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A firefighter (or fire fighter or fireman) is a
first responder A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency. First responders typically include Law enforcement, law enforcement officers (co ...
trained in specific emergency response such as
firefighting Firefighting is a profession aimed at controlling and extinguishing fire. A person who engages in firefighting is known as a firefighter or fireman. Firefighters typically undergo a high degree of technical training. This involves structural fir ...
, primarily to control and extinguish
fire Fire is the rapid oxidation of a fuel in the exothermic chemical process of combustion, releasing heat, light, and various reaction Product (chemistry), products. Flames, the most visible portion of the fire, are produced in the combustion re ...
s and respond to emergencies such as hazardous material incidents,
medical Medicine is the science and Praxis (process), practice of caring for patients, managing the Medical diagnosis, diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, ...
incidents The Incident Command System (ICS) is a standardized approach to the command, control, and coordination of emergency response providing a common hierarchy within which responders from multiple agencies can be effective. ICS was initially develop ...
, and emergencies that require response from the public that threaten life, property and the environment, as well as to
rescue Rescue comprises responsive operations that usually involve the saving of life, removal from danger, liberation from restraint, or the urgent treatment of injury, injuries after an incident. It may be facilitated by a range of tools and equipm ...
persons from confinement or dangerous situations and preserve evidence. Firefighters may also provide ordinance regulations, safety requirements, and administrative public functions for the communities and areas they are subject to jurisdiction to. Male firefighters are sometimes referred to as firemen (and, less commonly, female firefighters as firewomen). The
fire department A fire department (North American English) or fire brigade (English in the Commonwealth of Nations, Commonwealth English), also known as a fire company, fire authority, fire district, fire and rescue, or fire service in some areas, is an organi ...
, also known in some countries as the fire brigade or fire service, is one of the three main
emergency service Emergency services and rescue services are organizations that ensure public safety, security, and health by addressing and resolving different emergencies. Some of these agencies exist solely for addressing certain types of emergencies, while oth ...
s. From
urban area An urban area is a human settlement with a high population density and an infrastructure of built environment. Urban areas originate through urbanization, and researchers categorize them as cities, towns, conurbations or suburbs. In urbani ...
s to aboard
ship A ship is a large watercraft, vessel that travels the world's oceans and other Waterway, navigable waterways, carrying cargo or passengers, or in support of specialized missions, such as defense, research and fishing. Ships are generally disti ...
s, firefighters have become ubiquitous around the world. The skills required for safe operations are regularly practiced during training evaluations throughout a firefighter's career. Initial firefighting skills are normally taught through local, regional or state-approved fire academies or training courses. Depending on the requirements of a department, additional skills and certifications may also be acquired at this time. Firefighters work closely with other emergency response agencies such as the
police The police are Law enforcement organization, a constituted body of Law enforcement officer, people empowered by a State (polity), state with the aim of Law enforcement, enforcing the law and protecting the Public order policing, public order ...
and
emergency medical service Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to ...
. A firefighter's role may overlap with both. Fire investigators or
fire marshal A fire marshal, in the United States and Canada, is often a member of a state, provincial or territorial government, but may be part of a building department or a separate department altogether. Fire marshals' duties vary but usually include ...
s investigate the cause of a fire. If the fire was caused by
arson Arson is the act of willfully and deliberately setting fire to or charring property. Although the act of arson typically involves buildings, the term can also refer to the intentional burning of other things, such as motor vehicles, watercr ...
or
negligence Negligence ( Lat. ''negligentia'') is a failure to exercise appropriate care expected to be exercised in similar circumstances. Within the scope of tort law, negligence pertains to harm caused by the violation of a duty of care through a neg ...
, their work will overlap with law enforcement. Firefighters may also provide some degree of
emergency medical service Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to ...
(EMS).


Duties


Fire suppression

A fire burns due to the presence of three elements:
fuel A fuel is any material that can be made to react with other substances so that it releases energy as thermal energy or to be used for work (physics), work. The concept was originally applied solely to those materials capable of releasing chem ...
,
oxygen Oxygen is a chemical element; it has chemical symbol, symbol O and atomic number 8. It is a member of the chalcogen group (periodic table), group in the periodic table, a highly reactivity (chemistry), reactive nonmetal (chemistry), non ...
and heat. This is often referred to as the ''
fire triangle The fire triangle or combustion triangle is a simple model for understanding the necessary ingredients for most fires. The triangle illustrates the three elements a fire needs to ignite: heat, fuel, and an oxidizing agent (usually oxygen). A fir ...
''. Sometimes it is known as the ''
fire tetrahedron The fire triangle or combustion triangle is a simple model for understanding the necessary ingredients for most fires. The triangle illustrates the three elements a fire needs to ignite: heat, fuel, and an oxidizing agent (usually oxygen). A fir ...
'' if a fourth element is added: a chemical chain reaction which can help sustain certain types of fire. The aim of firefighting is to deprive the fire of at least one of those elements. Most commonly this is done by dousing the fire with water, though some fires require other methods such as foam or dry agents. Firefighters are equipped with a wide variety of equipment for this purpose that include ladder trucks, pumper trucks, tanker trucks, fire hose, and
fire extinguisher A fire extinguisher is a handheld active fire protection device usually filled with a dry or wet chemical used to extinguish or control small fires, often in emergencies. It is not intended for use on an out-of-control fire, such as one which ha ...
s.


