water supply. Make your list and prioritize it, starting with the needs that will have the biggest impact. Provide information about locally available resources that can be quickly acquired.  Give them as much information as possible so that they can make informed decisions and stress the need for a plan to reach full operational readiness.

Fire Brigades may face incidents that overwhelm their resources, leading to significant loss of life or property due to insufficient funding, equipment, or personnel. To mitigate these issues, it is essential for firefighters to prioritize their mental and physical health, pursue continuous training, and document deficiencies encountered during emergencies. Fire service leaders are encouraged to optimize local resource use and advocate for improvements by clearly communicating their needs to local authorities. By highlighting documented gaps and comparing them with better-resourced responses, they can underscore the necessity for adequate support to improve operational readiness for future incidents.


Mike Kull is a retired Fire Chief from Central Pennsylvania. Mike has over 25 years of experience in the fire service and teaches firefighting in both the US and Africa. Mike now serves as Programs Director for Africa Fire Mission and as a firefighter at his local volunteer fire company.

Water Rescue Safety Information

by Tyler Prater

Water rescue operations are a very dangerous, highly technical operation. With water covering over 70 percent of our world, as first responders we are bound to respond to a water emergency. One of the biggest hazards is flash flood and swiftwater emergencies. Swiftwater is described as water moving more than 1 nautical mile per hour (Knot). NFPA 1006 standards breaks swiftwater rescue into 3 parts.

1. Awareness, meaning that the responder is aware of the hazards but is not trained to mitigate.

2. Operations, meaning that responders can take a defensive role using throwbags or throwable flotation and have been trained in self rescue defensive swimming techniques.

3. Technician level training, meaning that the responder is equipped and properly trained to respond to in water emergencies using a “Go” rescue.

It's also important to note the water rescue order of operations. Remember the saying “Reach, Throw, Row, Go.”

Reach - To reach for the victim trapped in the water. Long Sticks, ladders, poles, or anything sturdy enough to reach into the water to get to the victim.

Throw - Throw a rope or a flotation device to your victim trapped in the water.

Row - Use a boat to row your way to the victim.

Go - The most dangerous and last resort in water rescue: to send a rescue swimmer into the water.

As in all rescue operations, PPE is an especially important factor for water rescue. Making sure anyone operating near the water knows how to swim and has proper flotation in place. If making a “Go’ rescue it is imperative that the PFD the rescuer is wearing has enough flotation for both the rescuer and the victim. When responding to emergencies in fire apparatus, remember that we are not invincible to the power of water. It only takes a few inches of water to float and move a vehicle. Turn around, don't drown. Flood water is also a known health hazard. As water floods a village or city it picks up all waste and hazardous materials and flows it across the city. If vehicles or sewage facilities are involved, fuels and biohazards could enter the water. Treat all flood water as hazardous water and make sure to thoroughly decontaminate your body and all equipment used in the water. Multiple bystanders die each year trying to rescue victims in flood water. Tying yourself to a rope that you cannot break free from is also another hazard that is commonly misunderstood. If a rope is tied around a rescuer and that rescuer gets hung up, or reaches the end of the rope the power of the current will push the rescuer under the water.

Understanding and treating water rescue events as a high hazard, low frequency event will make both the rescuer and victim safer in the long run. Public education of the hazards of flash flood and swiftwater hazards is also imperative to preventing water emergencies. Remember to follow your level of training. Rescuers must have the appropriate PPE and resources available to make an in water rescue. For more information on this topic and to learn more about training standards, reference NFPA 1006 - Professional qualifications of technical rescuers, or check out TDISDI.com / ERDI and search for swiftwater rescue.


Tyler Prater is a 8 year member of the St. Louis Fire Department and currently serves as a rescue squad member. Tyler is also a water rescue specialist and instructor for Water and Dive Rescue.

The First Five Minutes

The First Five Minutes

by Mark van der Feyst

Every day in North America, fire departments are responding to structure fires that involve residential buildings. The bulk of the workload for the fire department will be the residential home as statistics show that every 86 seconds a fire department is responding to a residential fire. Once a fire department arrives on scene, they need to act quickly as the number one priority on the fire scene is life safety. This involves the occupants inside the residential building as well as the responding personnel. In 2014, there were 2,860 civilian fire deaths attributed to a structure fire.

