The National Institute for Occupational Safety and Health (NIOSH) recommends fire departments and fire training facilities ensure all firefighters, fire officers, and fire instructors:

• Are aware of the common causes of a firefighter becoming unresponsive while wearing turnout gear and self-contained breathing apparatus (SCBA).
• Know why the rapid removal of an unresponsive firefighter from turnout gear and SCBA is important.
• Receive training on when and how to rapidly remove turnout gear and SCBA and routinely practice the rapid removal methods.
• Understand other recommendations such as appointment of a safety officer, inclusion of emergency medical services (EMS), and adherence to certification requirements for Basic Life Support for Healthcare Providers.