Fire Fighter-technician Suffers Cardiac Death 6 Hours After Responding to Several Emergency Calls PDF Download
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Author: Thomas R. Hales
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
The death certificate and autopsy, completed by the Deputy Medical Examiner, listed "myocardial infarct" as the immediate cause of death due to "hypertensive cardiovascular disease." NIOSH investigators agree with this determination, but cannot rule out the possibility of cardiomyopathy. In either case, the FF-Technician's fatal incident was probably triggered by the heat and physical stress of responding to the emergency calls during his shift. NIOSH investigators offer the following recommendations to reduce the risk of on-duty heart attacks and sudden cardiac deaths in this and other fire departments across the country.
Author: Thomas R. Hales
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
The death certificate and autopsy, completed by the Deputy Medical Examiner, listed "myocardial infarct" as the immediate cause of death due to "hypertensive cardiovascular disease." NIOSH investigators agree with this determination, but cannot rule out the possibility of cardiomyopathy. In either case, the FF-Technician's fatal incident was probably triggered by the heat and physical stress of responding to the emergency calls during his shift. NIOSH investigators offer the following recommendations to reduce the risk of on-duty heart attacks and sudden cardiac deaths in this and other fire departments across the country.
Author: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
(4) Ensure that the fire department physician who is knowledgeable about the physical demands of fire fighting, the medical requirements of fire fighters, and the various components of NFPA 1582 makes the final determination of a FF's return-to-work status following an injury or illness; and (5) Provide a member assistance program that identifies and assists members with substance abuse problems.
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: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
(6) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are capable of performing the essential job tasks of structural firefighting. (7) Review procedures for maintaining batteries in cardiac monitors.
Author: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On April 5, 2013, at 0800 hours, a 57-year-old male career firefighter (FF) began his 24-hour shift. As the Acting Lieutenant for his company, the FF and his crew responded to two emergency medical calls during the day and early evening. The FF spent much of the evening in the officer's bunk room but had ice cream with a crew member before retiring for the evening at approximately 2100 hours. At 0021 hours, on April 6, the FF and his crew responded to an automatic fire alarm at a local college fraternity house. While investigating the cause of the automatic alarm activation, the FF climbed five flights of stairs in full personal protective equipment (PPE), including his self-contained breathing apparatus (SCBA). When the crew returned to the station at approximately 0045 hours, the FF complained of indigestion. The FF was last seen alive at approximately 0100 hours when he retired to his bunk room. At 0656 hours the crew was dispatched to a medical alarm, but the FF did not respond. When the crew returned to the fire house at 0715 hours, the FF was found unresponsive in his bunk room. He had no pulse, no respirations, was cool to the touch, and had signs of lividity and rigor. Per emergency medical service protocol, the FF was pronounced dead on scene. The death certificate, completed by the County Coroner, listed the cause of death as "cardiac arrhythmia, due to myocardial infarction, as a consequence of severe arteriosclerotic heart disease." The autopsy revealed severe coronary atherosclerosis with evidence of acute plaque rupture with hemorrhage; these findings are consistent with an acute heart attack.
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: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Book Description
(2) Ensure that fire fighters are cleared for 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, Standard on Comprehensive Occupational Medicine Program for Fire Departments. (3) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA). (4) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. (5) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural fire fighting.
Author: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
(5) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural fire fighting. (6) Review EMS treatment protocols for acute myocardial infarction.
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: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On September 21, 2006, a 38-year-old volunteer fire fighter/emergency medical technician (EMT) arrived for training at his fire station at 1945 hours. The training scenario involved vehicle extrication with hydraulic rescue tools. After training for 2 hours, he left the fire station at about 2145 hours complaining of fatigue, which fellow crew members attributed to his 12-hour EMT shift immediately before the training. He returned home and showered. Just before going to bed, he told his roommate that he was experiencing an "aura." Shortly thereafter, he began exhibiting seizure activity. The emergency medical system was called and an ambulance arrived at 0016 hours. He was unresponsive with no pulse or respiration.