Structural firefighting

:''See also
Fire suppression Fire suppression may refer to: * Firefighting * Fire suppression systems * Wildfire suppression Wildfire suppression is a range of firefighting tactics used to suppress wildfires. Firefighting efforts depend on many factors such as the availabl ...
for other techniques.'' While sometimes fires can be limited to small areas of a structure, wider collateral damage due to smoke, water and burning embers is common. Utility shutoff (such as gas and electricity) is typically an early priority for arriving fire crews. In addition, forcible entry may be required in order to gain access into the structure. Specific procedures(NFPA 704) and equipment are needed at a property where hazardous materials are being used or stored. Additionally, fighting fires in some structures may require additional training and firefighting tactics that are specific to that structure. For example, row house fires are a type of structure fire that require specific tactics to decrease risks.
Structure fire A structure fire is a fire involving the structural components of various types of residential, commercial or industrial buildings, such as barn fires. Residential buildings range from single-family detached homes and townhouses to apartments ...
s may be attacked with either "interior" or "exterior" resources, or both. Interior crews, using the "
two in, two out In firefighting, the policy of two-in, two-out refers to United States Occupational Safety and Health Administration (OSHA) policy 29 CFR 1910.134(g)(4)(i). The respiratory protection standard requires that workers engaged in fighting interior str ...
" rule, may extend
fire hose A fire hose (or firehose) is a high-pressure hose that carries water or other fire retardant (such as foam) to a fire to extinguish it. Outdoors, it attaches either to a fire engine, fire hydrant, or a portable fire pump. Indoors, it can p ...
lines inside the building, find the fire and cool it with water. Exterior crews may direct water into windows and other openings, or against any nearby
fuel A fuel is any material that can be made to react with other substances so that it releases energy as thermal energy or to be used for work (physics), work. The concept was originally applied solely to those materials capable of releasing chem ...
s exposed to the initial fire. Hose streams directed into the interior through exterior wall apertures may conflict and jeopardize interior fire attack crews. Buildings that are made of flammable materials such as wood are different from building materials such as concrete. Generally, a "fire-resistant" building is designed to limit fire to a small area or floor. Other floors can be safe by preventing smoke inhalation and damage. All buildings suspected or on fire must be evacuated, regardless of fire rating. When fire departments respond to structure fires, the priorities are life safety, incident stabilization, and property conservation. Some tactics used to achieve positive results at a structure fire include scene size-up, door control, coordinated ventilation, and exterior attack prior to entry. When the first fire department arrives on-scene at a structure fire, scene size-up must occur to develop the appropriate strategy (offensive or defensive) and tactics. With scene size-up, a risk assessment must also occur to determine the risks of making an interior fire attack. When an incident's critical factors and the risk management plan indicate an offensive strategy, the incident commander will define the tactical objectives for entering the structure. Offensive incident action plans (tactics) are based on the standard offensive tactical priorities and their corresponding completion benchmarks.


=Firefighting priorities and tactics

= The incident commander should consider these priorities and firefighting tactics at a structure fire: * Life safety – primary and secondary "All Clear(s)" (A/C) * Property conservation – "Loss Stopped" (L/S) * Post fire control firefighter decontamination (Decon) * Customer Stabilization – Short term Some firefighting tactics may appear to be destructive, but often serve specific needs. For example, during
ventilation Ventilation may refer to: * Ventilation (physiology), the movement of air between the environment and the lungs via inhalation and exhalation ** Mechanical ventilation, in medicine, using artificial methods to assist breathing *** Respirator, a ma ...
, firefighters are forced to either open holes in the roof or floors of a structure (called vertical ventilation), or open windows and walls (called horizontal ventilation) to remove smoke and heated gases from the interior of the structure. Such ventilation methods are also used to improve interior visibility to locate victims more quickly. Ventilation helps to preserve the life of trapped or unconscious individuals as it releases the poisonous gases from inside the structure. Vertical ventilation is vital to firefighter safety in the event of a
flashover A flashover is the near-simultaneous ignition of most of the directly exposed combustible material in an enclosed area. When certain organic materials are heated, they undergo thermal decomposition and release flammable gases. Flashover occurs wh ...
or
backdraft A backdraft (North American English), backdraught (British English) or smoke explosion is the abrupt combustion, burning of superheated gases in a fire caused when oxygen rapidly enters a hot, oxygen-depleted environment; for example, when a windo ...
scenario. Releasing the flammable gases through the roof eliminates the possibility of a
backdraft A backdraft (North American English), backdraught (British English) or smoke explosion is the abrupt combustion, burning of superheated gases in a fire caused when oxygen rapidly enters a hot, oxygen-depleted environment; for example, when a windo ...
, and the removal of heat can reduce the possibility of a
flashover A flashover is the near-simultaneous ignition of most of the directly exposed combustible material in an enclosed area. When certain organic materials are heated, they undergo thermal decomposition and release flammable gases. Flashover occurs wh ...
. Flashovers, due to their intense heat () and explosive temperaments, are commonly fatal to firefighter personnel. Precautionary methods, such as smashing a window, reveal backdraft situations before the firefighter enters the structure and is met with the circumstance head-on. Firefighter safety is the number one priority. Whenever possible during a structure fire, property is moved into the middle of a room and covered with a salvage cover, a heavy cloth-like tarp. Various steps such as retrieving and protecting valuables found during suppression or overhaul, evacuating water, and boarding windows and roofs can divert or prevent post-fire runoff.


Wildland firefighting

Wildfire A wildfire, forest fire, or a bushfire is an unplanned and uncontrolled fire in an area of Combustibility and flammability, combustible vegetation. Depending on the type of vegetation present, a wildfire may be more specifically identified as a ...
s (known in Australia as
bushfires A wildfire, forest fire, or a bushfire is an unplanned and uncontrolled fire in an area of Combustibility and flammability, combustible vegetation. Depending on the type of vegetation present, a wildfire may be more specifically identified as a ...
) require a unique set of strategies and tactics. In many countries such as Australia and the United States, these duties are mostly carried out by local
volunteer firefighters Volunteering is an elective and freely chosen act of an individual or group giving their time and labor, often for community service. Many volunteers are specifically trained in the areas they work, such as medicine, education, or emergenc ...
. Wildfires have some ecological role in allowing new plants to grow, therefore in some cases they will be left to burn. Priorities in fighting wildfires include preventing the loss of life and property as well as ecological damage.