The time a fire department’s first arriving officer and crew have to affectively size up situation and decide on what action to take in order to address the life safety priority is less than 2 minutes. Within that timeframe, many factors need to be considered, evaluated, processed and then decided upon based upon priorities. The first five minutes are crucial to any fire ground operation and sets the tone for the remainder of the call – it will either set the tone for a successful outcome or it will set the tone for a not so favourable outcome.

Studies have shown that fire grows at a rate that doubles in size every minute. Modern fuel loads and heat release rates add to the fire’s intensity. Every minute that we are indecisive on scene is another minute of rapid-fire growth. By using information gathered during pre-planning and from Dispatch updates, coupled with situational awareness and a strong size-up, the Incident Commander should be able to formulate tactical decisions that have positive influence on truck placement and task assignments taking into consideration manpower issues that face many smaller departments.

The First Five Minutes starts with how to correctly size-up an incident scene, and then how to get the information clearly and concisely to incoming units and Dispatch. As we all know, size up begins when the call comes in and ends when all are back at the station. How can we prepare ourselves ahead of time so that our size up will be streamlined and efficient when arriving? We can do this by sizing up our response districts during our down time or when we are driving around in our response areas. By observing the present clues that are in front of us on a daily basis, we can build a data bank within our minds of what we know exists within our boundaries.

One such area is knowing your response district and the types of residential buildings that comprise it. Knowing the common construction types, the common layouts, the average age of the homes and so on will help with creating different rescue profiles. By having these different profiles, the firefighter and company officer can gauge ahead of time what exactly they are dealing with and when the call comes in, they will have a better understanding of where they are going to and what they are getting into.

Another factor that can be added into the equation of knowing the area is with the demographics. Knowing who in terms of average age, in terms of type of population such as seniors or retirement type of people or maybe students will help with creating a rescue profile. This can be accomplished by searching for this information from local government or from just observing the response district.

Other aspects of the size up is with knowing common locations of where fire victims are found within the residential structure. They are usually found in exit areas such as windows, doors, top of stairs, bottom of stairs, middle of stairs, and in the hallways, at the fire location or in their beds depending upon the time of day. Knowing these common locations helps with the effective rescue and where to begin the search or which tactic to use.

The fire apparatus is another area that can be addressed for the first five minutes. One focal point is with the equipment options available to the membership. This involves setting up the apparatus for quick and easy access of required hand tools for any rescue operation. This involves utilizing compartment space effectively and placing certain tools on the right side of the apparatus.

Along with this is the aspect of combat ready tools. This is where the fire department can have certain tool combinations pre-made or pre-arranged and then placed in a spot on the apparatus that will be sensible and quickly grabbed. Such examples may be the hailgan and the axe, the haligan and the roof hook, the haligan and the maul, or the hailgan and the water can. There are many different tool variations that can be pre-arranged ahead of time.

Having pre-arranged seating assignments is also a good idea to quicken the rescue operation. This is where no matter who sits in what certain seat in the back or the front of the apparatus, they have a specified job function that is standard. This cuts down the time and decision making ability on who will do what – instead allowing firefighters to react based upon their assigned function.

One last area that can be looked at is our tactical options. There are many tactical options that are available for any one fire department to use – it is just a matter of using the right one for the right situation and being efficient with it. Tactics starts with training and becoming familiar with how they are beneficial, the reasons why they are different from each other and how they can be incorporated into the department’s operational capabilities.

Tactical options include things such as VES or VEIS, PPA, tactical ventilation, transitional attack, offensive attack, defensive attack, fast attack, blitz attacks, all hands rescue and so on. Tactics are a great tool for the firefighter and enable them to be effective on the fire ground – but only work when they are trained on time and time again. The place to use a tactic for the first time is not on the fire ground, it is to be used for the first time on the training ground.

