Transcript NFPA 151 - Digital Concourse

NFPA 1582
1997 Edition
Standard on Medical
Requirements for Fire
Fighters
NFPA 1582
Establishes medical requirements
for Firefighters
Adopted by NFPA, August 15, 1997
Intended for entry level as well as
current firefighters
NFPA 1582 Technical
Committee
Development began in 1990
A joint task force of members
Assisted by Physicians of Expertise
Vision
Hearing
Cardiac
Neurological
Metabolic
Scope
Firefighters
Full paid/not paid
Full time/part time
Applicable to rescue, fire
suppression and other emergency
services
Purpose
Specify minimum medical
requirements for firefighters
Help ensure firefighters are
medically capable
Definitions
Category A
Precludes from firefighting duties
Category B
Based on severity may preclude
Fire Department Physician
Licensed doctor of medicine or
osteopathy
Expertise in occupational safety
and health
Dr. George Hancock
Medical Director, Occupational Health
Services, Memorial Hermann
Healthcare systems
Medical Evaluation
Schedule
Entry/Pre-employment
Periodic Medical Evaluation
< 29 years every three years
30 to 39 years every two years
> 40 years every year
Return To Work Evaluation
Vital Signs
Medical History
Occupational History
Pulse
Respiratory Rate
Blood Pressure
Temperature
Height/Weight
Head and Neck
No Category A
Category B
Deformities of Skull
Loss of bony substance of skull
Any other resulting in inability
Eyes and Vision
Category A
> 20/30 corrected, >20/100
uncorrected
Peripheral < 140 degrees uncorrected
Category B
Diseases
Ophthamological Procedures (RK)
Any other resulting in inability
Ears and Hearing
No Category A
Category B
> 25 dB in three of four frequencies
500, 1000, 2000, 3000 Hz
> 30 dB in one of three frequencies
500, 1000, 2000 Hz
Avg > 30 dB in the four frequencies
500, 1000, 2000, 3000 Hz
Ears and Hearing
Category B (continued)
Aterisia, severe stenosis or tumor
Severe external otitis
Severe agenisis or traumatic
deformity of auricle
Severe mastoiditis or surgical
deformity of the mastoid
Otitis media
Dental
No Category A
Category B
Diseases of the Jaws or associated
tissues
Orthodontic appliances
Oral Tissues, extensive loss
Condition that precludes the use of
protective equipment
Nose, Orapharynx,
Trachea, Esophagus,
Larnyx
Category A
Tracheostomy
Aphonia
Anosmia
Category B
Deformity
Allergic Respiratory Disorder
Dysponia
Lungs and Chest Wall
Category A
Active hemoptysis
Empyemia
Current pneumonia
Pulmonary Hypertension
Active Tuberculosis
Infectious diseases of lungs or pleural
space
Lungs and Chest Wall
Category B
Pulmonary resectional, Chest wall
surgery, pneumothorax
Bronchial asthma, reactive airways
disease
Fibrothorax, chest wall deformity,
diaphragm abnormalities
Chronic obstructive airways disease
Lungs and Chest Wall
Category B (continued)
Hypoxic disorders
Interstitial lung diseases
Pulmonary vascular diseases,
pulmonary embolism
Bronchiectasis
Heart
Category A
Angina pectoris, current
Left bundle branch block or second
degree Type II atrioventricular block
Acute pericarditis, endocarditis,
myocarditis
Heart
Category A (continued)
Heart failure, current
Syncope, recurrent
Automatic implantable cardiac
defibrillator
Heart
Category B
Significant valvular lesions,
prosthesis
Coronary artery disease
Atrial tachycardia, flutter, fibrillation
Ventricular tachycardia
Cardiac hypertrophy
Recurrent paroxysmal tachycardia
Heart
Category B (continued)
Congenital abnormality
Chronic pericarditis, endocarditis,
myocarditis
Cardiac pacemaker
Coronary artery vasospasm
Vascular System
No Category A
Category B
Hypertension
Peripheral vascular disease
Recurrent thrombophlebitis
Chronic lymphedema
Lesion of a major vessel
Vascular System
Category B (continued)
Circulatory instability due to orthostatic
hypertension, persistent tachycardia, and