Aircraft rescue and firefighting

Airport An airport is an aerodrome with extended facilities, mostly for commercial Aviation, air transport. They usually consist of a landing area, which comprises an aerially accessible open space including at least one operationally active surf ...
s employ specialist firefighters to deal with potential ground emergencies. Due to the mass casualty potential of an aviation emergency, the speed with which emergency response equipment and personnel arrive at the scene of the emergency is of paramount importance. When dealing with an emergency, the airport firefighters are tasked with rapidly securing the aircraft, its crew and its passengers from all hazards, particularly fire. Airport firefighters have advanced training in the application of firefighting foams, dry chemical and clean agents used to extinguish burning aviation fuel.


Rescue

Firefighters rescue persons from confinement or dangerous situations such as
burning buildings ''Burning Buildings'' (, subtitled: Lyric of the Modern Soul, ) is the fifth book by Russian Silver Age modernist poet Konstantin Balmont. It was first published in 1900 by Scorpion in Moscow and made its author famous across his country. The ...
and crashed vehicles. Complex, infrequent situations requiring specialized training and equipment include rescues from collapsed buildings and confined spaces. Many fire departments, including most in the United Kingdom, refer to themselves as a ''fire and rescue service'' for this reason. Large fire departments, such as the
New York City Fire Department The New York City Fire Department, officially the Fire Department of the City of New York (FDNY) is the full-service fire department of New York City, serving all Boroughs of New York City, five boroughs. The FDNY is responsible for providing Fi ...
and
London Fire Brigade The London Fire Brigade (LFB) is the Fire department, fire and rescue service for London, the capital of the United Kingdom. It was formed by the Metropolitan Fire Brigade Act 1865 (28 & 29 Vict. c. 90), under the leadership of superintendent ...
, have specialist teams for advanced technical rescue. As structure fires have been in decline for many years in developed countries such as the United States, rescues other than fires make up an increasing proportion of their firefighters' work.


Emergency medical services

Firefighters frequently provide some degree of emergency medical care. In some jurisdictions
first aid First aid is the first and immediate assistance given to any person with a medical emergency, with care provided to preserve life, prevent the condition from worsening, or to promote recovery until medical services arrive. First aid is gener ...
is the only medical training that firefighters have, and medical calls are the sole responsibility of a separate
emergency medical services Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to d ...
(EMS) agency. Elsewhere, it is common for firefighters to respond to medical calls. The impetus for this is the growing demand in medical emergencies and the significant decline in fires. In such departments, firefighters are often certified as
emergency medical technician An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and som ...
s in order to deliver
basic life support Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any ...
, and more rarely as
paramedics A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), m ...
to deliver
advanced life support Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend basic life support to further support the circulation and provide an open airway and adequate ventilation (breathing). Components Key aspects of ALS level care ...
. In the United Kingdom, where fire services and EMS are run separately, fire service co-responding has been introduced more recently. Another point of variation is whether the firefighters respond in a fire engine or a response car.


Hazardous materials

Fire departments are usually the lead agency that responds to
hazardous materials Dangerous goods are substances that are a risk to health, safety, property or the Natural environment, environment during transport. Certain dangerous goods that pose risks even when not being transported are known as hazardous materials (syll ...
incidents. Specialized firefighters, known as hazardous materials technicians, are trained in chemical identification, leak and spill control, and decontamination.


Fire prevention

Fire departments frequently provide advice to the public on how to prevent fires in the home and work-place environments. Fire inspectors or fire marshals will directly inspect businesses to ensure they are up to the current building
fire code Fire safety is the set of practices intended to reduce destruction caused by fire. Fire safety measures include those that are intended to prevent wikt:ignition, the ignition of an uncontrolled fire and those that are used to limit the spread a ...
s, which are enforced so that a building can sufficiently resist fire spread, potential hazards are located, and to ensure that occupants can be safely evacuated, commensurate with the risks involved.
Fire suppression systems Fire suppression systems are used to extinguish, control, or in some cases, entirely prevent fires from spreading or occurring. Fire suppression systems have an incredibly large variety of applications, and as such, there are many different types ...
have a proven record for controlling and extinguishing unwanted fires. Many fire officials recommend that every building, including residences, have
fire sprinkler A fire sprinkler or sprinkler head is the component of a fire sprinkler system that discharges water when the effects of a fire have been detected, such as when a predetermined temperature has been exceeded. Fire sprinklers are extensively used ...
systems. Correctly working sprinklers in a residence ''greatly'' reduce the risk of death from a fire. With the small rooms typical of a residence, one or two sprinklers can cover most rooms. In the United States, the housing industry trade groups have lobbied at the State level to prevent the requirement for fire sprinklers in one or two family homes. Other methods of fire prevention are by directing efforts to reduce known hazardous conditions or by preventing dangerous acts before tragedy strikes. This is normally accomplished in many innovative ways such as conducting presentations, distributing safety brochures, providing news articles, writing
public safety announcement A public service announcement (PSA) is a message in the public interest disseminated by the media without charge to raise public awareness and change behavior. Oftentimes these messages feature unsettling imagery, ideas or behaviors that are des ...
s (PSA) or establishing meaningful displays in well-visited areas. Ensuring that each household has working
smoke alarm A smoke detector is a device that senses smoke, typically as an indicator of fire. Smoke detectors/alarms are usually housed in plastic enclosures, typically shaped like a disk about in diameter and thick, but shape and size vary. Smoke can be ...
s, is educated in the proper techniques of fire safety, has an evacuation route and rendezvous point is of top priority in
public education A state school, public school, or government school is a primary school, primary or secondary school that educates all students without charge. They are funded in whole or in part by taxation and operated by the government of the state. State-f ...
for most fire prevention teams in almost all fire department localities. Fire investigators, who are experienced firefighters trained in fire cause determinism, are dispatched to fire scenes in order to investigate and determine whether the fire was a result of an accident or intentional. Some fire investigators have full law enforcement powers to investigate and arrest suspected arsonists.


