We have to be able to seamlessly move from firefighter rescue to firefighter patient care. And that will entail additional training and practice on the part of both firefighters and the EMS providers — who may not be firefighters. Why? Because in addition to a firefighter who may be in need of life-saving medical intervention, such an event is also a workplace injury site if the firefighter survives, or the site of a line-of-duty death if resuscitation efforts are unsuccessful or the firefighter later succumbs to his injuries.

As Dr. Phil says, “It’s time to get real!” Fire departments must stop trying to provide a model of fire protection—one that’s predicated on saving lives and property through the reactive deployment of firefighters who implement an interior fire attack the majority of time—when the department does not possess the resources to do so safely, effectively, and efficiently according to accepted standards and practices, e.g., NFPA 1710 or NFPA 17.

With the median cost of a structural firefighting ensemble (without SCBA) being $1,500 or more, cash-strapped fire and EMS departments can't afford to lose that gear to a CBRN exposure. Fortunately, there are a growing number of solution alternatives to the protective clothing challenges for fire and EMS departments.

As the number of residential fire sprinkler systems in the country continues to grow, fire service leaders need to ensure that our fire officers and firefighters have the necessary knowledge, skills and abilities to work with these systems to effectively ensure extinguishment of the fire and effectively address property conservation, the third incident priority.

The company officer (first-line supervisor) is the toughest "gig" in any fire department, but too many of those officers make it harder than it needs to be by not wanting "to be the bad guy", i.e., the officer who follows policy and procedure and makes everyone else follow them as well.

Not a day goes by, it seems, that we don't learn about fire and EMS apparatus being taken "for a ride" by unauthorized persons. From fire stations to emergency scenes to hospital parking lots, fire trucks and ambulances are not only being illegally taken, but also used to create general damage and mayhem before the perpetrators are apprehended.

Having the ability and resources to build a new fire station that's more energy efficient with a smaller carbon "footprint" is certainly desirable, but what about sustainability challenges for existing stations out there?

In the absence of factual information, most people will believe whatever they hear or will Social media mind mapmake up their own version of reality based upon their past experiences. In today’s “informational overload” world there are more than a few ways for people in a community to know what the men and women of their fire and EMS department are “up to”, both good and bad. Successful departments are those who've embraced social media in a proactive way to engage their communities in two-way communication.

I've been involved with firefighters and the stress reactions they experience for over 25 years, so the recent trend to using the PTSD (Post-Traumatic Stress Disorder) term for all manner of stress reactions causes me concern. There is no doubt that firefighters and other first responders do sometimes experience PTSD. It has been my privilege to listen to several first responders who could be accurately diagnosed with PTSD. However, recent articles and “studies” purporting to be seeing PTSD in groups of firefighters are alarming in the use of rates for this diagnosis. A quick sample of these efforts indicates ranges form 17-24% of a cohort of firefighters who could be said to have PTSD.

A Fire Medic Perspective: Delivering Customer Service with Lights and Sirens. Rom Duckworth discusses how a culture of customer service can work in the real-world with retired Battalion Chief (and prolific author) Rob Avsec.