By focusing upon these areas and others such as communications, the culture of the department, rescue plans and SOG’s and SOP’s, the fire department can be effective within the first five minutes.

Mark van der Feyst has been in the fire service since 1999 working in both Canada and the USA. Currently he works for the Fort Gratiot Fire Department in Michigan after taking early retirement from his career department at the end of 2020. He is an international instructor teaching in Canada, USA, India and many large and regional conferences such as FDIC, Firehouse World & Expo. He holds an MS in Safety, Security & Emergency Management from Eastern Kentucky University and has been providing virtual training sessions for Africa Fire Mission for two years.

Importance of Active and Passive Recovery for Firefighters

Importance of Active & Passive Recovery for Firefighters

by Nick Higgins

Firefighters are athletes. Taking care of ourselves means not just getting evaluated by our primary care or department physician but truly embracing a healthy lifestyle. Being able understand your body and prepare your body is equally, if not more, important to ensure our personal protective equipment is in check, self-contained breathing apparatus bottles are topped off, and the apparatus is in working order. The rigors and demands of the job place a toll on our physical and mental well-being, and it is vital we prepare our body and mind for the work potentially ahead of us, not just for one shift or call but for an entire career.

Active Recovery

Active recovery is beneficial to the body and may help us recover faster after difficult workouts or strenuous activity. I recommend that this type of recovery be on shift day or the day before or after to allow the body to recuperate from any physical activity performed on off days and to provide your body with some type of active, low-intensity recovery during shift so your body does not go into complete relaxation mode while on call. Limit active recovery exertion to no more than 75% of your typical workout level. The 75% level is just enough to keep the muscles warm and not enough to induce muscle fatigue.

Before we outline a few methods to perform active recovery, here are some of the benefits it provides.

  • Reduction of lactic acid buildup in muscles.

  • Elimination of toxins.

  • Helps keep muscles flexible.

  • Reduction of soreness.

  • Increase in blood flow.

  • Helps keep an exercise routine.

  • Release of endorphins usually associated with regular exercise.

Here are a few methods of active recovery that are simple, yet highly effective:

  • Walking

  • Swimming

  • Cycling

  • Stretching

Passive Recovery

Passive recovery is a type of recovery that entails resting for considerable periods of time after strenuous activity. Unlike active recovery, with this type of recovery, your body is allowed total undisturbed rest to repair muscle damage and recuperate.

Proper passive recuperation is necessary for firefighters who are sick, are injured, or need physical and mental relaxation. For firefighters, rest is highly important and needed to perform at an optimal level. Rest has physiological and psychological benefits.

A healthy and optimal life is all about finding the right balance. From a 24-hour shift to 48 hours off in most cases, it is critical to take a day in between every now and then to relax and balance out the body.

By allowing the body to rest and avoid weariness of the muscles, it is allowing the body’s glycogen stores to refill, therefore attributing to the enhancement in muscle recovery. While exercise depletes your body’s energy stores or muscle glycogen, leading to muscular tissue breakdown, adequate rest helps your body correct this problem by restoring muscle glycogen, balancing blood flow, and rebuilding damaged tissue.

Here are a few methods of passive recovery that are simple, yet highly effective:

  • Sleep

  • Rest

  • Hydration

  • Massage Therapy

How to Use Recovery in Your Regimen

Adding active recovery into your training sessions can be done in two methods, and both are greatly beneficial to your recovery. The first is to add it into your current training session as soon as it has been completed, as a cool-down approach. This is where you will allow your body to ease itself out of your workout, allowing your heart rate and breathing to return to their normal states and reducing the amount of lactate in your blood. The lactate in your blood is an organic acid made by tissue and red blood cells in your muscles, which is what causes the muscle burn felt during exercise. This is the same approach as if you were driving your car and approaching a red light. Instead of slamming on the brakes to make the stop, you gently ease on the brakes for a gradual stop at the light. This same method applies to cooling down after a workout with respect to your heart rate and breathing, by going for a light walk or jog or adding in some dynamic and static stretches and yoga poses. The other option for active recovery is to incorporate this as a full active recovery day and implement the methods listed above as active recovery for the day, through swimming, walking, or yoga to name a few.

