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Firefighting is a dangerous job, and the risk of injury is high. Lower back, shoulder, and knee injuries are common. Some might be tempted to push through minor aches and pains, but a minor injury can develop into a more serious one. That, in turn, can lead to prolonged recovery, surgical intervention, or even permanent disability.

NFPA has amended Standard on Comprehensive Occupational Medical Program for Fire Departments to change the way cardiopulmonary fitness is evaluated.