With great pride, Chief Tobia looks back since 2004 when the Firefighter Life Safety Initiatives were first promulgated. Important inroads have been made, he posits, in many areas to reduce serious line-of-duty injuries and deaths. One area, however, that has been less successful concerns cardiac-related LODIs and LODDs. Chief Tobia summarizes his position succinctly: obtaining an annual physical for every firefighter in the United States would make a difference in saving the lives of our firefighters. Furthermore, he correctly points out that there exists a large trove of resources to help fire departments, such as those available free of cost on the Fire Hero Learning Network. Finally, Chief Tobia urges action to accompany the mantra of taking care of ourselves and our communities.