Fire Fighter Suffers a Heart Attack and Dies After Completing Work Capacity Test - Idaho PDF Download
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Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 16
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Book Description
5) Ensure that fire fighters participate in a mandatory wellness/fitness program designed for wildland fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 6) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural firefighting. 7) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs). 8) Perform an autopsy on all on-duty fire fighter fatalities.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 16
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Book Description
5) Ensure that fire fighters participate in a mandatory wellness/fitness program designed for wildland fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 6) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural firefighting. 7) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs). 8) Perform an autopsy on all on-duty fire fighter fatalities.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
On, May 31, 2002, a 59-year-old male career Fire Fighter (FF) was scheduled for a "Pack Test." The Pack Test is one of three work capacity test (WCT) designed to simulate the physical demands of wildland fire fighting. The Pack Test requires an individual to complete a 3-mile walk within 45 minutes while wearing a 45-pound vest. Successful completion of the Pack Test within the 45 minutes allows fire fighters to participate in federal wildland fire fighting operations. The FF began the Pack Test at approximately 0910 hours and had completed about 1.3 miles of the test when he suddenly collapsed. Crew members (emergency medical technicians [EMTs]) witnessed the collapse and initial assessment found the FF unresponsive with no pulse or respiration. Cardiopulmonary resuscitation (CPR) was begun. On-scene ambulance paramedics quickly began advanced life support (ALS) measures.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On March 8, 2014, a 61-year-old male paid-call lieutenant (LT) performed the U. S. Forest Service arduous duty Work Capacity Test (WCT), also known as the "Pack Test." The test is a required component of "red card certification" allowing wildland firefighters to work on federal property. The Pack Test requires a 3-mile walk within 45 minutes while wearing a 45-pound weighted vest. After completing 6 laps around the track (1.5 miles), the LT stumbled, appeared dizzy, and then collapsed. Crewmembers assessed him and found him unresponsive, not breathing, and without a pulse; they initiated cardiopulmonary resuscitation (CPR) and advanced life support (ALS). Despite CPR and ALS on-scene and in the hospital's emergency department (ED), the LT could not be revived. The death certificate and the autopsy, completed by the County Medical Examiner, listed "complications of acute myocardial infarct (heart attack)" due to "hypertensive and arteriosclerotic cardiovascular disease" as the cause of death. The LT had a left ventricular rupture and cardiac tamponade. Prior to this incident, the LT was not known to have coronary heart disease (CHD). The NIOSH investigators concluded that the physical stress of the Pack Test probably precipitated his left ventricle rupture in an area weakened by an asymptomatic heart attack occurring approximately 1 week earlier. It is unclear if any of the following recommendations would have prevented the LT's death. Nonetheless, NIOSH investigators offer the following recommendations to reduce the risk of heart attacks and sudden cardiac arrest among fire fighters at this and other FDs. Provide preplacement and annual medical evaluations to all fire fighters consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, to identify fire fighters at increased risk for CHD. Perform exercise stress tests on fire fighters at increased risk for CHD. Check Pack Test participants' vital signs before testing. Require the completion of a Health Screen Questionnaire (HSQ) prior to participating in the Pack Test.
Author:
Publisher: FEMA
ISBN:
Category :
Languages : en
Pages : 114
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Book Description
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
(5) 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. (6) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs). (7) Ensure members report any medication use to the fire department physician.
Author: Lisa Anderson
Publisher:
ISBN:
Category :
Languages : en
Pages : 10
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Book Description
5) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 6) 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
This strategy consists of 1) minimizing physical stress on fire fighters; 2) screening to identify and subsequently rehabilitate high risk individuals; and 3) encouraging increased individual physical capacity. Issues relevant to the fire department include - Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity; - Ensure that fire fighters use self-contained breathing apparatus (SCBA) during operations (ventilation, overhaul, etc.) in smoke-filled environments; - Ensure that fire fighters receive rehabilitation on a scheduled basis.
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 : 16
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Book Description
and (6) Discontinue annual screening chest x-rays unless medically indicated.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
No autopsy was performed. The following recommendations address some general health and safety issues. This list includes some preventive measures that have been recommended by other agencies to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters.
