--There is a big push nationally to improve
wellness, fitness, and safety and it cannot come at a better time.
When I entered the world of public safety more than 12 years ago
there was a persona or a strut, call it a calm and cool street
smart.
As a young medic it was something I envied yet did
not fully understand, but it was something that I craved to have.
Having grown up in a busy urban EMS system, I was taught and
directed by a steady stream of wise and experienced paramedics,
firefighters and EMTs.
I was taught the way it's done and, as I have
learned, it's the way that it has always been done. After a few
years on the street as a part-time paramedic, I came to realize that
the way that things are done are definitely not the way things
should be done. For instance, the stretcher was a source of
trepidation because no one had taken the time to teach me the proper
way to handle it. Using the cot seemed to be an assumption on the
part of my teachers and field training officers, and many of us
green medics just had to figure it out.
The same held true for patient handling,
specifically transfers and the arduous task of lifting a patient
from the floor onto the stretcher; we just got it done and that
means as fast as possible. I think we caused a lot of lateral
whiplash to out infirmed patients.
Fast forward to the present day and I have become
one of the few voices out there calling for change. We as a
profession must stop doing things because that is the way we have
always done them.
Doing the same thing again and again expecting a
different result is pure insanity. Take a look around, look at your
friends, co-workers, and maybe yourself. Stay in public safety long
enough and a few predictable things happen. Stress, call volume,
fatigue, and poor nutrition all take a cumulative toll. You are no
longer a lean, mean EMS or firefighting machine; you have slowly
morphed into an overweight and sedentary professional.
You possess all the necessary tools to get the job
done: experience, street skills, a sixth sense honed from thousands
of calls, and that swagger that you so desired as a newbie. But
achieving all that has also taken its toll on your health, fitness
and wellness.
There is a big push nationally to improve responder
wellness, fitness, and safety and it cannot come at a better time.
But is it possible to simply write a curriculum, train some
facilitators, teach some courses and expect ingrained change to
occur? It's not, in my humble opinion. Sure, there may be some
outliers and obvious successes but, as I have found in countless
discussions, after a short time the crews will fall right back into
those old habits.
Responders, we need to look at this problem
differently. First, responders must be taught and encouraged to not
eat the foods that they do. I have heard countless excuses and
justifications about why responders eat as they do, and I have to
tell you it is nothing but laziness. I teach an entire course on how
to stay healthy, eat well, and keep the pounds off while on duty,
and I can attest that it's not difficult, expensive, or time
consuming. Responders must be taught how to survive their job
through integrating good nutrition while on duty.
Second, responders need to be taught some basic
on-duty fitness tricks. There are six stretches that must be done
throughout the shift. By doing these simple stretches between calls
(using the back of the truck as your stretching station) you can
drastically reduce your chance of injury. As an added benefit,
teaching responders public-safety-specific exercises will reduce
soft tissue injury.
Responders can also do a series of exercises on-duty
and in uniform that will help them stay fit. Worried about equipment
or having to secure a grant? No problem! A gym can be put into a
station for less than $300. A resistance band, a stability ball,
some dumbbells, a tennis ball and a Frisbee are all you need.
Exercising on duty must be considered standard operating procedure.
For those administrators or HR folks worried about liability from an
on-duty injury, I ask: what does all those back injuries, medical
claims, overtime, shift differentials, un-manned units cost?
Worrying about an employee getting injured while exercising totally
misses the point.