Both forms of recovery are crucial within your training cycle regimen to allow your body to find its balance repeatedly as you progress in your training. I highly recommend incorporating cool-down recovery, especially after high-intensity workouts and after fireground training sessions, for optimal recovery of the heart and body with at least one recovery day (active and passive) each week for maximum recovery and performance. In the end, listen to your body and what it is telling you. After all, it is the only place we truly have to live.

Nicholas J. Higgins is a firefighter and district training officer for Piscataway Fire District #2 in Piscataway, New Jersey. He is a New Jersey State Level 2 Fire Instructor, a National Fallen Firefighters Foundation state advocate, and a member of the Board of Directors for the 5-Alarm Task Force—a 501 (c) (3), non-profit organization. Nick is also the founder and a contributor of The Firehouse Tribune website and has spoken at various fire departments and fire conferences nationwide. He is the author of both “The 5-Tool Firefighter,” a book that helps firefighters perform at their highest level and the companion book, “The 5-Tool Firefighter Tactical Workbook” along with being the host of “The 5-Tool Firefighter Podcast”.





Spirituality in the Fire Service

By: Rabbi Howard A Cohen (Deputy Chief, ret.) AFM Virtual Training Coordinator

I am a rabbi. For those not familiar with term, a rabbi is a person trained in Jewish law, ritual, tradition and the chief religious official of a synagogue. I’ve served congregations in Alaska, Massachusetts, Vermont, and I was a prison chaplain for five years. I was also an active firefighter for twenty years. I entered the fire service world as a department chaplain, and I retired as a deputy chief. For my well-being and spiritual health I am now an instructor for Africa Fire Mission. I share this about me so you understand that I’ve been exploring matters of spiritual health in diverse settings, especially the fire service world, for a long time. This does not make me an authority, by any means. It does, however, afford me a certain perspective on the topic of spirituality and the fire service.

Spirituality is one of those words that everyone thinks they know the meaning of but have a hard time defining. This is not surprising since how we understand spirituality is highly subjective. So for the purpose of this article, I am defining spirituality as a sense of meaningful connection to something beyond or bigger than ourselves.

For many of us in the fire service what we do is not merely a job, it is a vocation. We do what we do, and we face the challenges that we face, because it is a calling. We are called to help others and we are self-sacrificing as we do this. We train to save lives under extreme conditions. Every time we respond to an emergency we are answering a “higher” calling. 

 

We may not think of what we are doing as spiritual work, but in the eyes of those we help during the worst hours of their lives, our work must be spiritual because to them we are practically divine agents. Moreover, though we tend not to use words like spirituality, higher calling and holy when we are thinking and talking about our work, in my humble opinion, the fire service is nothing less than holy work.  

I’ve also observed that beyond the “holy” nature of our life saving work, there is something spiritual in the way we bond/connect with our colleagues. We trust our lives to one another.  The lives of those who we are called upon to aid depend on our ability to work together. And at the end of a day of soul wrenching experiences, we cry, hug, and support one another.  We do this because we have a spiritual connection to one another.

 

In the fire service there is a lot of talk these days about emotional wellbeing. What’s the difference between emotional wellbeing and spiritual health? I suggest that emotional wellbeing is about cultivating a frame of mind, which can broaden your outlook and help you to connect to something larger or beyond yourself. Emotional wellbeing involves accepting and exploring who you are, enhancing your inner resources to reduce stress and maintain a positive outlook on life, and awareness and acceptance of the way that you feel. On the other hand, spirituality and spiritual health are about actively seeking meaningful connections with something larger or beyond yourself which can result in positive emotions and personal growth. At the risk of oversimplification, another way to explain the difference is that spirituality starts with looking outward, while emotional wellbeing starts with looking inward.  Nevertheless, they are deeply integrated and, in fact, reinforce one another.

