Cardiovascular disease
Coronary heart disease can remain silent until a heart attack or another complication. Reviewing risk factors matters even when someone feels well. [3]
First Responders Wellness Program
A TRAINED BY TURP WELLNESS DIVISIONYou show up for others.
We show up for you.
Personalized wellness for the people behind the badge, the uniform and the emergency call—with agency support and individual health at the center.
THE HEALTH CRISIS FACING FIRST RESPONDERSThe hard facts.
The hard facts.
The people behind them.
Long shifts. Interrupted sleep. Repeated exposure to stress and trauma. Protecting those who serve means paying attention to the health risks that can build behind the uniform.
About the brochure’s statistics: The artwork is reproduced as supplied. Its headline figures should not be read as current estimates for all first responders. The lifespan figure comes from older law-enforcement literature; the 45–50% finding concerns on-duty firefighter deaths, not all responders or a five-year retirement window; and the 2–3× finding concerns adverse outcomes among firefighters with severe hypertension, not the prevalence of four diseases. See the lifespan context [10], firefighter mortality review [11] and hypertension study [12]. The brochure’s “1 in 4” mental-health figure is not established here as a general rate for all first responders.
Wellness starts before a crisis. Give your people a clear path from awareness to assessment and ongoing support.
Why detection mattersSIX AREAS THAT DESERVE ATTENTION
The silent killers.
Some risks develop quietly. Others get dismissed as “part of the job.” Looking beneath the surface creates room for earlier support.
Hypertension
High blood pressure usually has no warning symptoms. Unmanaged, it can damage the heart, brain and kidneys. Measuring it makes the risk visible. [4]
Obesity & metabolic risk
Excess weight, inactivity and insulin resistance can affect long-term health. Prediabetes often has no symptoms; appropriate testing and personalized lifestyle support help guide next steps. [5]
Sleep disorders & fatigue
Shift demands can make poor sleep seem normal. Sleep apnea and other sleep disorders deserve evaluation; fatigue can affect alertness and on-duty safety. [6]
Mental health & PTSD
Trauma-related symptoms can affect sleep, concentration, relationships and work. Confidential support and appropriate treatment should be part of the conversation. [7]
Chronic inflammation
Persistent inflammation can damage tissue. A marker such as CRP needs clinical interpretation: an elevated result alone does not identify its cause. [8]
WHY EARLY DETECTION MATTERSMore time to act.
More time to act.
More life beyond the uniform.
- 01 / RECOGNIZE
Lifestyle & job stress
Understand the demands of long shifts, disrupted sleep, nutrition, recovery and repeated stress.
- 02 / LOOK DEEPER
Hidden health risks
Review health and family history alongside risk factors that may not cause obvious symptoms.
- 03 / ASSESS
Clinical screening
Choose blood-pressure checks, appropriate labs and further assessments with a licensed provider.
- 04 / TAKE ACTION
Earlier intervention
Turn findings into a personal plan for care, referrals, nutrition, movement and follow-through.
- 05 / STAY CONNECTED
A healthier career
Support day-to-day well-being with ongoing coaching, progress reviews and appropriate reassessment.
- 06 / LOOK AHEAD
A healthier retirement
Build habits and care relationships that continue beyond the job, with personal health and family life in focus.
A thoughtful assessment.
A personal care plan.
Depending on clinical needs and program scope, the conversation may include:
- Blood pressure, cholesterol and glucose / A1C
- Nutrition, body composition and movement
- Sleep health, stress and mental well-being
- Additional testing or specialist referrals when appropriate
Coronary artery calcium (CAC) scanning may help selected patients clarify cardiovascular risk; it is not a universal screening test. A clinician determines whether it is appropriate. [9]
COMMITTED TO THOSE WHO SERVEIdentify earlier.
Identify earlier.
Support consistently.
Look beyond the shift.
Every first responder has a different health history, work schedule and set of goals. Their wellness support should reflect that.
The First Responders Wellness Program combines individual health assessment, personalized coaching and ongoing support, helping agencies make wellness a continuing priority.
Law enforcementFire serviceEmergency medical services
PERSONALIZED TO THE PERSONSupport that reaches
01 02 03 04
Support that reaches
beyond the annual assessment.
Individual health insight
Lab findings, biometric information, cardiovascular risk, lifestyle and personal goals inform the next steps with a licensed provider.
Nutrition & physical wellness
Personalized nutrition, movement and coaching support strength, mobility and daily habits around demanding schedules.
Sleep, recovery & resilience
Make space for recovery, sleep and stress-management support, including referral pathways for needs outside the coaching program.
Ongoing coaching & review
Keep the conversation going through accountability, follow-up and appropriate reassessment with the care team.
