1. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HEART ATTACK & STROKE Date Location

2. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) Heart Attack & Stroke The Leading Killers of Firefighters

3. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) OBJECTIVES To identify the leading cause of LODD for each age To describe what heart attacks and strokes are To describe the proper way for firefighters to handle their own symptoms of Heart Attack or Stroke To discuss what can be done to reduce this problem To review the IAFF/IAFC Wellness-Fitness Initiative To identify what each of us as an individual can do to describe what we can do as a department to change our organization’s fitness culture

4. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) REVIEW PRE-COURSE RESEARCH MATERIAL LODD deaths including ages and cause (internet search for this) Retired firefighter deaths including cause if possible (internet search) Record your meals for at least three days before class and be honest

5. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) FIREFIGHTER DEATHS

6. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) LEADING CAUSES OF FIREFIGHTER DEATHS Under 20 years of age to 30 are in MVA’s* 30 to 40 years of age is blunt force trauma with Heart Attack and Stroke in second place 40 to 70 years of age is Heart Attack and Stroke during responses, training and in the station.

7. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)

8. DEATHS BY TYPE OF DUTY

9. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) DEATHS BY INJURY

10. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) CAREER AND VOLUNTEER DEATHS

11. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HISTORICAL AXIOMS The Three E’s –Engineering, Educating, Enforcing Focus is on things The Four Element’s to Changing Culture –Engineering and Enforcement –Education and Culture Focus is on people

12. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) 50% OF LODD’s ARE ATTRIBUTED TO SCD 1.Of 440 deaths over a 10 year period, 308 (43.5%) had a known heart condition 2. If you start with the number of deaths attributed to firefighters with a known heart condition, and add in age, other health conditions, and smoking, that number accounts for roughly 75% of all firefighter deaths 3. In 8 to 12 SCD root cause factors are incomplete

13. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHAT IS A HEART ATTACK A Heart Attack occurs when the blood flow to a part of the heart is blocked by a blood clot. If this clot cuts off the blood flow completely, the part of the heart muscle supplied by that artery begins to die.

14. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHAT DOES A HEART ATTACK FEEL LIKE Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach. Shortness of breath with or without chest discomfort Other signs may include breaking out in a cold sweat, nausea or lightheadedness

15. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHAT IS A STROKE An Ischemic Stroke (the most common type) happens when a blood vessel that feeds the brain gets blocked, usually from a blood clot. When the blood supply to a part of the brain is shut off, brain cells will die.

16. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HOW WOULD I KNOW I WAS HAVING A STROKE Face Drooping: Does one side of the face droop or is it numb? Ask the person to smile. Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward? Speech Difficulty: Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence, like "the sky is blue." Is the sentence repeated correctly?

17. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WHAT SHOULD I DO IF I THINK I MIGHT BE HAVING A HEART ATTACK OR STROKE ►Dial 9-1-1 Fast◄

18. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) HOW DO I PREVENT HAVING A HEART ATTACK OR STROKE Not smoking Controlling high blood pressure Lowering high blood cholesterol Properly managing diabetes Not being overweight or obese Increasing physical activity

19. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WELLNESS-FITNESS INITIATIVE DIRECTED TO Incumbents Recruits Retirees Families EMPHASIZES Fitness –Physical –Mental –Emotional

20. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) WELLNESS-FITNESS INITIATIVE LABOR AND MANAGEMENT WORKING TOGETHER Medical Evaluation Fitness Rehabilitation Injury Prevention Behavioral Health Data Collection

21. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) RISK MANAGEMENT SOLUTIONS Focus on Health and Wellness –Fit for duty –Firefighters should treat their bodies as athletes do –Health & wellness, a family value

22. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) DO THIS, NOT THAT

23. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) GET FOOD HERE, NOT HERE

24. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) EAT THIS, NOT THAT

25. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) PLAN YOUR FUTURE OF THIS

26. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) NOT THIS

27. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) THERE ARE SEVERAL RESOURCES AVAILABLE TO THE FIRE SERVICE Wellness Fitness Initiative Home Page American Heart Association Cardiovascular Disease Page Local gyms (such as YMCA’s) will often give group rates to fire departments WFC Fire Rescue Wellness Corporation

28. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) To identify the leading cause of LODD for each age To describe what heart attacks and strokes are. To discuss what can be done to reduce this problem. To review the IAFF/IAFC Wellness-Fitness Initiative To identify what each of us as an individual can do to describe what we can do as a department to change our organization’s fitness culture REVIEW OF OBJECTIVES

29. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP)

30. QUESTIONS

31. Funding and support for this project has been provided by the State of Washington, Department of Labor & Industries, Safety & Health Investment Projects (SHIP) Go Live a Long, Happy and Healthy Life