Manual of the Medical Department (NAVMED P-117): Chapter 15:
Medical Examinations: Special Duty
15-67 Fire Fighting Instructor Personnel
Department of the Navy
Bureau of Medicine and Surgery
(1) Purpose. To assure that members assigned as fire fighting
instructors and exposed to smoke and its associated components are in
all respects qualified for such as signment.
(2) Additional Standards. Some of the items listed in
section III may be duplicated here for emphasis. The follow ing will
be cause for rejection a disqualification:
- (a) Nose, Mouth, Throat. Sinus disease. Waiver re quest
requires an ENT consultation and statement which recommends
disposition regarding repeated exposure to smoke.
- (b) Eyes
- (1 ) Acute or chronic eye disease.
- (2) Uncorrected vision greater than 20/80 in one eye and
20/100 in the other eye.
- (3) Near vision with glasses must be sufficient to read
printed material of Jaeger Number 4 size type without
difficulty.
- (c) Pulmonary System
- (1) A history of respiratory tract allergic response.
- (2) Reactive airway disease (asthma) after age 12.
- (d) Skin and Cellular Tissues
- (1) Contact allergies of the skin that involve substances
associated with fire fighting.
- (2) Skin conditions and facial contours which interfere
with activity and the use of personal protective equip ment.
- (e) General and Miscellaneous Conditions and Defects.
History of more than one episode of diminished heat adaptation
capability or any other serious deviationtreatment. from sound
condition.
(3) Special Studies. In addition to the special studies re
quired in article 15-9, the following studies will be performed.
- (a) Blood chemistry studies to include: sodium, potas sium,
glucose, bicarbonate, BUN, creatinine, uric acid, total protein,
albumin, A/G ratio, calcium, alkaline phosphatase, aspartate
aminotransferase (ASAT) or SGOT, alanine aminotransfera se (ALAT)
or SGPT, LDH, CPK, bilirubin.
- (b) Standard chest x ray, within the previous 6 months or if
clinically indicated.
- (c) Pulmonary function test.
(4) Periodicity. Medical examination is required every 5
years while serving as an instructor.