Occupational health and safety


Direct risks


Fires

To allow protection from the inherent risks of fighting fires, firefighters wear and carry protective and self-rescue equipment at all times. A
self-contained breathing apparatus A self-contained breathing apparatus (SCBA) is a respirator worn to provide an autonomous supply of breathable gas in an atmosphere that is immediately dangerous to life or health from a gas cylinder. They are typically used in firefighting a ...
(SCBA) delivers air to the firefighter through a
full face mask A full-face diving mask is a type of diving mask that seals the whole of the diver's face from the water and contains a mouthpiece, demand valve or constant flow gas supply that provides the diver with breathing gas. The full face mask h ...
and is worn to protect against
smoke inhalation Smoke inhalation is the breathing in of harmful fumes (produced as by-products of combusting substances) through the respiratory tract. This can cause smoke inhalation injury (a kind of acute inhalation injury) which is damage to the respirator ...
, toxic fumes, and super heated gases. A special device called a
Personal Alert Safety System Personal may refer to: Aspects of persons' respective individualities * Privacy * Personality * Personal, personal advertisement, variety of classified advertisement used to find romance or friendship Companies * Personal, Inc., a Washington, ...
(PASS) is commonly worn independently or as a part of the SCBA to alert others when a firefighter stops moving for a specified period of time or manually operates the device. The PASS device sounds an alarm that can assist another firefighter (
firefighter assist and search team A firefighter assist and search team (FAST), also known as a rapid intervention team/rapid intervention crew/rapid intervention group/rapid intervention dispatch (RIT/RIC/RIG/RID) or breathing apparatus safety teams (BAST), is a team of two or more ...
(FAST), or
rapid intervention team A firefighter assist and search team (FAST), also known as a rapid intervention team/rapid intervention crew/rapid intervention group/rapid intervention dispatch (RIT/RIC/RIG/RID) or breathing apparatus safety teams (BAST), is a team of two or more ...
(RIT), in locating the firefighter in distress. Firefighters often carry personal self-rescue
rope A rope is a group of yarns, Plying, plies, fibres, or strands that are plying, twisted or braided together into a larger and stronger form. Ropes have high tensile strength and can be used for dragging and lifting. Rope is thicker and stronger ...
s. The ropes are generally long and can provide a firefighter (that has enough time to deploy the rope) a partially controlled exit out of an elevated window. Lack of a personal rescue rope is cited in the deaths of two New York City firefighters, Lt. John Bellew and Lt. Curtis Meyran, who died after they jumped from the fourth floor of a burning apartment building in the Bronx. Of the four firefighters who jumped and survived, only one of them had a self-rescue rope. Since the incident, the Fire Department of New York City has issued self-rescue ropes to their firefighters. Heat injury is a major issue for firefighters as they wear insulated clothing and cannot shed the heat generated from physical exertion. Early detection of heat issues is critical to stop dehydration and heat stress becoming fatal. Early onset of heat stress affects cognitive function which combined with operating in dangerous environment makes heat stress and dehydration a critical issue to monitor. Firefighter physiological status monitoring is showing promise in alerting EMS and commanders to the status of their people on the fire ground. Devices such as
PASS device Pass, PASS, The Pass or Passed may refer to: Places * Pass, County Meath, a townland in Ireland * Pass, Poland, a village in Poland *El Paso, Texas, a city which translates to "The Pass" * Pass, an alternate term for a number of straits: see ...
alert 10–20 seconds after a firefighter has stopped moving in a structure. Physiological status monitors measure a firefighter's vital sign status, fatigue and exertion levels and transmit this information over their voice radio. This technology allows a degree of early warning to physiological stress. These devices are similar to technology developed for
Future Force Warrior Future Force Warrior was a United States military advanced technology demonstration project that was part of the Future Combat Systems project. The FFW project sought to create a lightweight, fully integrated infantryman combat system. It was on ...
and give a measure of exertion and fatigue. They also tell the people outside a building when they have stopped moving or fallen. This allows a supervisor to call in additional engines before the crew get exhausted and also gives an early warning to firefighters before they run out of air, as they may not be able to make voice calls over their radio. Current
OSHA The Occupational Safety and Health Administration (OSHA; ) is a regulatory agency of the United States Department of Labor that originally had federal visitorial powers to inspect and examine workplaces. The United States Congress established ...
tables exist for heat injury and the allowable amount of work in a given environment based on temperature, humidity and solar loading. Firefighters are also at risk for developing
rhabdomyolysis Rhabdomyolysis (shortened as rhabdo) is a condition in which damaged skeletal muscle breaks down rapidly. Symptoms may include muscle pains, weakness, vomiting, and confusion. There may be tea-colored urine or an irregular heartbeat. Some o ...
. Rhabdomyolysis is the breakdown of muscle tissue and has many causes including heat exposure, high core body temperature, and prolonged, intense exertion. Routine firefighter tasks, such as carrying extra weight of equipment and working in hot environments, can increase firefighters' risk for rhabdomyolysis.


Structural collapses

Another leading cause of death during firefighting is
structural collapse Structural integrity and failure is an aspect of engineering that deals with the ability of a structure to support a designed structural load (weight, force, etc.) without breaking and includes the study of past structural failures in order to ...
of a burning building (e.g. a wall, floor, ceiling, roof, or truss system). Structural collapse, which often occurs without warning, may crush or trap firefighters inside the structure. To avoid loss of life, all on-duty firefighters should maintain two-way communication with the
incident commander The Incident Commander is the person responsible for all aspects of an emergency response; including quickly developing incident objectives, managing all incident operations, application of resources as well as responsibility for all persons invol ...
and be equipped with a personal alert safety system device (PASS) on all fire scenes and maintain radio communication on all incidents. Francis Brannigan was the founder and greatest contributor to this element of firefighter safety.


