Medical LODD Lesson? Who Cares.

When the fire service looks at changing culture, reading should be a priority

By Bill Carey

Originally published 29 June 2011.

Suppose for a moment you are a battalion commander in Afghanistan. You and your personnel have just been rotated in and your area of operation is composed of a mixed landscape of roads, trails, open spaces, mountain ranges, large villages and small hamlets. Last year, those who you are relieving suffered 100 killed in action (KIA) total during their deployment. 60 percent of those were due to improvised explosive devices. Hostile fire claimed others and close combat (hand-to-hand/close quarters) accounted for a smaller percent.

On the desk in the command post are the reports of the previous battalion’s KIAs. They are divided into the percentages just mentioned; IED (60%), Hostile Fire (30%) and Close Combat (10%).

You have made it your priority to ensure that all the young men and women under your command come home, that no one gets left behind.

So which stack of reports do you focus on the most for lessons learned?
The 60%?
The 30%?
The 10%?

This week so far, the NIOSH Firefighter Fatality Investigation and Prevention Program has released three line of duty death reports. Two involved deaths attributed to health and the third a fall. Of the main fire service websites only one had all three (guess). The others had just the fall fatality. One didn’t even report on any of them. It’s not as if other news simply pushed them down the list, but such a story should be easy to find if not on the news landing page by using specific key words in the search field.

The reports, in posting order from NIOSH, are:
Career Fire Fighter Dies from Fall off Fire Escape Ladder – Illinois
Fire Fighter-Paramedic Suffers Sudden Cardiac Death During Ice Rescue Training – New Hampshire
Fire Fighter Suffers Sudden Cardiac Death While Fighting Wildland Fire – Virginia

So why is this? Why is it that the ‘glamorous’ line of duty death report receives promotion and the medical ones are snubbed or play second fiddle? What was it about a 46-year old male and a 54-year old male, fighting fire and training, that didn’t get Facebooked and Tweeted for all to see? Maybe it was that the fall involved the Chicago Fire Department. Or maybe it was that the victim in the fall was at a ‘real fire.’ Ice rescue training and a brush fire aren’t as exciting as smoke and fire on the roof of a 4-story occupied structure are they?

In 2010 stress and overexertion accounted for 61% of the causes of line of duty deaths and heart attacks made up 56% of the nature of death. If we are serious about reducing the number of line of duty deaths, especially by sharing lessons learned from the fatal incidents, then shouldn’t we expect to see equal coverage? There is just as much to learn from a firefighter who died of a heart attack as there is a firefighter who died of a fall. What if the various organizations and initiatives only focused on firefighters who died actively participating in structure fires and ignored the rest?

If firefighting were combat, would we read the lessons on what was killing 60% of our soldiers?

By the way, of the 43 who have died in 2011 to date, five have died in structure fires and four in wildland fires. What killed everyone else?

“Year-To-Date Summary Statistics (Provisional) On-Duty Firefighter Fatalities in The United States Date Range 1/1/2010 to 12/31/2010”, USFA
Fire Fighter Fatality Investigation and Prevention Program, NIOSH

Photo courtesy of Unsplash.

Published by Data Not Drama

Data Not Drama is writings that provide a point of critical thought about firefighter fatality data and education, line of duty deaths, and risk. The main focus is to encourage less risk aversion and better knowledge on the subject of firefighter fatalities in firefighters, fire departments, and fire service organizations.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: