1. Fit To Survive Fit To Survive Janet Woodside-Gomez, RN, MSN, PFT Certified Occupational Health Nurse, Peer Fitness Trainer Portland Fire & Rescue

2. GoalsGoals Implement IAFF/IAFC Wellness Fitness Initiative Develop and Implement an Injury Prevention Program Education for all levels of firefighters –Recruits –Incumbents –Officers

3. In the Beginning PHLAME Data Injury Data Firefighter Survey Small Wellness Budget

4. In 2000-$35,000-Recumbent bikes In 2001-$ 5,000-Fitness Testing Equipment, Software In 2003-$370,300-Exercise Equipment, Physical Exams, Peer Fitness Trainers In 2004-Nike Equipment-Balance/Strength In 2005-$175,960 Elliptical Trainers In 2006-$180,000 Equipment, PFTs In 2008-2009-$410,000 Wellness Coord., Equipment, Physical Exams Funding for Program

5. Policy & Other Changes G.O. 49 Recommended Exercise Time between 8am-5pm Standardized Fitness Equipment Exercise videos and handouts Wellness/Fitness TV Show Recruit Orientation

6. Mandatory Training Back Injury Prevention Mandatory active warm- up

7. Functional Training

8. Injury Prevention Top 4 Firefighter Injuries Ankle Knee Shoulder

9. Low Back

10. Low Cost Effective Exercises Varying Levels of Difficulty CDs to follow along Anatomy of Joints for Peer Fitness Trainers Understanding Firefighter Injuries

11. Fit To Survive Newsletter Core Performance Books Health/Wellness Manual ½ Time Wellness Coordinator Cookbooks Spinning Bikes/Classes

12. OutcomesOutcomes PHLAME Study: Injury Days Off (Self-report)

13. PHLAME SITE (687 FF): Reportable Injuries, 1998-2003

14. Self-reported Exercise Level Exercise Habits RESULTS ONLY ONE-ON-ONE TEAM Pre Post  

15. Wellness is Worth the Effort!