Traffic collisions

In the United States, 25% of fatalities of firefighters are caused by
traffic collision A traffic collision, also known as a motor vehicle collision, or car crash, occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other moving or stationary obstruction, such as a tree, pole or building. Tr ...
s while responding to or returning from an incident. Other firefighters have been injured or killed by vehicles at the scene of a fire or emergency (Paulison 2005). A common measure fire departments have taken to prevent this is to require firefighters to wear a bright yellow reflective vest over their turnout coats if they have to work on a public road, to make them more visible to passing drivers.


Violence

Firefighters have occasionally been assaulted by members of the public while responding to calls. These kinds of attacks can cause firefighters to fear for their safety when responding to specific areas and may cause them to not have full focus on the situation which could result in injury to their selves or the patient. Workplace violence consists of the mental and physical abuse sustained during on-duty activities. First Responders are the most likely to experience this type of violence and EMS even has a percentage range of 53-90% of calls that had an instance of Workplace violence. This type of violence is a major reason for burnout and depression in First Responders, while EMS deal more with people on a daily basis, ~18% Firefighters experience PTSD due to WPV and 60% had at least one call where they had feared for their life or questioned their safety.


Chemical exposure

While firefighters are generally responsible for managing hazardous materials in the environment, there is a great deal of risks that they face by doing so.
Flame retardant Flame retardants are a diverse group of chemicals that are added to manufactured materials, such as plastics and textiles, and surface finishes and coatings. Flame retardants are activated by the presence of an combustion, ignition source and pr ...
s are chemical products that are utilized to slow down or stop the spread of a fire by reducing its intensity. While there are numerous benefits to flame retardant products in terms of the reduction of major fires, the components that make up these substances are extremely harmful. The most concerning materials that make up these products are Per- and polyfluoroalkyl substances, PFAS chemicals. Studies linked PFAS exposure with health effects including major neurological defects and cancer. Long term exposure to these chemicals is a notable concern. While many hazardous chemicals used in fire-fighting materials, such as penta-bromdiphenyl ether have already been banned by the government, they are almost immediately replaced by a new substance with similar harmful effects. After banning penta-bromodiphenyl ether, chlorinated tris, chloroalkyl phospahtes, halogenated aryl esters, and tetrabromophthalate dio diester were used instead. While these chemicals are constantly changing with attempts to make it safer for the public, firefighters have constant, up-close exposure that can put them at increased risk.


During debris cleanup

Once extinguished, fire debris cleanup poses several safety and health risks for workers. Many hazardous substances are commonly found in fire debris. Silicon dioxide, Silica can be found in concrete, roofing tiles, or it may be a naturally occurring element. Occupational exposures to silica dust can cause silicosis, lung cancer, pulmonary tuberculosis, airway diseases, and some additional non-respiratory diseases. Inhalation of asbestos can result in various diseases including asbestosis, lung cancer, and mesothelioma. Sources of metals exposure include burnt or melted electronics, cars, refrigerators, stoves, etc. Fire debris cleanup workers may be exposed to these metals or their combustion products in the air or on their skin. These metals may include beryllium, cadmium, chromium, cobalt, lead, manganese, nickel, and many more. Polycyclic aromatic hydrocarbon, Polyaromatic hydrocarbons (PAHs), some of which are carcinogenic, come from the incomplete combustion of organic materials and are often found as a result of structural and wildland fires. Safety hazards of fire cleanup include the risk of reignition of smoldering debris, electrocution from downed or exposed electrical lines or in instances where water has come into contact with electrical equipment. Structures that have been burned may be unstable and at risk of sudden collapse. Standard personal protective equipment for fire cleanup include hard hats, goggles or safety glasses, heavy work gloves, earplugs or other Hearing protection device, hearing protection, steel-toe boots, and fall protection devices. Hazard controls for electrical injury include assuming all power lines are energized until confirmation they are de-energized, and grounding power lines to guard against electrical feedback, and using appropriate personal protective equipment. Proper respiratory protection can protect against hazardous substances. Proper ventilation of an area is an Engineering controls, engineering control that can be used to avoid or minimize exposure to hazardous substances. When ventilation is insufficient or dust cannot be avoided, personal protective equipment such as N95 respirators can be used.


Long-term risks


Cardiovascular disease

Firefighting has long been associated with poor cardiovascular outcomes. In the United States, the most common cause of on-duty fatalities for firefighters is sudden cardiac death, accounting for approximately 45% of on duty US firefighter deaths. In addition to personal factors that may predispose an individual to coronary artery disease or other cardiovascular diseases, occupational exposures can significantly increase a firefighter's risk. Historically, the fire service blamed poor firefighter physical condition for being the primary cause of cardiovascular related deaths. However, over the last 20 years, studies and research has indicated the toxic gasses put fire service personnel at significantly higher risk for cardiovascular related conditions and death. For instance, carbon monoxide, present in nearly all fire environments, and hydrogen cyanide, formed during the combustion of paper, cotton, plastics, and other substances containing carbon and nitrogen. The substances inside of materials change during combustion, and their by-products can interfere with the transport of oxygen in the body. hypoxia (medical), Hypoxia can then lead to heart injury. In addition, chronic exposure to Atmospheric particulate matter, particulate matter in smoke is associated with atherosclerosis. Noise exposures may contribute to hypertension and possibly ischemic heart disease. Other factors associated with firefighting, such as Stress (medicine), stress, heat stress, and heavy physical exertion, also increase the risk of cardiovascular events. During fire suppression activities a firefighter can reach peak or near peak heart rates which can act as a trigger for a cardiac event. For example, tachycardia can cause plaque buildup to break loose and lodge itself is a small part of the heart causing myocardial infarction, also known as a heart attack. This along with unhealthy habits and lack of exercise can be very hazardous to firefighter health.


