Fire Fighter Suffers a Heart Attack and Dies Several Hours After Assisting at a Structure Fire - Illinois PDF Download
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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: 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: Tommy N. Baldwin
Publisher:
ISBN:
Category : Fire fighters
Languages : en
Pages : 9
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Book Description
On August 4, 1998, at approximately 1800 hours, the Captain had a witnessed cardiac arrest while recovering at home. Despite CPR and ALS administered by the ambulance paramedics and by hospital personnel in the emergency department, the Captain died. The death certificate, completed by the County Coroner, listed myocardial infarction (otherwise known as a heart attack) as the immediate cause of death, due to severe atherosclerotic cardiovascular disease. The autopsy, performed by the Deputy Chief Medical Examiner, showed a large heart (cardiomegaly), severe coronary artery disease (CAD), and evidence of old and recent myocardial infarctions.
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 : 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.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 9
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Book Description
2) Provide mandatory annual medical evaluations to ALL fire fighters to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. 3) Ensure that fire fighters are cleared for duty by a physician knowledgeable about the physical demands of fire fighting and the various components of NFPA 1582. 4) Provide fire fighters with medical evaluations and clearance to wear SCBA. 5) Incorporate exercise stress tests into the fire department's medical evaluation program. 6) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
- Provide mandatory annual medical evaluations to ALL fire fighters consistent with NFPA 1582 to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. - Incorporate exercise stress tests into the fire department's medical evaluation program. - Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
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 : 28
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Book Description
On November 11, 2012, a 61-year-old male career driver/operator ("D/O") and his truck company (Truck 40) were dispatched at 2205 hours to a three-story apartment building for a report of a burning odor. At the scene, the D/O set up the ladder and carried a ventilation saw to the roof. Fire fighters inside the building determined the smoke was caused by cooking and notified the D/O that ventilation was not necessary. When the D/O descended the ladder and reached the ground he was breathing rapidly. His shortness of breath persisted during the return trip to the fire station. While cleaning Truck 40 at the station, the D/O's shortness of breath worsened, and he reported some chest pain to crew members. They gave him oxygen and summoned an ambulance. The ambulance paramedics began treatment for pulmonary edema with oxygen, diuretics, and nitroglycerin and transported the D/O to the hospital's emergency department (ED). Shortly after arriving in the ED, the D/O had a cardiac arrest. Cardiopulmonary resuscitation was started followed by advanced life support including intubation with 100% oxygen. After 40 minutes in the ED, the D/O was pronounced dead at 2321 hours, and resuscitation efforts were stopped. The death certificate and autopsy report listed "hypertensive cardiovascular disease" as the cause of death with "coronary atherosclerosis" as a contributing factor. Additional autopsy findings included coronary artery disease, cardiomegaly (enlarged heart), and left ventricular hypertrophy (LVH). Given the D/O's underlying heart disease, NIOSH investigators concluded that the physical stress of responding to the call and ascending/descending the aerial ladder to the roof of a three-story building probably triggered his sudden cardiac death. NIOSH investigators offer the following recommendations to address safety and health issues and prevent similar incidents in the future. Provide annual medical evaluations to all fire fighters consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. Conduct exercise stress tests into the fire department medical evaluation program for fire fighters at increased risk for coronary heart disease (CHD). Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the fire department's medical evaluation program. Phase in a mandatory comprehensive wellness and fitness program for fire fighters. Perform an annual physical performance (physical ability) evaluation for all members.
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 Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On February 1, 2014, a 57-year-old male volunteer fire fighter ("FF") spotted a grass fire threatening a local residence and nearby barn. After notifying dispatch, he assisted the local fire department in extinguishing the fire. He pulled a 1.5 inch hoseline to the fire in two locations and to the top of the engine's hosebed. While atop the engine hosebed, the FF was found unresponsive and not breathing (1341 hours). The incident commander of the responding fire department notified dispatch, then began cardiopulmonary resuscitation (CPR). The FF was placed into the bed of a pickup truck and driven to the ambulance station with CPR administered en route. Upon arrival, the ambulance paramedics began advanced life support including cardiac monitoring with defibrillations, intravenous cardiac resuscitation medications, and intubation. The ambulance transported the FF to the hospital's emergency department (ED) where advanced life support continued an additional 12 minutes without a change in the FF's clinical status. At 1424 hours the attending physician pronounced the FF dead, and resuscitation efforts were discontinued. The death certificate, completed by the county coroner, listed "sudden cardiac death due to stress/overexertion at fire scene due to intentionally set fire due to hypertensive heart disease" as the cause of death. No autopsy was performed. Blood tests for carboxyhemoglobin were negative, suggesting the FF had minimal exposure to the carbon monoxide in fire smoke. National Institute for Occupational Safety and Health (NIOSH) investigators concluded that assisting with fire suppression activities probably triggered either a heart attack or a cardiac arrhythmia resulting in sudden cardiac death.
