Interesting topic. Yes, the top cause of fatalities is medical (MI, CVA), the next is vehicle related, I'm sure we could do more training there. Anyone have any stats related to injuries though? How about ensuring that the current rules are enforced? How many departments don't follow the current minimums? I'm sure they're out there .... How many do the bare minimum OSHA/NYS PESH 8 hours? Fit testing 29 CFR 1910.134? Bloodborne Pathogen CFR 1910.1030, Hep-B vaccination? Hazmat training? If we could get the Departments / County / State to enforce what is currently out there would be a good start. I agree that having the ability to take more training would be great - but I think we should first look at the current situation. A previous department had basic courses that needed to be taken within one year as part of the mutual aid agreement within the municipality and the department had rules of at least 48 hours annual department training to be 'active'. I know places in Westchester that have active firefighters in their 80's living in Florida! Sure, acknowledge them for their service to the department, but are they really active? <soapbox begin>Unfortunately, we have 200+ years of tradition resisting even these basic things. I mean, if it's worked for 200 years with no incident command, accountability, mandatory training, why do we need it now ?<soapbox end>