Unfortunately, the daily challenges of being in the fire service take their toll on us. Newness and adrenaline only carries us so far. Eventually after so many encounters with fires, car crashes, accidents, damaged bodies, and death what began as a calling starts to give way to the feeling that it is just a grunt of a job. What is happening is that the demand of the profession is slowly chipping away at our spiritual health.  The nature of being a firefighter not only brings us into direct contact with much trauma and tragedy, but the need to act, not feel, requires that we put our feelings aside.  

Over time, as we become habituated to not processing our emotions, our emotional wellbeing and spiritual health begin to suffer. Left unchecked, this leads to “burn out” and/or secondary traumatic stress that will impact our health and relationships. Our work will start to feel meaningless.  The connections to our colleagues will start to fray.  We are literally becoming dispirited.

 

As dire as this sounds, there is good news.  There are numerous ways to regain and sustain spiritual health.  Here are several practices you can incorporate into your daily life to strengthen both your spiritual well being and emotional health.  While I can’t say any one of these is necessarily better than the other, I’ve listed them in order of my personal preference.  

 

1) Develop a strong sense of gratitude:  This can be as simple as making a point of expressing gratitude every day to the many people with whom you come into contact. Take a little time every day to reflect on all of the work others do for you. Express gratitude for them to yourself. Let them know how grateful you are as well.  

 

2) Embrace rituals:  The life of a firefighter is filled with important daily safety tasks that need to be done.  Embrace these tasks as sacred rituals. As you go through your checklist, visualize how this connects you to your colleagues and what might happen to them if you didn’t do this task right.

 

3) Foster empathy for others. Develop empathy by paying close attention to the people who surround you.  Expand the empathy you feel for those you know to encompass those you haven't met.

 

4)  Invest in your Relationships: Invest time and energy into the people who love you and whom you love.  

5)  Meditate and/or Pray:  Work on your spiritual health by questioning, affirming, and revising your beliefs. Drill down on troubling thoughts, don't hide them from yourself. Share them with someone you trust, and discuss your concerns together.

 Throughout this article I’ve used terminology that is evocative of organized religion.  While spirituality may incorporate elements of religion, they are not the same thing, nor are they entirely distinct from one another.  Religion is about following a prescribed set of rules, traditions, or beliefs.  Spirituality is entirely subjective and can be defined in just about any way you want. Some people choose to express their spirituality by keeping the aspects of traditional religion that they enjoy, like the practice of prayer or a belief in God.  This is fine.  Ultimately, there is no right or wrong way to seek out spiritual meaning. It will be different for each individual.

About the Author

Howard retired from the Bennington Fire Dept as a deputy chief.  He spends a lot of time writing and teaching various aspects of firefighting.  He religiously works out every morning, doing a mix of high intensity interval training (HiiT), dumbbells, kettlebells, barbells and cycling. When he is not doing something for the fire service or working out he is the rabbi of two small congregations.

 

Cancer in the Fire Service

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By: Brad Banz-

Retired Fire Chief, Colwich Fire Dept., Retired Captain Wichita Fire Dept.

Unfortunately, as firefighters we are learning that a serious challenge we all face is cancer in the fire service.  As time and research progress, we are starting to learn how serious that threat really is to our health and wellbeing as firefighters.

A comprehensive study was conducted by the U.S. National Institute for Occupational Safety and Health, also known as NIOSH.  This study was conducted on nearly 30,000 firefighters who were employed by the Chicago, San Francisco and Philadelphia fire departments over a period from 1950-2009.  These fire departments are some of the largest in the U.S.  The study compared cancer rates of their firefighters in specific age groups and by race to the same age groups and race to comparable civilian populations in the same regions.  The study concluded that the firefighters had greater rates of digestive, oral, respiratory, and urinary cancers than their civilian counterparts.  According to the International Association of Firefighters, the labor union which represents many career firefighters in the U.S. and Canada, 66 percent of all firefighter line of duty deaths between 2002 and 2019 in the U.S. and Canada were cancer related.

This evidence shows that cancer is a concern among firefighters.  Over our careers we are repeatedly exposed to many known cancer-causing agents and unknowns which evolve in the combustion process.  Since we can’t avoid being around these contaminants, I would like to discuss ways of lessening exposure, and perhaps decreasing our cancer risk. 

