AMU Emergency Management Opinion Public Safety

Can We Actually Protect Our First Responders?

With the plethora of types of calls that our nation’s first responders encounter, can we actually protect them from every hazard or do we just need to tell them that this is a job that will possibly cost their life?

Let’s consider what is being asked of the first responders at this point. However, I will start that I am a huge safety proponent. In fact, I am a board liaison to one of the nation’s most prominent health and safety groups in the International Fire Service. 

Hazards of the Job

Today’s firefighters are asked to go to fires, respond to emergency medical calls, make entry into hazardous materials environments, provide at least first response to technical rescue events, be the nation’s first line of defense for terrorist attacks, and now respond to mass and active shooter events in very close proximity to the actual shooting. 

While many of these events have occurred over the years, the level of understanding of the various events and their hazards have changed. In addition, 9/11 provided the public the impression that firefighters can battle everything.

PPE

What personal protective equipment (PPE) should we put our firefighters in at the beginning of their shift considering the wide range of events and the possibility that hazard recognition may not be immediate?

Should we make their fire gear ballistic, but disposable? Should we make the gear convertible from technical rescue gear to structural to wildland gear, all while making sure its blood-borne pathogen resistant? Moreover, how do we convert it to a Level A hazmat entry suit?

While NFPA standards have done a great job at making some of this happen, we are in a real dilemma of “do you make it do more and cost more or make it disposable because we cannot get the carcinogens out of it?”

What will the Future Hold?

Currently you are seeing fire chiefs’ pushback at the rising cost of PPE and the replacement schedules of the gear.  You are seeing studies emerge that state we can clean the gear every fire and still not keep the carcinogens out.  Active shooter events are not readily obvious–think about those firefighters that were ambushed going to a house fire.

How will you participate in the future of our PPE?

Dr. Randall Hanifen serves as a shift commander at a medium-sized suburban fire department in the northern part of the Cincinnati area. Randall is the CEO/principal consultant of an emergency services consulting firm, providing analysis and solutions related to organizational structuring of fire and EMS organizations. He is the chairperson and operations manager for a county technical rescue team. From a state and national perspective, he serves as a taskforce leader for one of FEMA's urban search and rescue teams, which responds to presidential declared disasters. From an academic standpoint, Randall has a bachelor’s degree in fire administration, a master’s degree in executive fire service leadership, and a doctoral degree in business administration with a specialization in homeland security. He is the associate author of “Disaster Planning and Control” (Penwell, 2009), which provides first responders with guidance through all types of disasters.

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