Fire Chief Suffers Sudden Cardiac Death During Emergency Medical Response - Utah PDF Download
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Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
(3) 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. (4) Phase in a comprehensive wellness and fitness program for fire fighters. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (6) Conduct annual respirator fit testing.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
(3) 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. (4) Phase in a comprehensive wellness and fitness program for fire fighters. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (6) Conduct annual respirator fit testing.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 17
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Book Description
Crew members and an ambulance were alerted as the LT obtained the automated external defibrillator (AED) and oxygen bag from the Engine and began cardiopulmonary resuscitation (CPR). One shock was administered before the ambulance and paramedics arrived. Despite CPR and advanced life support administered on-scene, during transport, and in the hospital's Emergency Department, the FF-EMT died. The death certificate (completed by the City Clerk) and the autopsy (completed by the State Chief Medical Examiner) listed "atherosclerotic cardiovascular disease" as the cause of death. The NIOSH investigator concludes the FF-EMT's underlying atherosclerotic coronary artery disease (CAD), coupled with his alarm responses and exertional activities at six calls (including a structure fire) triggered his sudden cardiac death.
Author: Barry Makarewicz
Publisher: Dog Ear Publishing
ISBN: 1608446166
Category : Emergency medical technicians
Languages : en
Pages : 250
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Book Description
Barry Makarewicz is a twenty year veteran of Salt Lake City Fire Department, sixteen of those years as a paramedic. Triumph, Tragedy and Tedium chapters are honest, compassionate and sensitive with compelling detail and special insight as Barry lives in the district he serves. Medical or fire calls can be for neighbors, friends or family. If you want to know what it is like to be a paramedic/firefighter, or if you want to know what happens when the emergency response system is activated, this book of true stories is a must read. Triumph, Tragedy and Tedium explores a variety of emergency calls from dramatic major medical traumas to the mundane minor assistance needed for the frail and infirm; from humor to despair and everything in between. Barry's stories are captured in teamwork with his personal journalist and wife, Laura Howat. "Makarewicz & Howat masterfully recount the stories of a paramedic/firefighter in Triumph, Tragedy and Tedium. The book is a wonderful journey through the highs and lows of a paramedic/firefighter's life and I recommend it to anyone with a curiosity about emergency services." Eric R Swanson, MD, FACEP; Associate Professor, Division of Emergency Medicine, The University of Utah; Medical Director, University of Utah AirMed; Editor, Air Medical Journal "Makarewicz and Howat have written a remarkable book. It captures the full range of emotions and experiences of a modern urban paramedic; the humor, the satisfaction, the tragedy, the frustration and even the anger at times. . . .In these stories, readers will find themselves drawn into the lives of the paramedic/firefighters and the people they meet and they can come away with a deep appreciation for these people and for the life saving and life giving work that they do." Dan Andrus, Deputy Chief, Salt Lake City Fire Department (Retired) "Triumph, Tragedy and Tedium provides vivid insight into the challenges that paramedic/firefighters face when life saving seconds are ticking away. . . I recommend this book to anyone that takes emergency medical services for granted." Randy Anderson, Interagency Hotshot Crew Superintendent; BLM
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: Thomas R. Hales
Publisher:
ISBN:
Category :
Languages : en
Pages : 20
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Book Description
On August 26, 2011, a 55-year-old male Fire Marshal suffered a sudden cardiac event during a fire department (FD) physical ability test (PAT). The test, a job-related simulation, involved completing 10 evolutions of essential fire fighter tasks in full turnout gear and self-contained breathing apparatus (off-air / no mask) within 19 minutes. The test began about 0715 hours at the FD headquarters with two test proctors and two FD members from the adjoining fire station in attendance. The Fire Marshal completed the first 8 evolutions without any difficulty. About halfway along the ninth evolution the Fire Marshal stumbled and fell while dragging a 175-pound manikin. After taking a short break to catch his breath, he said "I gotta finish," and proceeded to the apparatus bay for the last evolution. The Fire Marshal looked exhausted; he was very short of breath and had ashen skin color and cyanotic lips. He was unable to complete the evolution before the 19-minute PAT completion time elapsed. He flopped into a chair and then asked to lie down. His breathing became very shallow and fast as his turnout coat was removed. He was treated at the scene for low oxygen saturation and low blood pressure. As the Fire Marshal was loaded into the ambulance he suffered a cardiac arrest, but regained a heart rhythm enroute to the local hospitals emergency department (ED). Upon arrival at the ED, the Fire Marshal was hypotensive and unresponsive. Subsequent blood tests indicated a probable heart attack. The Fire Marshal did not regain consciousness and died on August 28, 2011. The death certificate and the autopsy, both completed by the assistant medical examiner, listed "hypertensive cardiovascular disease" as the cause of death. Given the Fire Marshal's cardiac findings at autopsy (concentric left ventricular hypertrophy (LVH) and focal acute myocardial infarction [heart attack] of the posterior wall), the NIOSH investigator concludes that the heavy physical exertion required to complete the PAT in full turnout gear triggered a heart attack and/or a heart arrhythmia (asystole) which resulted in cardiogenic shock.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On September 26, 2004, a 42-year-old male volunteer Assistant Chief (AC) responded to his fire station after being dispatched to a boat fire. As he donned his turnout gear, he collapsed. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) performed by crew members, emergency medical service (EMS) personnel, and hospital emergency department (ED) personnel, the AC died. The death certificate, completed by the County Medical Examiner, listed "severe arteriosclerotic cardiovascular disease" as the cause of death and "previous myocardial infarction" as other significant condition. The autopsy, performed by another County Medical Examiner, listed "severe coronary artery disease due to arteriosclerotic cardiovascular disease" as the cause of death.
