Fire Medical Examinations must include: Medical Component per NFPA 1582 Chapters 6 & 7 A. Comprehensive Medical History – NFPA 1582 7.5 1. All necessary forms will be provided including OSHA Respirator Questionnaire B. Physical Examination – NFPA 1582 7.6 1. Vitals (temperature, pulse, respiratory rate, and blood pressure) 2. Head, eyes, ears, nose, throat (HEENT) 3. Neck 4. Heart 5. Lungs 6. Breast 7. Gastrointestinal with digital rectal exam as clinically indicated 8. Hernia 9. Lymph nodes 10. Neurological 11. Musculoskeletal 12. Skin, thyroid, and testicular cancers 13. Vision C. Blood Tests – NFPA 1582 7.7.1 and additional 1. CBC with differential 2. RBC indices and morphology, and platelet count 3. Electrolytes (Na, K, Cl, HCO3, or CO2) 4. Renal function (BUN, creatine) 5. Glucose 6. Liver function tests (ALT, AST, direct and indirect bilirubin, alkaline phosphatase) 7. Total Cholesterol, HDL, LDL, clinically useful lipid ratios, and triglycerides 8. PSA (starting at age 40)
