first responders

Public Health Emergency of International Concern – Mpox Clade I

The likelihood of a large outbreak of Mpox Clade I or I b is low outside of Africa, but isolated cases or outbreaks are possible. This post provides an early alert to First Responder Agencies, especially those that do EMS, to make sure their agency is ready if Mpox should occur in your area, to reduce the risk of responders being exposed to & developing Mpox.  There will be some suggestions for initial preparation for Mpox to get you started....

Updates for Seasonal Influenza (Flu) for 2022–2023

After a couple of Flu Seasons that were extraordinarily mild, Seasonal Flu is back with a vengeance. It’s starting early and all indications point to a very active Season.  The FirstWatch Intelligence Page (HIP) has updated Flu Resources, both in written documents, as well as links to outside resources for quick reference. Hopefully, these resources, as well as Weekly Flu Summaries of Flu Activity for the US and Canada, as well as globally, will help navigate this Flu season for your...

Be Careful with Fentanyl but Don’t Be Afraid to Treat

The Media, and now TV shows & movies, are representing any response from First Responders (EMS, Fire, Law Enforcement) as at risk for their own overdoses, should they even be in proximity to fentanyl.  This is partly due to the fact that there are reports of First Responders becoming symptomatic when on the scene where fentanyl is suspected or found, sometimes delaying critical patient care. This article looks at the current literature and expert guidance to explore the actual continuum of...

Chemical, Biological, Radiological, and Nuclear Resources for First Responders

There has been increased concern about both domestic and international terrorism throughout the world. There are also natural disasters and accidental events, such as chemical releases or theft/loss of radioactive isotopes from construction sites or hospitals, occurring all around the country. One thing is clear, First Responders are almost always going to be first in on any of these incidents, except for those on the scene as the incident is occurring, looking for help. First Responders can, with the correct training,...

Ebola in the Democratic Republic of the Congo (DRC) & Guinea Update

There is good news in the DRC regarding Ebola, while the fight against it in Guinea continues.  Both the DRC and Guinea began their 42-day countdowns from their last known cases on 3/21 and 3/24, respectively.  The DRC continues their countdown, but Guinea's was interrupted with a new case in Soulouta, along with a cluster of suspicious deaths.  If no new cases emerge, the DRC's outbreak will be declared over in early May.  Guinea's newest case was reported on 4/2. ...

Health Canada Issues an Advisory/Recall for Face Masks Containing Graphene

Health Canada published an Advisory to warn Canadians (the general public, healthcare professionals and hospitals) to NOT wear face masks that contain Graphene or Biomass Graphene until further notice. The warning explains the concern that wearers of these masks may inhale graphene particles from some masks that could pose health risks, including pulmonary injury.  Graphene is a fairly new nanotechnology, particularly when it comes to face masks, so a small introduction to the technology with regards to human health is included. 

FDA & CDC Recommend Pause in Johnson & Johnson (J&J) Vaccinations

THE FDA & CDC have recommended a pause in administering J&J (Janssen) COVID vaccinations after the VAERS (Vaccine Adverse Event Reporting System) had reports of six (6) women, between the ages of 18 and 48, developing a rare type of blood clot between 6 & 13 days after receiving the J&J vaccine.  This article contains an overview of the HAN Alert Recommendation and why it is so important, some information about this rare clot, adenovirus- vector COVID vaccines, a chart...

In the News – Three Health Safety Alerts

Public Health Authorities in the United States have released two health safety alerts and Canadian Health Authorities have released one.  All three have implications for First Responders, primarily EMS, but appropriate for others who may encounter these situations too.  Each alert/advisory includes information about the alert, what EMS & First Responders can do to manage the situation, and a short list of Resources & Links for obtaining more complete information. #1 is from the CDC, FDA, & the Southern Nevada Health...

Situational Awareness for All Public Safety Responders

Police, Fire, EMS, and Corrections personnel (my apologies if I missed anyone) are all taught and practice situational awareness.  This practice is what allows so many First Responders to go home safe after shift.  In the usual application of situational awareness (Is the scene safe?  Am I?), most threats to that safety can be seen or heard. That changes when the threat (amongst all the others that remain) is literally microscopic.  And, the signs and symptoms of illness, a) look like...

COVID-19 Guidance Resources for Law Enforcement Personnel

There is a lot of available information for Health Care Workers and EMS, but not very much for Law Enforcement who have several roles as part of their work that puts them at increased risk for being infected by COVID-19.  This document raises the awareness of that risk and offers a clearinghouse of resources specifically for Law Enforcement, First Responders/Public Safety.

EMS/First Responder Application of the CDC Measles Recommendations

The CDC has recently published a new document called Interim Infection Prevention and Control Recommendations Guidance for Measles in Healthcare Settings (7/19).  It is a comprehensive document aimed at a person who provides health care to individuals who may have measles.  It basically provides the framework to plan and develop policies and procedures for, as well as apply definitions and evidence-based care, to both a suspected or known case of measles. It further provides for the protection of First Responders...

Suicide Prevention for First Responders Resources

Important: Tools/Cards/Scales Are Not Designed to Be Used without Training & Medical Director and/or Mental Health Professional Oversite

General Information on Suicide/Prevention:

National Institute of Health (NIH) Suicide in America FAQs: https://www.nimh.nih.gov/health/publications/suicide-faq Mental Health Government Site for Identifying Suicidal Behavior: https://www.mentalhealth.gov/what-to-look-for/suicidal-behavior # Information on a Scale (C-SSRS) developed by Columbia University to ID Someone at Risk: https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/ # Training Opportunities for Using the C-SSRS (see above): https://cssrs.columbia.edu/training/training-options/ # Home Page for the C-SSRS with Links for Group-Specific Scales: https://cssrs.columbia.edu/ # C-SSRS Scale for Use with Families,...

Suicide Prevention for First Responders

For those who have seen the tragedy of first responder suicide up close, or heard about it, they know that suicide needs to be prevented at all costs. And, to prevent it, an agency and its individuals – all of them – need to be aware of the increased risks in this population, the causes, the early signs of an issue, and how to quickly intercede and get help for that individual(s).

First Responder Health & Safety Links

CDC / NIOSH Emergency Responders Resources including: • Safety Management • Bloodborne Infectious Disease • Personal Protective Equipment • Traumatic Incident Stress https://www.cdc.gov/niosh/topics/emres/responders.html Safety Management: https://www.osha.gov/SLTC/emergencypreparedness/index.html Bloodborne Infectious Disease: https://www.osha.gov/SLTC/bloodbornepathogens/ Personal Protective Equipment (PPE): https://www.cdc.gov/niosh/topics/emres/ppe.html Incident Stress: https://www.cdc.gov/niosh/topics/traumaticincident/ Download the list of links

DHS Information for First Responders on Maintaining Operational Capabilities during a Pandemic

Executive Summary First responders have a critical role in prehospital emergency care and must continue to provide this essential service and fill the many emergency response roles in a community. The first responder community includes: fire, emergency medical services, law enforcement, emergency management, and 9-1-1 telecommunications. During a severe pandemic, workloads will increase and staff sizes will diminish as employees and their families become ill. Contingency planning now can help reduce the worst impacts: smart planning can save lives. To help with...

Synthetic Opioids/Fentanyl and Fentanyl Analogs

This is a collection of resources, developed by experts and stakeholder groups, to help identify, mitigate, and manage the risk for First Responders. The documents contain tools, recommendations, charts, and other pertinent information for knowledge as well as the development of Best Practice Policies for First Responder agencies in dealing with synthetic opioids.