Firefighter Health

Spirituality in the Fire Service

By: Rabbi Howard A Cohen (Deputy Chief, ret.) AFM Virtual Training Coordinator

I am a rabbi. For those not familiar with term, a rabbi is a person trained in Jewish law, ritual, tradition and the chief religious official of a synagogue. I’ve served congregations in Alaska, Massachusetts, Vermont, and I was a prison chaplain for five years. I was also an active firefighter for twenty years. I entered the fire service world as a department chaplain, and I retired as a deputy chief. For my well-being and spiritual health I am now an instructor for Africa Fire Mission. I share this about me so you understand that I’ve been exploring matters of spiritual health in diverse settings, especially the fire service world, for a long time. This does not make me an authority, by any means. It does, however, afford me a certain perspective on the topic of spirituality and the fire service.

Spirituality is one of those words that everyone thinks they know the meaning of but have a hard time defining. This is not surprising since how we understand spirituality is highly subjective. So for the purpose of this article, I am defining spirituality as a sense of meaningful connection to something beyond or bigger than ourselves.

For many of us in the fire service what we do is not merely a job, it is a vocation. We do what we do, and we face the challenges that we face, because it is a calling. We are called to help others and we are self-sacrificing as we do this. We train to save lives under extreme conditions. Every time we respond to an emergency we are answering a “higher” calling. 

 

We may not think of what we are doing as spiritual work, but in the eyes of those we help during the worst hours of their lives, our work must be spiritual because to them we are practically divine agents. Moreover, though we tend not to use words like spirituality, higher calling and holy when we are thinking and talking about our work, in my humble opinion, the fire service is nothing less than holy work.  

I’ve also observed that beyond the “holy” nature of our life saving work, there is something spiritual in the way we bond/connect with our colleagues. We trust our lives to one another.  The lives of those who we are called upon to aid depend on our ability to work together. And at the end of a day of soul wrenching experiences, we cry, hug, and support one another.  We do this because we have a spiritual connection to one another.

 

In the fire service there is a lot of talk these days about emotional wellbeing. What’s the difference between emotional wellbeing and spiritual health? I suggest that emotional wellbeing is about cultivating a frame of mind, which can broaden your outlook and help you to connect to something larger or beyond yourself. Emotional wellbeing involves accepting and exploring who you are, enhancing your inner resources to reduce stress and maintain a positive outlook on life, and awareness and acceptance of the way that you feel. On the other hand, spirituality and spiritual health are about actively seeking meaningful connections with something larger or beyond yourself which can result in positive emotions and personal growth. At the risk of oversimplification, another way to explain the difference is that spirituality starts with looking outward, while emotional wellbeing starts with looking inward.  Nevertheless, they are deeply integrated and, in fact, reinforce one another.

Unfortunately, the daily challenges of being in the fire service take their toll on us. Newness and adrenaline only carries us so far. Eventually after so many encounters with fires, car crashes, accidents, damaged bodies, and death what began as a calling starts to give way to the feeling that it is just a grunt of a job. What is happening is that the demand of the profession is slowly chipping away at our spiritual health.  The nature of being a firefighter not only brings us into direct contact with much trauma and tragedy, but the need to act, not feel, requires that we put our feelings aside.  

Over time, as we become habituated to not processing our emotions, our emotional wellbeing and spiritual health begin to suffer. Left unchecked, this leads to “burn out” and/or secondary traumatic stress that will impact our health and relationships. Our work will start to feel meaningless.  The connections to our colleagues will start to fray.  We are literally becoming dispirited.

 

As dire as this sounds, there is good news.  There are numerous ways to regain and sustain spiritual health.  Here are several practices you can incorporate into your daily life to strengthen both your spiritual well being and emotional health.  While I can’t say any one of these is necessarily better than the other, I’ve listed them in order of my personal preference.  

 

1) Develop a strong sense of gratitude:  This can be as simple as making a point of expressing gratitude every day to the many people with whom you come into contact. Take a little time every day to reflect on all of the work others do for you. Express gratitude for them to yourself. Let them know how grateful you are as well.  

 

2) Embrace rituals:  The life of a firefighter is filled with important daily safety tasks that need to be done.  Embrace these tasks as sacred rituals. As you go through your checklist, visualize how this connects you to your colleagues and what might happen to them if you didn’t do this task right.

 

3) Foster empathy for others. Develop empathy by paying close attention to the people who surround you.  Expand the empathy you feel for those you know to encompass those you haven't met.

 

4)  Invest in your Relationships: Invest time and energy into the people who love you and whom you love.  

5)  Meditate and/or Pray:  Work on your spiritual health by questioning, affirming, and revising your beliefs. Drill down on troubling thoughts, don't hide them from yourself. Share them with someone you trust, and discuss your concerns together.

 Throughout this article I’ve used terminology that is evocative of organized religion.  While spirituality may incorporate elements of religion, they are not the same thing, nor are they entirely distinct from one another.  Religion is about following a prescribed set of rules, traditions, or beliefs.  Spirituality is entirely subjective and can be defined in just about any way you want. Some people choose to express their spirituality by keeping the aspects of traditional religion that they enjoy, like the practice of prayer or a belief in God.  This is fine.  Ultimately, there is no right or wrong way to seek out spiritual meaning. It will be different for each individual.

About the Author

Howard retired from the Bennington Fire Dept as a deputy chief.  He spends a lot of time writing and teaching various aspects of firefighting.  He religiously works out every morning, doing a mix of high intensity interval training (HiiT), dumbbells, kettlebells, barbells and cycling. When he is not doing something for the fire service or working out he is the rabbi of two small congregations.

