{"id":2650,"date":"2019-11-13T18:09:45","date_gmt":"2019-11-13T18:09:45","guid":{"rendered":"https:\/\/firefighternow.com\/?p=2650"},"modified":"2019-11-13T19:07:36","modified_gmt":"2019-11-13T19:07:36","slug":"firefighter-medical-exam","status":"publish","type":"post","link":"https:\/\/firefighternow.com\/firefighter-medical-exam\/","title":{"rendered":"A Simple Guide To The Firefighter Medical Exam"},"content":{"rendered":"\n<p>Part of becoming a firefighter is have a medical exam.&nbsp; But, if you\u2019ve ever wondered what to expect during a firefighter medical exam, you\u2019re not along.<\/p>\n\n\n\n<p>In this article, I want to give you a quick run-through of\nsome of the different aspects of the physical exam in the hiring process. This\ncan help you prepare for what is to come. I will also talk about some other\nexpectations and medical disqualifications. Finally, I want to talk about the\nlikelihood of ongoing physicals while working at your new fire department. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Basic Requirements of a Firefighter Medical Exam:<\/strong><\/h2>\n\n\n\n<ul><li><strong>Vital\nsigns <\/strong><\/li><li><strong>Vision\ntest<\/strong><\/li><li><strong>Hearing\ntest<\/strong><\/li><li><strong>Blood\nwork<\/strong><\/li><li><strong>Urinalysis<\/strong><\/li><li><strong>Chest\nX-ray<\/strong><\/li><li><strong>Pulmonary\ntests<\/strong><\/li><li><strong>Treadmill\ntest (stress test)<\/strong><\/li><li><strong>Functional\nmovement screening<\/strong><\/li><li><strong>General\nmedical history<\/strong><\/li><\/ul>\n\n\n\n<p>Many departments will\nadd a physical exam to their healthcare package for new employees. In most\ncases, it is a way to help them with their health and well-being in dangerous\noccupations. <\/p>\n\n\n\n<p>Most will also use physical exam when hiring to be sure that candidates are right for the role. Firefighting is one such profession and, as you might expect, the physical is pretty extensive because of the stress and dangers of the profession. <\/p>\n\n\n\n<p>When you apply for a role in the fire service and pass your initial application process and <a rel=\"noreferrer noopener\" aria-label=\"interviews (opens in a new tab)\" href=\"https:\/\/firefighternow.com\/51-firefighter-interview-questions\/\" target=\"_blank\">interviews<\/a>, a medical assessment isn\u2019t far behind. This is an essential screening measure to make sure that applicants are fit enough to proceed. The test typically consists of 10 key processes. <\/p>\n\n\n\n<p>While different\ndepartments may have different requirements, this list gives you a good idea of\nwhat to expect.&nbsp; Let\u2019s further break down\nwhat to expect with each exam.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Vital Signs <\/strong><\/h3>\n\n\n\n<p>This one is pretty straightforward. They need to know your\nvital signs, such as your blood pressure, heart rate and oxygen level (pulse\nox) as an indication of your general fitness level. Poor results here could\nindicate poor physical fitness but also underlying health issues that may need\nmedical intervention. <\/p>\n\n\n\n<p>Physicians and department officers need to decide whether\nthose issues could harm your performance on the job. <\/p>\n\n\n\n<p>Another vital sign that some departments may look at is body\ncomposition. They need to know your body mass index (BMI) and will use skinfold\ntests for a ratio of fat to muscle. Not only does this indicate the physical\nfitness of a candidate at the time of hiring them, but physicians can also see\nimprovements over the years. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Vision Test<\/strong><\/h3>\n\n\n\n<p>Good vision is essential in firefighting for dealing with\nincidents with poor visibility or night-time work. Many departments will allow\nfirefighters to sign up if their vision can be corrected to appropriate\nstandards with no impairment on the job. <\/p>\n\n\n\n<p>There can be a disqualification for those with monochromatic vision, far visual acuity that is less than 20\/40 binocular vision or a peripheral vision less than 110 degrees. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Hearing Test<\/strong><\/h3>\n\n\n\n<p>Recruits need to hear instructions and indications of\ndangers on the scene in loud, confusing situations. Therefore, the hearing test\nis essential. <\/p>\n\n\n\n<p>The test is simple with a series of responses to stimuli in\na soundproof room. Those that underperform at the different frequencies may\nstruggle on-site. There are also disqualifications for conditions that could\nprove dangerous, such as uncorrected tinnitus, Meniere\u2019s syndrome or\nlabyrinthitis. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Blood Work<\/strong><\/h3>\n\n\n\n<p>You will have blood taken 48 hours before the physical exam\nso that doctors can have the results ready. The blood work is vital in highlighting\npossible health risks. <\/p>\n\n\n\n<p>Doctors can look at white and red blood cell counts as well\nas glucose levels. These can indicate diseases that are perhaps undetected or\npoorly managed. It is also a good way to test alcohol levels for substance\nabuse. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Urinalysis<\/strong><\/h3>\n\n\n\n<p>You might think that the urinalysis is primarily for <a rel=\"noreferrer noopener\" aria-label=\"drug tests (opens in a new tab)\" href=\"https:\/\/firefighternow.com\/do-firefighters-get-drug-tested-a-simple-guide\/\" target=\"_blank\">drug tests<\/a>. Fire departments will have strict policies on the use of drugs \u2013 especially those in states with legalized marijuana. But, there is more to this test. The compounds and consistency of the fluid can indicate major diseases and small infections. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Chest X-Ray<\/strong><\/h3>\n\n\n\n<p>A chest x-ray gives doctors an up-close look at the health\nof your lungs and heart. This means checking the lungs for damage or\nobstruction, spotting potential problems with the heart and looking at the\nmajor blood vessels. This is the perfect chance to locate something small that\ncould end up being a ticking time-bomb. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Pulmonary Tests<\/strong><\/h3>\n\n\n\n<p>It isn\u2019t enough to see inside your lungs for visible\nindicators of disease. Breath tests with spirometers determine a candidate\u2019s\nlung function through inhalation and exhalation. A poor rate could be dangerous\nin a smoke-filled room even with a mask on. <\/p>\n\n\n\n<p>Hiring officers may not be interested in hiring those with\nasthma or those with any other reactive airways disease that has required\nbronchodilator or corticosteroid treatment for more than 2 months in the past 2\nyears. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Treadmill Test (Stress Test)<\/strong><\/h3>\n\n\n\n<p>This one is a classic that never seems to go out of fashion.\nThe treadmill is the perfect way for physicians to gauge the cardio and\nrespiratory function of their new applicants. This one is as much about\nendurance as anything else. Can you maintain the right heart rate and\nperformance for your age during long tasks?<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Functional Movement Screening<\/strong><\/h3>\n\n\n\n<p>Functional movement essentially means the way that your body\ncan move with the range of motion of the limbs, flexibility of the joints and\nperhaps also the strength of the muscles. The tests involved can vary between departments,\nso it is best to practice a lot of exercises and get your range of motion and\nflexibility up to the right standard. <\/p>\n\n\n\n<p>Flexibility is essential in the hamstring muscles, lower\nback, and shoulders. It helps firefighters move around dangerous areas and\nhandle equipment with less risk of injury. <\/p>\n\n\n\n<p>There are different ways to test this. Participants can be\nmade to sit against a wall with their legs and knees flat. They then reach out\ntoward their feet to see how far they can get. There are also leg raises,\nhurdle step-overs, deep squats and other tests. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>General Medical History<\/strong><\/h3>\n\n\n\n<p>Finally, the physician will want to go over your medical\nhistory and run some additional tests as needed. This is the final phase where\nall of the numbers, samples and red flags come together. <\/p>\n\n\n\n<p>They will get to know your previous medical history and\nrisks within the family. This could help them analyze the samples and results\nand make their recommendations. It is important to be honest at this point when\nanswering all the questions. Failure to do so could put you and your crew at\nrisk. <\/p>\n\n\n\n<p>This list is a good starting point when hiring applicants. But, the <a rel=\"noreferrer