FOR CHIEFS, SHERIFFS & COMMAND STAFFExecutive dashboard
Executive dashboard
for law enforcement.
A clear department-level view of participation, health trends and program follow-through—to help leaders understand where support is needed.
01 / PARTICIPATION
Are we reaching our people?
participation, engagement and assessment completion.
02 / HEALTH TRENDS
Where is support needed?
Aggregate cardiovascular, metabolic, sleep and well-being trends.
03 / FOLLOW-THROUGH
What should happen next?
Program activity, progress reviews and priorities for the next period.
ILLUSTRATIVE SAMPLE · NO LIVE DEPARTMENT DATAClick the dashboard to enlarge ↗
Useful for leadership.
Respectful of the individual.
The proposed command view uses aggregate reporting. Individual lab results, diagnoses and treatment belong in the clinical care relationship. Reporting rules, access and minimum group sizes should be agreed before launch to reduce identification risk.
Build the view around your department.
Define participation goals, the review period and the measures that matter to your agency. Any financial analysis should use documented costs and clearly stated assumptions.
Book a Free Discovery CallSTART WITH YOUR AGENCYA clear route from
A clear route from
conversation to ongoing care.
01
Listen
Discuss agency needs, shift patterns and goals.
02
Set the scope
Agree on the participant group, services and rollout.
03
Personalize
Guide participants through assessment and individual planning.
04
Stay connected
Support follow-through and review aggregate program progress.
Research & health information sources View the evidence behind this page +
Study findings are presented with their population and publication date. Educational content reviewed October 10, 2026. The three headline callouts use narrower, source-supported wording than the supplied program graphic.
- Rajaratnam et al. · Sleep disorders, health, and safety in police officers · JAMA, 2011 ↗4,957 U.S. and Canadian officers; screening and follow-up began in 2005–2007. A positive screen is not a confirmed diagnosis.
- CDC / NIOSH · Stress and Health in Law Enforcement · 2012 ↗Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) findings; comparison groups are as described by the researchers.
- NIH / NHLBI · Coronary Heart Disease Symptoms ↗
- CDC · About High Blood Pressure ↗
- NIH / NIDDK · Insulin Resistance & Prediabetes ↗
- National Institute of Justice · Sleep Disorders, Work Shifts and Officer Wellness · 2012 ↗
- NIH / NIMH · Traumatic Events and PTSD ↗
- NIH / MedlinePlus · C-Reactive Protein (CRP) Test ↗
- American Heart Association · Coronary Artery Calcium Test ↗
- Kuehl et al. · SHIELD: Feasibility and Findings · Frontiers in Public Health, 2014 ↗The introduction cites earlier literature estimating a 6–15-year law-enforcement lifespan gap. SHIELD did not itself establish a national life-expectancy estimate. Historical estimate only; not a uniform lifespan reduction for all first responders.
- OSHA · Emergency Response Standard proposal · Health-effects review, cardiovascular disease · February 5, 2024 ↗The cited research places cardiovascular disease at 45–50% of on-duty firefighter deaths. This is an evidence discussion in a proposed rule, not a statement about all first responder deaths or deaths within five years after retirement.
- Kales et al. · Blood Pressure and Employment Status in Massachusetts HazMat Firefighters · JOEM, 2002 ↗334 firefighters, followed for up to four years. The 2–3× comparison concerned severe hypertension versus normal BP. The combined endpoint included death, injured-on-duty status, termination, resignation, retirement and cardiovascular disease. It is not a prevalence estimate for hypertension, obesity, diabetes or high cholesterol.
YOUR WELLNESS, YOUR WAY
Build support around the people who serve.
Start with Mix & Match, or choose one of our three complete packages. Your estimate updates as you go.
Mix & Match demo: build a sample basket using the current add-on prices. Standalone rates, any required membership or medical care, and setup fees are confirmed with our team. Employer and agency arrangements require a program-specific quote.
COMMON QUESTIONS
Wellness built for service.
Is the program for individual responders or agencies?
This program page is designed for agency and association conversations. Individual responders can also contact the team to discuss the options available to them.
Are all participants given the same plan?
No. The program is centered on each person’s assessment, lifestyle, health goals and appropriate clinical guidance.
What information does command staff receive?
The proposed leadership view focuses on aggregate participation, risk trends and engagement. It is separate from individual clinical records; reporting arrangements are established before participation.
Does participation guarantee treatment or a prescription?
No. Licensed medical professionals determine appropriate evaluations and treatment. Program participation does not guarantee a prescription.
Take care of the people who take the call.
Talk with our team about a wellness program for your agency or association.
Part of the Trained by Turp family of wellness programs.Explore Corporate Wellness 360 →