Author: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
On March 3, 2013, a 44-year-old Fire Chief experienced coughing, shortness of breath, and difficulty breathing while functioning as incident commander at a brush fire. The Chief drove himself to an on-scene ambulance and requested assistance. On-scene emergency medical service (EMS) personnel performed an initial assessment, initiated care, and began transport. En route to the emergency department (ED), the Chief suffered cardiac and respiratory arrest. Despite cardiopulmonary resuscitation (CPR) in the ambulance for about 60 minutes, the Chief died. The death certificate and autopsy report, both completed by the County Medical Examiner's office, listed the cause of death as "atherosclerotic and hypertensive cardiovascular disease." The autopsy revealed a massively enlarged heart with severe coronary atherosclerosis. Given the presentation of his illness and his underlying heart disease discovered at autopsy, the Chief's respiratory distress was probably due to acute exacerbation of undiagnosed heart failure, precipitated by any of the following: a hypertensive crisis, ischemia, a heart attack, or a primary arrhythmia. NIOSH offers the following recommendations to reduce the risk of heart attacks and sudden cardiac arrest among fire fighters at this and other fire departments across the country. Ensure that all fire fighters receive an annual medical evaluation consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. Ensure fire fighters are cleared for duty by a physician knowledgeable about the physical demands of firefighting, 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.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 9
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Book Description
Designate a City employee to administer the pre-placement and annual medical evaluations and their outcomes; perform an autopsy on all on-duty fire fighter fatalities. Although unrelated to this fatality, the Fire Department should consider these additional recommendatons: Provide fire fighters with medical evaluations and clearance to wear SCBA.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Book Description
The Chief soon became pulseless, and she began cardiopulmonary resuscitation (CPR). FD units and an ambulance were dispatched and provided advanced life support (ALS). Despite CPR and ALS performed by FD crew members, ambulance service paramedics, and hospital emergency department (ED) personnel, the Chief died. The death certificate, completed by the Justice of the Peace, and the autopsy, completed by the pathologist, both listed "severe three vessel atherosclerotic coronary artery disease" (CAD) as the cause of death. The NIOSH investigator concluded that the physical stress of performance apparatus maintenance, conducting training, and the Chief's underlying atherosclerotic CAD contributed to his sudden cardiac death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On March 4, 2012, a 45-year-old male volunteer fire chief ("the Chief") was dispatched to a residential structure fire. At the scene, the Chief assisted in exterior fire suppression operations for about 30 minutes. Smoke exposure was intermittent, and the Chief did not wear self-contained breathing apparatus (SCBA). The Chief and a crew member suddenly began coughing, became nauseated, and vomited. They took a rest break to drink some water, but both remained nauseated and became dizzy. The on-scene deputy police chief transported both to the hospital's emergency department (ED), where the Chief began complaining of chest pain; an acute heart attack was diagnosed. Despite care in the ED for approximately 75 minutes, the Chief suffered a cardiac arrest and died. Neither the ED nor the medical examiner's office measured carboxyhemoglobin levels to assess carbon monoxide exposure or possible carbon monoxide poisoning. The other crew member was treated for heat illness and released with no complications. The death certificate, completed by the county medical examiner investigator, listed "myocardial infarction" as the cause of death. The autopsy report, completed by the state deputy chief medical examiner, listed "atherosclerotic and hypertensive heart disease" as the cause of death. Given the Chief's long history of underlying coronary heart disease, NIOSH investigators concluded that the physical stress of fire suppression activities triggered his heart attack and subsequent cardiac death.
