Career Fire Fighter Suffers Cardiac Arrest and Dies While Conducting Overhaul Operations at a Structure Fire - Missouri PDF Download
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Author: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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1) Consider providing symptom limiting and diagnostic imaging exercise stress tests for fire fighters at increased risk for coronary artery disease and sudden cardiac death. 2) Work with the local union to phase-in an annual physical ability test.
Author: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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1) Consider providing symptom limiting and diagnostic imaging exercise stress tests for fire fighters at increased risk for coronary artery disease and sudden cardiac death. 2) Work with the local union to phase-in an annual physical ability test.
Author: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Nonetheless, the NIOSH investigators offer these recommendations to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters. (1) Provide mandatory pre-placement and annual medical evaluations to ALL fire fighters consistent with the most recent edition (2003) of NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. (2) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity; and (3) Perform an annual physical performance (physical ability) evaluation to ensure all fire fighters are physically capable of performing the essential job tasks of wildland fire fighting.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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On June 30, 2011, a 49-year-old male volunteer fire fighter (FF) responded to a residential structure fire. The FF, wearing full turnout gear and self-contained breathing apparatus (SCBA) on-air, climbed a 14-foot ladder to the second floor and performed exterior and interior fire suppression activities for about 30 minutes. After the fire was brought under control, he started to perform overhaul (mop-up) operations on the second floor when he suddenly collapsed. Crew members carried the FF down the stairs and outside the dwelling. Cardiopulmonary resuscitation (CPR) was begun as an ambulance was requested. The ambulance arrived, advanced life support was provided, and the FF was transported to the local hospital's emergency department (ED). In the ED, the FF regained a pulse but remained minimally responsive and was flown to a regional hospital where angioplasty was performed. Over the next 8 days, his condition did not improve and, after consulting with the family, the decision was made to remove the FF from life support. The attending physician pronounced him dead at 0434 hours on July 8, 2011. The death certificate listed "myocardial infarct" due to "cardiac arrest" as the cause of death. No autopsy was performed. Carboxyhemoglobin levels were not measured to test for carbon monoxide exposure. Given the FF's known underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion of responding to the call and suppressing the fire triggered his heart attack, which caused his death. NIOSH investigators offer the following recommendations to address general safety and health issues. Had some of these recommended programs been in place, it is possible the FF's death may have been prevented. Provide preplacement and annual medical evaluations to all fire fighters. Ensure fire fighters are cleared for return to duty by a physician knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. Phase in a comprehensive wellness and fitness program for fire fighters. Perform a preplacement and an annual physical performance (physical ability) evaluation. Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube. Perform an autopsy on all on-duty fire fighter fatalities.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
On October 23, 2010, a 37-year-old male career fire fighter (FF) was working a 24-hour shift as the driver/operator of the tanker. During the shift he responded to two emergency calls. At the first call, a dwelling fire, the FF participated in interior structural fire fighting. At the second fire, a mutual aid call, the FF provided water supply. During the remainder of the shift, the FF performed about 2 hours of physical fitness training. That evening, he was having trouble falling asleep and remained in the day room where he sent a text message to a friend at midnight. The next morning crew members found the FF deceased and notified the coroner. The death certificate listed "sudden cardiac death probably exasperated (sic) or induced by overexertion fighting two structure fires while on duty" as the cause of death. The autopsy listed "cardiac arrhythmia secondary to dilated hypertrophic cardiomyopathy and severe arteriosclerotic cardiovascular disease" as the cause of death. Given the FF's underlying dilated hypertrophic cardiomyopathy, NIOSH investigators concluded that the physical stress of fire suppression activities and physical fitness training triggered a fatal heart arrhythmia. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unclear, however, whether these recommendations could have prevented the FF's death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unlikely, however, that any of these recommendations would have prevented the Trainee's death. Provide preplacement and annual medical evaluations to all fire fighters in accordance with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. Ensure that fire fighters are cleared for return to duty by a physician knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of NFPA 1582. Phase in a mandatory comprehensive wellness and fitness program for fire fighters. Perform a candidate and an annual physical performance (physical ability) evaluation for all members. Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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On January 21, 2003, at approximately 2045 hours, a 50-year-old male career Captain was lifting weights and walking on a treadmill in his fire station's exercise room when he experienced chest pains. After alerting his crew members, medical treatment for angina was begun. When his chest pain persisted and he became increasingly ill, he was loaded into an ambulance and transported to the hospital by in-house ambulance personnel. Despite being given advance life support (ALS) in the ambulance, he went into cardiac arrest and cardiopulmonary resuscitation (CPR) was begun. ALS measures were continued inside the emergency department (ED) for 18 minutes until he was pronounced dead and resuscitation measures were stopped. The death certificate listed "acute myocardial infarction" due to atherosclerotic coronary artery disease" as the immediate cause of death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On March 26, 2009, a 60-year-old male career Lieutenant (LT) responded to nine emergency calls. The last call was at 2012 hours for a structure fire. At the fire scene the LT forced entry into the structure and extinguished the fire with a portable fire extinguisher. He then performed overhaul with his crew. After returning to the station, the LT went to his bunkroom. Approximately 30 minutes later, he was found unresponsive in his bunkroom's chair. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) at the fire station, in the ambulance, and in the hospital's emergency department (ED), the LT died. The death certificate and the autopsy listed "coronary atherosclerosis with remote myocardial infarct" as the cause of death with "generalized atherosclerosis and pulmonary emphysema" as significant conditions. Given the LT's severe underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion involved in responding to nine calls and performing fire suppression and overhaul triggered his sudden cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unclear if these recommended programs would have prevented the LT's death. 1) Modify the FD's policy for conducting member exercise stress tests. 2) Phase in a comprehensive wellness and fitness program for fire fighters. 3) Ensure fire fighters are cleared for return to duty by a healthcare provider knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. 4) Perform an annual physical performance (physical ability) evaluation for all members. 5) Discontinue lumbar spine x-rays as a screening test administered during the preplacement medical evaluation.
