Are your new recruits at risk for exertional rhabdomyolysis (ER)? Central Pierce Fire and Rescue had two recruits develop ER during recent fire training academies. These individuals were physically fit, one a distance runner and the other a cross-fit enthusiast.  What is ER?  Why did these indivuaduals develop it?  What could we have done to prevent it?  

Acute exertional rhabdomyolysis is a problem encountered by firefighters as a result of extreme or novel physical demands placed on the musculoskeletal system.  When skeletal muscle fibers breakdown, their intracellular contents enter the bloodstream and can clog the kidneys.  This can cause potentially serious side effects and even death...

In our line of work we see and experience events that can be labeled horrific and traumatizing.  Sometime we go on these calls three times in a shift, and other times the events are spread out over weeks or months.  But one thing remains, and that is the memory and experiences that we were exposed to on these scenes.  These events stay with most of us for a very long time.  And sometimes these memories come back and remind us of the hard issues we have seen and are actively trying to suppress.

Most of us have developed a “coping mechanism” to be able to deal with these events at the immediate moment they are happening.  After the events have past and the incident is over, we suppress or compartmentalize the emotions that we experienced.  And we tell ourselves, and sometimes we tell others, that this is a necessary trait in order to maintain an ongoing presence in this profession.  But what happens when you can’t compartmentalize these events or the box just becomes too full to hold any more memories?  What happens when your body and mind tell you that you are human and that you are impacted by trauma and horror?  Where do you turn?