Track: OEM Clinical Practice
David J. Louis, MD, MS, FACOEM*, HQ Air Force Materiel Command, Wright Patterson AFB, OH
Fabrice Czarnecki, MD, MA, MPH*, The Galbes Group, Inc, Baltimore, MD
Edward I. Galaid, MD, MPH*, Northeast Georgia Health System, Gainesville, GA
Thomas R. Hales, MD, MPH*, NIOSH/CDC, Cincinnati, OH
Daniel G. Samo, MD, FACOEM*, Northwestern Memorial Physicians Group, Chicago, IL
Maj. John W . Woltz, DO*, University of Cincinnati, Logan, OH
This session will cover important topics for physicians who work with police and fire fighters. The first half of the session will focus on cutting-edge issues in police occupational medicine. Then faculty will present the newest sections of ACOEM’s National Consensus Guidance for the Medical Evaluation of Law Enforcement Officers including infectious diseases (e.g. Hepatitis, HIV/AIDS), pregnancy (to include issues of trauma, toxins and noise), and medications and the so-called “green” weapons/munitions and frangible bullets, discussing their safety, risks and benefits, based on the latest literature. The group will also review important toxicology issues in law enforcement. This will include the toxicology of pepper spray, lead risks in firing ranges, and methamphetamine laboratories. The second half of the session will deal with hypertension (HTN) in fire fighters, one of the most common diseases in that group and a major risk factor in sudden cardiac death (SCD). SCD is the number one cause of on-duty, fire fighter death. During the second half, issues to be covered include review the JNC-7 definition of hypertension; review the current NFPA Standard for HTN and compare, this to other public safety occupational standards; the risk of SCD /sudden incapacitation due to hypertension and its complications; screening for HTN, and HTN complications; costs of these screening tests, and recommendations to revise NFPA 1582 regarding HTN. This session is sponsored by the Public Safety Medicine Special Interest Section.