Author: Tommy Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On December 3, 2011, a 45-year-old male volunteer fire fighter ("the FF") was dispatched to a structure fire. Wearing turnout gear and self-contained breathing apparatus (SCBA) off-air, the FF assisted in exterior fire suppression operations followed by interior overhaul (SCBA on-air) for a total of 30 minutes. After 10 minutes of self-rehabilitation, the FF assisted in breaking down hoselines when he commented that he "felt funny." He walked to the rescue unit and suddenly collapsed (0541 hours). Crew members notified dispatch to request an ambulance while cardiopulmonary resuscitation (CPR) was begun and an automated external defibrillator (AED) was placed; three shocks were administered. Advanced life support was provided by the ambulance personnel at the scene and during transport to the local hospital emergency department (ED). Inside the ED, the FF's pulse returned, but he never regained consciousness. An acute heart attack was diagnosed and emergency cardiac catheterization was performed with stent placement. The FF, however, suffered recurring bouts of ventricular fibrillation in the catheterization lab and in the intensive care unit over a period of 4 hours. At 1120 hours the FF was declared dead and resuscitation efforts were discontinued. The death certificate and the autopsy report listed "myocardial infarction" as the cause of death. Given the FF's underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical stress of fire suppression activities triggered his heart attack which resulted in sudden cardiac death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 18
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Book Description
(3) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural firefighting. (4) Secure endotracheal tubes to prevent dislodgment during patient treatment, transfer, and transport. (5) Reconsider routine use of coronary artery calcium scans.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
(2) Ensure fire fighters are cleared for return to duty by a physician knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of NFPA 1582. (3) Phase in a comprehensive wellness and fitness program for fire fighters. (4) Perform an annual physical performance (physical ability) evaluation. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus as part of the Fire Department's annual medical evaluation program. (6) Conduct annual respirator fit testing. (7) Discontinue lumbar spine x-rays as a screening test administered during the preplacement medical evaluation.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 16
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Book Description
On January 7, 2011, a 54-year-old male career Fire Apparatus Operator (FAO) participated in the Fire Department (FD) mandatory annual medical evaluation program scheduled while the FAO and his crew were on-duty. After completing several portions of the evaluation, the FAO began the exercise stress test component. After exercising for 3 minutes, 10 seconds, the FAO developed a life threatening arrhythmia (ventricular tachycardia), and the test was stopped. While being assisted to the examination table and while an ambulance was summoned, the FAO lost consciousness. Cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were administered at the medical clinic, in the ambulance, and in the hospital's emergency department (ED). In the ED, the FAO regained a heart rhythm, and an electrocardiogram (EKG) showed signs consistent with a heart attack (myocardial infarction). The FAO was taken to the catheterization lab with a very low blood pressure (cardiogenic shock). A 95% blockage of one of his main coronary arteries was opened via angioplasty and a stent. While still in the catheterization lab, the FAO suffered another cardiac arrest from which he could not be revived. The death certificate and the autopsy listed "atherosclerotic cardiovascular disease" as the cause of death. Given the FAO's severe underlying heart disease, NIOSH investigators concluded that the physical exertion involved in the exercise stress test probably triggered a heart attack resulting in the FAO's death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unclear, however, if these recommendations would have prevented the FAO's death. Ensure fire fighters are cleared for return to duty by a healthcare provider knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. Ensure that all members participate in the Fire Department's mandatory wellness/fitness program. Perform an annual physical performance (physical ability) evaluation. Notify the U.S. Food and Drug Administration (FDA) that the clinic defibrillator was not working properly.