severe peripheral vasomotor disturbances
Aneurysm of the heart of major vessel
Abdominal Organs and
Gastrointestinal
Category A
Chronic active hepatitis
Category B
Cholecyctitis
Gastritis
Hemorrhoids
Acute hepatitis
Hernia
Abdominal Organs and
Gastrointestinal
Category B (continued)
Inflammatory bowel disease
Intestinal obstruction
Pancreatitis
Resection, bowel
Ulcer, gastrointestinal
Cirrhosis, hepatic or biliary
Genitourinary
No Category A
Category B
Pregnancy, duration
Dysmenorrhea
Endometriosis, Ovarian cysts,
gynecological conditions
Testicular mass or epididymal mass
Urinary
No Category A
Category B
Diseases of the kidney
Diseases of the ureter, bladder or
prostate
Spine, Scapulae, Ribs and
Sacroiliac Joints
No Category A
Category B
Arthritis
Structural abnormality, fracture,
dislocation
Nucleus pulposus, herniation, Hx of
laminectomy
Extremities
No Category A
Category B
Limitation of motion of joint
Amputation or deformity of joint
Dislocation of a joint
Extremities
Category B (continued)
Joint reconstruction, ligamentous
instability, joint replacement
Chronic osteoarthritis, traumatic
arthritis
Inflammatory arthritis
Neurological Disorders
Category A
Ataxias of heredo-degenerative type
Cerebral arteriosclerosis
Multiple sclerosis with activity
Progressive muscular dystrophy or
atrophy
All epileptic conditions
Neurological Disorders
Category B
Congenital malformations
Migraine
Clinical Disorders with abnormality of
sensation
Subarachnoid or intracerebral
hemorrhage
Abnormalities from recent head injury
Skin
No Category A
Category B
Acne or inflammatory disease
Eczema
Blood and Blood Forming
Organs
Category A
Hemorrhagic states requiring
replacement therapy
Sickle cell disease
Blood and Blood Forming
Organs
Category B
Anemia
Leukopenia
Polycythemia
Splenomegaly
History of thromboembolic disease
Endocrine and Metabolic
Disorders
Category A
Diabetes mellitus and history of
incapacitating hypoglycemia
Endocrine and Metabolic
Disorders
Category B
Diseases of of the adrenal, pituitary,
parathyroid, or thyroid of clinical
significance
Nutritional deficiency or metabolic
disorder
Diabetes mellitus w/o history of
incapacitating hypoglycemia
Systemic Diseases and
Miscellaneous
No Category A
Category B
Connective tissue disease
Past thermal injury
Predisposition to heat stress
Tumors and Malignant
Diseases
No Category A
Category B
Malignant disease
Psychiatric Conditions
No Category A
Category B
History of psychiatric disease or
substance abuse, individual basis and
current condition
Chemicals, Drugs, and
Medications
No Category A
Category B
Anticoagulant or cardiovascular
agents
Narcotics
Sedative-hypnotics or Psychoactive
agents
Stimulants
Steroids
SLFD 1582 History
Requested 1997 and 1998
Approved Budget Year 1998/99 for
40+ yoa Firefighters
Approved Budget Year 1999/00 for
30+, 40+ yoa Firefighters
Approved Budget Year 2000/01 for
<29, 40+ yoa Firefighters
Category A: What Happens
Doctor will consult with you.
City will be informed of your
inability to perform as a firefighter.
You have the option to disclose.
Category B: What Happens
Doctor will consult with you.
City will be informed if you are not
eligible to perform firefighting
duties.
Your option to disclose.
Incumbent Firefighter
Variances
Applies to those hired prior to
NFPA 1998/1999 physicals
Vision Correctable to 20/30.
Other issues on case by case basis
based on the judgment of the FD
Physician, the Fire Chief and Human
Resources.
Scheduling
Make appointment by May 18
Phyllis Braun, 281-276-2030
Completed physical by August 31
Your responsibility
You will be held accountable
Questions?
I may not know the correct
answers but will make every effort
to obtain them. Please E-Mail or
meet with me in person.
Thank You.
Plan to Go Home Healthy and
Uninjured.