Specifications include, but are not limited to: 1. Laboratory analysis must include: (must take place prior to physicals and reviewed during physicals): Hemoccult Test Urinalysis Lipid Panel Diabetes Tests (Hemoglobin A1C and Glucose) Complete Blood Count Comprehensive Metabolic Panel Thyroid Panel PSA (Men) CA-125 (Women) Heavy Metal Urine (For Hazmat / Dive Members only - approx. 73 personnel) Chlolinesterase – (For Hazmat / Dive Members only - approx. 73 personnel) Laboratory analysis should be completed in such a way for the results to be reviewed with the individual at the time of the exam. If multiple trips are involved, this should be identified in the proposal for scheduling purposes. 2. Comprehensive Medical Exam (NFPA 1582 Compliant) to include: Vision Exam (Titmus) Personal Consultation with review of testing results Behavioral Health / Trauma Screening Occupational Hearing Exam Skin Cancer Screening 3. Cardiopulmonary evaluation to include: Echocardiogram (Heart Ultrasound) Resting EKG Cardiac Pulmonary Exercise Test “CPET” / Cardiac treadmill stress test with EKG Carotid Arteries (Ultrasound) Aortic Aneurysm (Ultrasound) Pulmonary Function Test Aorta and Aortic Valve 4. Cancer and Disease Assessment to include: Thyroid (Ultrsound) Internal Organs – Liver, Pancreas, Gall Bladder, Kidneys and Spleen (Ultrasound) Bladder (Ultrasound) Testicular and Prostate for Men (Ultrasound) Pelvic Ultrasound for Women (External) 5. Fitness Analysis (NFPA 1583 – WFI Guidelines): Muscular Strength and Endurance Evaluation Aerobic Endurance Evaluation (VO2 Max Calc.) Flexibility Evaluation Nutrition and Diet Recommendations Personal Fitness Recommendations Metabolic Analysis with Body Fat