Cancer

Cancer risk in the U.S. fire service is a topic of growing concern. Recent studies suggest that due to their exposure on the fireground, firefighters may be at an increased risk for certain types of cancer and other chronic diseases. Additionally, large international studies generally support the finding from U.S. studies that firefighters have elevated rates of cancer, with some variation by cancer site. A 2015 retrospective longitudinal study showed that firefighters are at higher risk for certain types of cancer. Firefighters had mesothelioma, which is caused by asbestos exposure, at twice the rate of the non-firefighting working population. Younger firefighters (under age 65) also developed bladder cancer and prostate cancer at higher rates than the general population. The risk of bladder cancer may be present in women in firefighting, female firefighters, but research is inconclusive as of 2014. Preliminary research from 2015 on a large cohort of US firefighters showed a direct relationship between the number of hours spent fighting fires and lung cancer and leukemia mortality in firefighters. This link is a topic of continuing research in the medical community, as is cancer mortality in general among firefighters. In addition to Epidemiology, epidemiological studies, mechanistic studies have used biomarkers to investigate exposures' effects on biological changes that could be related to cancer development. Several of these studies have found evidence of DNA damage, oxidative stress, and Epigenetics, epigenetic changes related to firefighters' exposures. Firefighters regularly encounter Carcinogen, carcinogenic materials and hazardous contaminants, which is thought to contribute to their excess cancer risk. Dozens of chemicals classified by the International Agency for Research on Cancer (IARC) as known or probable carcinogens have been identified on the fireground. Several studies have documented airborne and/or dermal exposures to carcinogenic compounds during firefighting, as well as contamination on Bunker gear, turnout gear and other equipment worn by firefighters. Some of these compounds have been shown to absorb into firefighters' bodies. In addition to chemical exposures, firefighters often work 24-hr shifts or longer, and may respond to emergencies at night. Night shift work has been classified as a probable human carcinogen by IARC. Some firefighters also work with
hazardous materials Dangerous goods are substances that are a risk to health, safety, property or the Natural environment, environment during transport. Certain dangerous goods that pose risks even when not being transported are known as hazardous materials (syll ...
and trained to control and clean up these dangerous materials, such as oil spills and chemical accidents. As firefighters combat a fire and clean up hazardous materials, there is a risk of harmful chemicals coming in contact with their skin if it penetrates their personal protective equipment (PPE). In June 2022, IARC classified occupational exposure as a firefighter as "carcinogenic to humans." Firefighters are in addition to carcinogenic chemicals, firefighters can be exposed to radiation (alpha radiation, beta radiation, and gamma radiation). There are many types of firefighters. Most research on firefighters' cancer risk has involved structural or municipal career firefighters. Wildfire suppression, Wildland firefighters are specially trained firefighters tasked with controlling Wildfire, forest fires. They frequently create fire lines, which are swathes of cut-down trees and dug-up grass placed in the path of the fire. This is designed to deprive the fire of fuel. Wildland firefighting is a physically demanding job with many acute hazards. Wildland firefighters may hike several miles while carrying heavy equipment during the wildfire season, which has increased in duration over time, especially in the western United States. Unlike structural firefighters, wildland firefighters typically do not wear Respirator, respiratory protection, and may inhale Particulates, particulate and other compounds emitted by the wildfires. They also use Controlled burn, prescribed fires to burn potential fire fuel under controlled conditions. To examine cancer risk for wildland firefighters, a risk assessment was conducted using an exposure-response relationship for risk of lung cancer mortality and measured particulate matter exposure from smoke at wildfires. This study concluded that wildland firefighters could have an increased risk of lung cancer mortality. The research on cancer for other subspecialty groups of firefighters is limited, but a recent study of fire instructors in Australia found an exposure-response relationship between training exposures and cancer incidence. Due to the lack of central and comprehensive sources of data, research on cancer rates amongst firefighters has been challenging. On July 7, 2018, Congress passed the Firefighter Cancer Registry Act of 2018 requiring the Centers for Disease Control and Prevention to create the National Firefighter Registry designed to collect data on cancer rates among U.S. firefighters.


Mental stress

As with other emergency workers, firefighters may witness traumatic scenes during their careers. They are thus more vulnerable than most people to certain mental health issues such as post-traumatic stress disorder and suicidal thoughts and behaviors. Among women in the US, the occupations with the highest suicide rates are police and firefighters, with a rate of 14.1 per 100 000, according to the National Center for Injury Prevention and Control, CDC. Chronic stress over time attributes to symptoms that affect first responders, such as anxiousness, irritability, nervousness, memory and concentration problems can occur overtime which can lead to anxiety and depression. Mental stress can have long lasting affects on the brain. A 2014 report from the National Fallen Firefighters Foundation found that a fire department is three times more likely to experience a suicide in a given year than a line-of-duty death. Mental stress of the job can lead to substance abuse and alcohol abuse as ways of coping with the stress. The mental stress of fire fighting has many different causes. There are those they see on duty and also what they miss by being on duty. Firefighters schedules fluctuate by district. There are stations where fire fighters work 48 hours on and 48 hours off, whereas some allow 24 hours on and 72 hours off. The mental impact of missing a child's first steps or a ballet recital can take a heavy impact on first responders. There is also the stress of being on opposite shifts as a spouse or being away from family. When not on the scene of an emergency, firefighters remain on call at fire stations, where they eat, sleep, and perform other duties during their shifts. Hence, Shift work sleep disorder, sleep disruption is another occupational hazard that they may encounter at their job.


