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Tolerance is a factor, too. During medic school I did a couple of rotations in NYC with an Orthodox Jew who, if I understood correctly, was not supposed to remain in the presence of a corpse. We did a couple of cardiac arrests that day that were pronounced on scene. My preceptor allowed the other student to wait outside while we cleaned up. No big deal.
Blair, actually, your information is not completely correct. Several Washington, D.C. firefighters who are Muslims and Orthodox Jews won a court case after they were ordered to shave their beards due to wearing SCBA. The court ruling says that their freedom of religion trumps the safety issue.
I was unaware of that ruling. Does that mean their freedom of religion trumps your and my safety too? When their partially sealed masked allows them to take a nice big gulp of hydrogen sulfide, cyanide, CO, and 100 other particulates and they go down, and you or me is their partner, or now we're in trouble for their decisions too.
The current SCBA fit test is overkill, and it doesn't guarantee a mask seal in the real world - two reasons why it's not validated. The mask is fit-tested in negative pressure, even though it is never used except in positive pressure.
Well, better to be fit tested with "overkill" standards, than just enough needed. Also, nothing's a garuntee, but it's better than fitting it by feel. I understand what you're saying, but it's what we have. It's also very similar to the test the military uses for their gas masks, and facial hair standards (while there for other reasons also) equally apply there for the same reasons...mask seal.
The best answer is probably a full-face helmet/mask combined unit similar to a full-helmet dive rig.
That would eliminate face seals as an issue, it would eliminate fit testing, and it would allow facial hair unless the department prohibited it as a grooming standard.
Well, if their freedoms trump safety, they'll certainly trump any department's standards, in that court anyway.
And...there are thousands of firefighters who do not "pack up". Forestry firefighters generally don't even have SCBA on their apparatus.
No big deal, yet.....when that student becomes the crew chief, and there's a distraught family inside that residene that needs attention from EMS prior to arrival of coroner, priest (or whatever), family, neighbors, etc....then what?
Again, respect religious norms when feasible. But guess what, being around corpses is a (not daily) part of our job.
SO, has anyone checked with fire departments in Israel to see how they address this?
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