 

Cancer in the Fire Service

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By: Brad Banz-

Retired Fire Chief, Colwich Fire Dept., Retired Captain Wichita Fire Dept.

Unfortunately, as firefighters we are learning that a serious challenge we all face is cancer in the fire service.  As time and research progress, we are starting to learn how serious that threat really is to our health and wellbeing as firefighters.

A comprehensive study was conducted by the U.S. National Institute for Occupational Safety and Health, also known as NIOSH.  This study was conducted on nearly 30,000 firefighters who were employed by the Chicago, San Francisco and Philadelphia fire departments over a period from 1950-2009.  These fire departments are some of the largest in the U.S.  The study compared cancer rates of their firefighters in specific age groups and by race to the same age groups and race to comparable civilian populations in the same regions.  The study concluded that the firefighters had greater rates of digestive, oral, respiratory, and urinary cancers than their civilian counterparts.  According to the International Association of Firefighters, the labor union which represents many career firefighters in the U.S. and Canada, 66 percent of all firefighter line of duty deaths between 2002 and 2019 in the U.S. and Canada were cancer related.

This evidence shows that cancer is a concern among firefighters.  Over our careers we are repeatedly exposed to many known cancer-causing agents and unknowns which evolve in the combustion process.  Since we can’t avoid being around these contaminants, I would like to discuss ways of lessening exposure, and perhaps decreasing our cancer risk. 

The first thing we can do is to keep ourselves clean.  The chemicals in the grime that ends up on our skin are the chemicals that can cause cancer.  The sooner we wash, the better.  While on the scene, rinse hands and face upon completing work.  Some firefighters have wipes.  If so, use them.  Upon returning to quarters and having all equipment readied for service, shower or wash as soon as possible.  Concentrate on face, throat, armpits and groin area especially.

Another thing we can do is keep our PPE clean.  Brush off loose debris at the scene and rinse away excessive grime on the scene.  Thoroughly rinse PPE at the firehouse to remove as much debris as possible.  Although many fire brigades may not have gear washing machines, for brigades which are fortunate enough to have a gear washer, launder gear according to manufacturer’s recommendations.  Whether laundered or rinsed, gear should never be dried in the sun.  Something that is often overlooked is our helmets, and admittedly, mine is dirty.  Helmets should be cleaned with soap and water only, as other cleaners could harm the shell.

Let’s talk about some rules for storage and transport of PPE.  Many firefighters like to keep PPE in sleeping quarters to have quick access during nighttime hours.  This is an unsafe practice.  When not responding to emergency calls, PPE should be stored in outside apparatus compartments while travelling.  Passenger compartments should also be cleaned after responding to a fire to remove all products of combustion. 

Cancer is an unfortunate reality of our careers in the fire service.  Because of the substances we are repeatedly exposed to, we need to do whatever we can to lessen the risk.  Hopefully these ideas for personal and PPE cleaning, and safe storage and transport of PPE will be valuable.  Stay safe out there.   

Personal Protective Equipment

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“Helmets, Turnout Coat, Pants, Gloves and Self-Contained Breathing Apparatus”

- Robert Rielage, Retired Chief Fire Officer

The use of personal protective equipment (PPE) such as helmets, coats, pants, gloves, boots and self-contained breathing apparatus (SCBA) may not be available to your department or especially not to every firefighter of your department.  It is one of our priority goals at Africa Fire Mission to ensure that every firefighter is as safe as possible on the job and that each firefighter is utilizing all of the PPE available, whether fighting a fire, working at an automobile accident, or rescuing a person in an industrial accident.

Your PPE such as your pants, coat and gloves are designed out of very tough material to keep you safe from several things such as from being cut by broken glass, wood or metal.  They are also designed to protect you from the heat of the fire so you can get closer to where those who may need to be rescued are located.  Your helmet and eye shields are to protect both your head and eyes from falling or flying objects, much the same as your hands and feet are protected by your gloves and boots.

All of your PPE is designed to be worn on every call. Every piece is needed to be worn every time to  protect you.  It also provides better protection should your fire truck be involved in a traffic accident. 

There are also hidden dangers that you may not realize.  The smoke and hot gases released by a fire also contain contaminates – hazardous or poisonous chemicals like cyanide or carcinogenic particles released by the foam in burning furniture can cause you over time to develop cancer – one of the leading causes of death among firefighters.  Unfortunately, while PPE can help protect you, these chemicals produced by the smoke and fire can also cling to your PPE causing an indirect exposure that can also make you sick.

What can you do?  The best thing is to briefly wash down your PPE with water at the fire scene.  This is called “gross decontamination” and it washes off the majority of the bad chemicals, soot and smoke from your PPE.  Washing your PPE afterwards with a brush, soap and water is even better at keeping it clean. 

If your department has self-contained breathing apparatus (SCBA) you should wear it anytime there is fire and smoke present – even on an automobile fire.  This protects your lungs from these same deadly chemicals.  After using your SCBA, the face piece needs to be cleaned, again with soap and water, and the bottle and harness at minimum needs to be hosed off to keep it clean.

If you do not have SCBA, then always try to approach a fire with the wind at your back to blow the smoke and hot gases away from you.  Remember, your health and safety as firefighters are very important. You protect the citizens of your district from harm.  Wearing your full PPE is one of the most important things you can do to not only protect yourself, but also everyone in your community.