Occupational hearing loss

Another long-term risk factor from firefighting is exposure to high levels of sound, which can cause noise-induced hearing loss (NIHL) and tinnitus. NIHL affects sound frequencies between 3,000 and 6,000 Hertz first, then with more frequent exposure, will spread to more frequencies. Many consonants will be more difficult to hear or inaudible with NIHL because of the higher frequencies effected, which results in poorer communication. NIHL is caused by exposure to sound levels at or above 85dBA according to National Institute for Occupational Safety and Health, NIOSH and at or above 90dBA according to
OSHA The Occupational Safety and Health Administration (OSHA; ) is a regulatory agency of the United States Department of Labor that originally had federal visitorial powers to inspect and examine workplaces. The United States Congress established ...
. A-weighting, dBA represents A-weighted decibels. dBA is used for measuring sound levels relating to occupational sound exposure since it attempts to mimic the sensitivity of the human ear to different frequencies of sound. OSHA uses a 5-dBA exchange rate, which means that for every 5dBA increase in sound from 90dBA, the acceptable exposure time before a risk of permanent hearing loss occurs decreases by half (starting with 8 hours acceptable exposure time at 90dBA). NIOSH uses a 3-dBA exchange rate starting at 8 hours acceptable exposure time at 85dBA. The time of exposure required to potentially cause damage depends on the level of sound exposed to. The most common causes of excessive sound exposure are sirens, transportation to and from fires, fire alarms, and work tools. Traveling in an emergency vehicle has shown to expose a person to between 103 and 114dBA of sound. According to OSHA, exposure at this level is acceptable for between 17 and 78 minutes and according to NIOSH is acceptable for between 35 seconds and 7.5 minutes over a 24-hour day before permanent hearing loss can occur. This time period considers that no other high level sound exposure occurs in that 24-hour time frame. Sirens often output about 120 dBA, which according to OSHA, 7.5 minutes of exposure is needed and according to NIOSH, 9 seconds of exposure is needed in a 24-hour time period before permanent hearing loss can occur. In addition to high sound levels, another risk factor for hearing disorders is the co-exposure to chemicals that are Ototoxicity, ototoxic. The average day of work for a firefighter can often be under the sound exposure limit for both OSHA and NIOSH. While the average day of sound exposure as a firefighter is often under the limit, firefighters can be exposed to Impulse noise (audio), impulse noise, which has a very low acceptable time exposure before permanent hearing damage can occur due to the high intensity and short duration. There are also high rates of hearing loss, often NIHL, in firefighters, which increases with age and number of years working as a firefighter. Hearing conservation program, Hearing loss prevention programs have been implemented in multiple stations and have shown to help lower the rate of firefighters with NIHL. Other attempts have been made to lower sound exposures for firefighters, such as enclosing the cabs of the firetrucks to lower the siren exposure while driving. NFPA (National Fire Protection Association) is responsible for occupational health programs and standards in firefighters which discusses what hearing sensitivity is required to work as a firefighter, but also enforces baseline (initial) and annual hearing tests (based on OSHA hearing maintenance regulations). While NIHL can be a risk that occurs from working as a firefighter, NIHL can also be a safety concern for communicating while doing the job as communicating with coworkers and victims is essential for safety. Hearing protection, Hearing protection devices have been used by firefighters in the United States. Earmuffs are the most commonly used hearing protection device (HPD) as they are the most easy to put on correctly in a quick manner. Multiple fire departments have used HPDs that have communication devices built in, allowing firefighters to speak with each other at safe, but audible sound levels, while lowering the hazardous sound levels around them.


Types of coverage and workload

In a country with a comprehensive fire service, fire departments must be able to send firefighters to emergencies at any hour of day or night, to arrive on the scene within minutes. In urban areas, this means that full-time paid firefighters usually have shift work, with some providing cover each night. On the other hand, it may not be practical to employ full-time firefighters in villages and isolated small towns, where their services may not be required for days at a time. For this reason, many fire departments have firefighters who spend long periods on call to respond to infrequent emergencies; they may have regular jobs outside of firefighting. Whether they are paid or not varies by country. In the United States and Germany, volunteer fire departments provide most of the cover in rural areas. In the United Kingdom and Ireland, by contrast, actual volunteers are rare. Instead, "retained firefighters" are paid for responding to incidents, along with a small salary for spending long periods of time on call. The combined fire services of the United Kingdom retain around 18,000 retained firefighters alongside their wholetime colleagues. In both the UK and Ireland retained firefighters make up the majority of active firefighting personnel. Their training, qualifications, and range of possible deployments, are all comparable to wholetime firefighters. Retained firefighters are required to live or work within a set radius of their assigned fire station - in the United Kingdom this is usually , and in Ireland .


Firefighting around the world

A key difference between many countries' fire services is what the balance is between full-time and volunteer (or on-call) firefighters. In the United States and United Kingdom, large metropolitan fire departments are almost entirely made up of full-time firefighters. On the other hand, in Germany and Austria, volunteers play a substantial role even in the largest fire departments, including Berlin's, which serves a population of 3.6 million. Regardless of how this balance works, a common feature is that smaller urban areas have a mix of full-time and volunteer/on-call firefighters. This is known in the United States as a combination fire department. In Chile and Peru, all firefighters are volunteers. Another point of variation is how the fire services are organized. Some countries like the Czech Republic, Israel and New Zealand have a single national fire service. Others like Australia, the United Kingdom and France organize fire services based on regions or sub-national states. In the United States, Austria, Germany and Canada, fire departments are run at a municipal level. Singapore and many parts of Switzerland have Compulsory Fire Service, fire service conscription. In Germany, conscription can also be used if a village does not have a functioning fire service. Other unusual arrangements are seen in Denmark, where most fire services are run by private companies, and in France, where two of the country's fire services (the Paris Fire Brigade and the Marseille Naval Fire Battalion) are part of the armed forces; similarly, the national fire service of Monaco is part of the Military of Monaco and maintains an armoury of Sidearm (weapon), sidearms for use by firefighters during civil defence operations. Another way in which a firefighter's work varies around the world is the nature of firefighting equipment and tactics. For example, American fire departments make heavier use of Fire engine#Aerial apparatus, aerial appliances, and are often split between engine and ladder companies. In Europe, where the size and usefulness of aerial appliances are often limited by narrow streets, they are only used for rescues, and firefighters can rotate between working on an engine and an aerial appliance. A final point in variation is how involved firefighters are in
emergency medical services Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to d ...
.