noopener\" aria-label=\"NFPA (opens in a new tab)\" href=\"https:\/\/www.nfpa.org\/\" target=\"_blank\">NFPA<\/a> has high standards and additional clauses. <\/p>\n\n\n\n<p>The NFPA has a list of 1582 medical requirements for\nfirefighters to make the grade. This may sound excessive, but we have to\nremember how physically demanding the role is. <\/p>\n\n\n\n<p>I can\u2019t go into full details about each of the 1582\nrequirements here. Just be aware that many additional disabilities and\nillnesses could prove to be a reason for disqualification. <\/p>\n\n\n\n<p>For example, there are neurological conditions that would not be tested for in this physical. Any neurological condition that could affect the safety of others, concentration on the job or short-term physical ability is an issue. Anyone with epilepsy is expected to have had it under complete control for at least 5 years. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Firefighter Medical Exams Shouldn&#8217;t End There&#8230;<\/strong><\/h2>\n\n\n\n<p>Ideally, your fire department should also have the funding\nand support to provide regular medical screenings on the job. Regular screening\ncan help medical professional spot any signs of disease caused by the\nprofession. <\/p>\n\n\n\n<p>This means a more general physical examination\nof the body, limb function and response. But, there should also be <a href=\"https:\/\/firefighternow.com\/can-firefighting-really-cause-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\">screenings for cancer<\/a> and chest x-rays. <\/p>\n\n\n\n<p>This is another reason why those tests for\nvital signs and stats from the previous tests are so important. The information\ngathered in the hiring procedure does just highlight current physicality for\nnew recruits. It can also highlight declines in health later on. <\/p>\n\n\n\n<p>For example, doctors may a drop in some vital signs,\nchest function or on the treadmill test year on year. The stats can also flag\nup any sudden changes in x-rays, vision and hearing tests or the blood work\nthat may require further help. <\/p>\n\n\n\n<p>Unfortunately, fire departments don\u2019t all work\nto the same standards and practices. <\/p>\n\n\n\n<p>The problem is that there is no national\nstandard here where every department has to conform to the same procedures.\nSome states will go out of their way to ensure that recruits and crew members\nundergo regular, thorough medical testing. Others won\u2019t. <\/p>\n\n\n\n<p>This is a concern in a professional that is so\ndangerous with so many cancer risks. Firefighters are urged to seek out regular\ntesting either on the job or through their own healthcare provider. Tell your\nown doctor about your profession and any recent incidents and exposures as a\nprecaution. <\/p>\n\n\n\n<p>I hope this article gave you an idea of what to\nexpect during a firefighter medical exam.&nbsp; There is a lot to prepare for\nwhen you enter the hiring process and a lot of physical tests. But, each one of\nthese procedures is essential for both you and the department. <\/p>\n\n\n\n<p>They can highlight risk factors that you\nweren\u2019t aware of that may have an impact on your ability to work as a\nfirefighter. Failure to do so could put you and those in your crew at risk. <\/p>\n\n\n\n<p>If you know that you have underlying medical\nissues, be honest during the firefighter medical exam, and try and show that\nthey won\u2019t be an issue. If doctors disagree, respect that decision for the good\nof the department. If you know that you aren\u2019t quite fit enough yet, work on\nthat fitness before you apply to improve your chances. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Part of becoming a firefighter is have a medical exam.&nbsp; But, if you\u2019ve ever wondered what to &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"A Simple Guide To The Firefighter Medical Exam\" class=\"read-more button\" href=\"https:\/\/firefighternow.com\/firefighter-medical-exam\/#more-2650\" aria-label=\"Read more about A Simple Guide To The Firefighter Medical Exam\">Read More<\/a><\/p>\n","protected":false},"author":2,"featured_media":2651,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Simple Guide To The Firefighter Medical Exam | FireFighterNow<\/title>\n<meta name=\"description\" content=\"Part of becoming a firefighter is have a medical exam.&nbsp; 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