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David Picone is CEO of the Health & Safety Leadership Alliance and a retired battalion chief and paramedic with the San Diego Fire-Rescue Department. He spent more than three decades in emergency services, including designing and implementing a comprehensive Health and Safety Office model that became a nationally referenced framework for integrated public safety workforce health. He founded the Health & Safety Leadership Alliance to expand that model across fire, law enforcement, and EMS.


The greatest threats to a firefighter's health are rarely a single incident — they're the cumulative effects of exposure, injury, sleep disruption, and stress that build over an entire career.

A monthly column from the Health & Safety Leadership Alliance in partnership with CRACKYL.

Many ‘lasts’ – calls, meetings, shifts – haven’t brought sadness but instead a sense of accomplishment