Communication and command structure

The expedient and accurate handling of fire alarms or calls are significant factors in the successful outcome of any incident. Fire department communications play a critical role in that successful outcome. Fire department communications include the methods by which the public can notify the communications center of an emergency, the methods by which the center can notify the proper fire fighting forces, and the methods by which information is exchanged at the scene. One method is to use a megaphone to communicate. A telecommunicator (often referred to as a 000 (emergency telephone number), 000 Operator in Australia) has a role different from but just as important as other emergency personnel. The telecommunicator must process calls from unknown and unseen individuals, usually calling under stressful conditions. He/she must be able to obtain complete, reliable information from the caller and prioritize requests for assistance. It is the dispatcher's responsibility to bring order to chaos. While some fire departments are large enough to utilize their own telecommunication dispatcher, most rural and small areas rely on a central dispatcher to provide handling of fire, rescue, and police services. Firefighters are trained to use communications equipment to receive alarms, give and receive commands, request assistance, and report on conditions. Since firefighters from different agencies routinely provide mutual aid to each other, and routinely operate at incidents where other emergency services are present, it is essential to have structures in place to establish a unified chain of command, and share information between agencies. The U.S. Federal Emergency Management Agency (FEMA) has established a National Incident Management System. One component of this system is the Incident Command System. All radio communication in the United States is under authorization from the Federal Communications Commission (FCC); as such, fire departments that operate radio equipment must have radio licenses from the FCC. Ten codes were popular in the early days of radio equipment because of poor transmission and reception. Advances in modern radio technology have reduced the need for ten-codes and many departments have converted to simple English (clear text).


Ranks

Many firefighters are sworn members with command structures similar to the military or
police The police are Law enforcement organization, a constituted body of Law enforcement officer, people empowered by a State (polity), state with the aim of Law enforcement, enforcing the law and protecting the Public order policing, public order ...
. They do not usually have general Police, police powers (although some firefighters in the United States have limited police powers, like fire police departments), though certain fire safety officials (such as
fire marshal A fire marshal, in the United States and Canada, is often a member of a state, provincial or territorial government, but may be part of a building department or a separate department altogether. Fire marshals' duties vary but usually include ...
s or fire safety inspectors) do possess extensive police powers in connection with their work of enforcement and control in regulatory and emergency situations. In some countries fire fighters carry, or have access to, firearms, including some US fire marshals, and the Corps des Sapeurs-Pompiers of Monaco which is a military unit providing civilian fire cover. The nomenclature of firefighting varies from country to country. The basic unit of firefighters is known as a "company" in many countries, including the United States, with its members typically working on the same engine. A "crew" or "platoon" is a subdivision of a company who work on the same shift. In British and Commonwealth fire services the firefighters of each station are more typically organised around a "watch" pattern, with several watches (usually four) working on a shift basis, as a separate "crew" for each engine or specialist appliance at that station.


Firefighter equipment

A partial list of some equipment typically used by firefighters: * Hand tools, such as ** Flat-head and pick-head axe ** Pike pole ** Halligan bar ** Flashlight ** Spanner wrench ** Circular ("K-12"), Cutters Edge and chain saws ** Hydraulic rescue tools such as spreaders, cutters, and rams * Personal protective equipment ("PPE") designed to withstand water and high temperatures, such as ** Bunker gear, including turnout jacket and pants ** SCBA, Self-contained breathing apparatus (SCBA) ** Firefighter's helmet, Helmet, face mask and visor; climbing helmets ** Safety boots, gloves, and Nomex and Carbon flash hoods ** PASS device, Personal alert safety system (PASS) device * Handheld radio, pager, or other communication devices * Thermal imaging camera (firefighting), Thermal imaging camera * Gas detector


History

Although people have fought fires since there have been valuable things to burn, the first instance of organized professionals combating structural fires occurred in ancient Egypt. Likewise, fire fighters of the Roman Republic existed solely as privately organized and funded groups that operated more similarly to a business than a public service; however, during the Principate period, Augustus revolutionized firefighting by calling for the creation of a fire guard that was trained, paid, and equipped by the state, thereby commissioning the first truly public and professional firefighting service. Known as the Vigiles, they were organised into cohorts, serving as a Roman timekeeping#Watches of the night, night watch and city
police The police are Law enforcement organization, a constituted body of Law enforcement officer, people empowered by a State (polity), state with the aim of Law enforcement, enforcing the law and protecting the Public order policing, public order ...
force in addition to their firefighting duties. The earliest American fire departments were volunteers, including the volunteer fire company in New Amsterdam, now known as New York (state), New York. Fire companies were composed of citizens who volunteered their time to help protect the community. As time progressed and new towns were established throughout the region, there was a sharp increase in the number of volunteer departments. In 1853, the Cincinnati Fire & EMS Department, first career fire department in the United States was established in Cincinnati, Ohio, followed four years later by St. Louis Fire Department. Large cities began establishing paid, full-time staff in order to try to facilitate greater call volume. City fire departments draw their funding directly from city taxes and share the same budget as other public works like the police department and trash collection, trash services. The primary difference between municipality departments and city departments is the funding source. Municipal fire departments do not share their budget with any other service and are considered to be private entities within a jurisdiction. This means that they have their own taxes that feed into their budgeting needs. City fire departments report to the mayor, whereas municipal departments are accountable to elected board officials who help maintain and run the department along with the chief officer staff.


Fundraisers

Funds for firefighting equipment may be raised by the firefighters themselves, especially in the case of volunteer organizations. Events such as pancake breakfasts and chili con carne, chili feeds are common in the United States. Social events are used to raise money and include dances, fairs, and car washes.


See also

* * *United States Air Force Fire Protection, USAF Firefighting * * * * ** * *


Notes


References


External links

* Fact Sheet fo
Firefighters and EMS providers
regarding risks for exposure to Coronavirus disease 2019, COVID-19, Centers for Disease Control and Prevention. {{Authority control Firefighters, Occupational safety and health Protective service occupations