The first thing we can do is to keep ourselves clean.  The chemicals in the grime that ends up on our skin are the chemicals that can cause cancer.  The sooner we wash, the better.  While on the scene, rinse hands and face upon completing work.  Some firefighters have wipes.  If so, use them.  Upon returning to quarters and having all equipment readied for service, shower or wash as soon as possible.  Concentrate on face, throat, armpits and groin area especially.

Another thing we can do is keep our PPE clean.  Brush off loose debris at the scene and rinse away excessive grime on the scene.  Thoroughly rinse PPE at the firehouse to remove as much debris as possible.  Although many fire brigades may not have gear washing machines, for brigades which are fortunate enough to have a gear washer, launder gear according to manufacturer’s recommendations.  Whether laundered or rinsed, gear should never be dried in the sun.  Something that is often overlooked is our helmets, and admittedly, mine is dirty.  Helmets should be cleaned with soap and water only, as other cleaners could harm the shell.

Let’s talk about some rules for storage and transport of PPE.  Many firefighters like to keep PPE in sleeping quarters to have quick access during nighttime hours.  This is an unsafe practice.  When not responding to emergency calls, PPE should be stored in outside apparatus compartments while travelling.  Passenger compartments should also be cleaned after responding to a fire to remove all products of combustion. 

Cancer is an unfortunate reality of our careers in the fire service.  Because of the substances we are repeatedly exposed to, we need to do whatever we can to lessen the risk.  Hopefully these ideas for personal and PPE cleaning, and safe storage and transport of PPE will be valuable.  Stay safe out there.   

Personal Protective Equipment

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“Helmets, Turnout Coat, Pants, Gloves and Self-Contained Breathing Apparatus”

- Robert Rielage, Retired Chief Fire Officer

The use of personal protective equipment (PPE) such as helmets, coats, pants, gloves, boots and self-contained breathing apparatus (SCBA) may not be available to your department or especially not to every firefighter of your department.  It is one of our priority goals at Africa Fire Mission to ensure that every firefighter is as safe as possible on the job and that each firefighter is utilizing all of the PPE available, whether fighting a fire, working at an automobile accident, or rescuing a person in an industrial accident.

Your PPE such as your pants, coat and gloves are designed out of very tough material to keep you safe from several things such as from being cut by broken glass, wood or metal.  They are also designed to protect you from the heat of the fire so you can get closer to where those who may need to be rescued are located.  Your helmet and eye shields are to protect both your head and eyes from falling or flying objects, much the same as your hands and feet are protected by your gloves and boots.

All of your PPE is designed to be worn on every call. Every piece is needed to be worn every time to  protect you.  It also provides better protection should your fire truck be involved in a traffic accident. 

There are also hidden dangers that you may not realize.  The smoke and hot gases released by a fire also contain contaminates – hazardous or poisonous chemicals like cyanide or carcinogenic particles released by the foam in burning furniture can cause you over time to develop cancer – one of the leading causes of death among firefighters.  Unfortunately, while PPE can help protect you, these chemicals produced by the smoke and fire can also cling to your PPE causing an indirect exposure that can also make you sick.

What can you do?  The best thing is to briefly wash down your PPE with water at the fire scene.  This is called “gross decontamination” and it washes off the majority of the bad chemicals, soot and smoke from your PPE.  Washing your PPE afterwards with a brush, soap and water is even better at keeping it clean. 

If your department has self-contained breathing apparatus (SCBA) you should wear it anytime there is fire and smoke present – even on an automobile fire.  This protects your lungs from these same deadly chemicals.  After using your SCBA, the face piece needs to be cleaned, again with soap and water, and the bottle and harness at minimum needs to be hosed off to keep it clean.

If you do not have SCBA, then always try to approach a fire with the wind at your back to blow the smoke and hot gases away from you.  Remember, your health and safety as firefighters are very important. You protect the citizens of your district from harm.  Wearing your full PPE is one of the most important things you can do to not only protect yourself, but also everyone in your community.