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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 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 N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Book Description
(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; and (6) Perform an autopsy on all on-duty fire fighter fatalities.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
On January 26, 2010, a 52-year-old male volunteer lieutenant (LT) responded to a residential fire. At the scene, the LT, wearing street clothes, assisted in stretching two 1 3/4inch hose lines, carried a positive pressure ventilation (PPV) fan to the porch, and started the fan. After replenishing the fan's fuel supply, the LT collapsed. Cardiopulmonary resuscitation (CPR) was begun. The ambulance, already en route to the structure fire, arrived 6 minutes later, and advanced life support was begun. Despite CPR and advanced life support on scene, during transport, and in the hospital's emergency department (ED), the LT died. The death certificate and the autopsy listed "arteriosclerotic cardiovascular disease" as the cause of death. Given the LT's severe underlying heart disease, NIOSH investigators concluded that the physical exertion involved in responding to the call, stretching the fire hoses, and carrying and starting the PPV fan triggered his sudden cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. These recommended programs would have restricted the LT from participating in physically demanding emergency response activities. 1) Provide preplacement and annual medical evaluations to all fire fighters. 2) Ensure fire fighters are cleared for emergency response activities 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. 3) Phase in a comprehensive wellness and fitness program for fire fighters. 4) Perform a preplacement and an annual physical performance (physical ability) evaluation. 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: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 8
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Book Description
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: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
and (6) provide fire fighters with medical clearance to wear SCBA as part of the Fire Department's medical evaluation program.
Author: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
On October 24, 2005, the Lieutenant (LT) arrived for duty at his fire station at 0700 hours. Throughout the morning the crew checked the fire apparatus and equipment, then performed station housework (cleaning, sweeping, mopping, etc.). During the day, the crew responded to four incidents: two fire alarms and two EMS calls. During all four responses, the LT performed only light physical activity. Later that evening, while sitting in a chair, the LT collapsed. Despite exhaustive cardiopulmonary resuscitation (CPR) performed at the scene, in the ambulance, and in the emergency department (ED) of the local hospital, the LT died. The autopsy, completed by the medical examiner, revealed marked enlargement of the heart with left ventricular hypertrophy.
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 : 15
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Book Description
On March 31, 2010, a 53-year-old male career Lieutenant (LT) reported for duty as the officer on Squad 91. During his shift he participated in the Fire Department's (FD) annual self-contained breathing apparatus (SCBA) endurance evaluation. After completing the first evolution in about 15-20 minutes, the LT complained of shoulder pain and sat down to rest. Shortly thereafter, both on-duty crews were dispatched to separate emergency calls. The LT did not respond with Squad 91, and crew members assumed the LT was either taking a shower or had responded with the other crew. Upon returning to the fire station about 1 hour later, crew members found the LT unresponsive in his bunkroom. Cardiopulmonary resuscitation (CPR) and advanced life support were begun, and the LT was transported to the local hospital's emergency department (ED). Advanced life support continued in the ED for an additional 10 minutes when he was pronounced dead by the ED physician. The autopsy, completed by the County Coroner, listed the cause of death as "acute thrombus of left anterior descending artery" due to "hypertensive atherosclerotic cardiovascular disease." Given the LT's underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion involved in performing the SCBA endurance training triggered his acute heart attack and subsequent cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is possible that if some of the recommended programs had been in place, the LT's death may have been prevented. 1) Incorporate exercise stress tests following standard medical guidelines into a Fire Department medical evaluation program. 2) Provide annual medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 3) 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. The following recommendations are made for safety and health reasons and would not have prevented the LT's death. 1) Provide preplacement medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582. 2) Perform an annual physical performance (physical ability) evaluation for all members. 3) Phase in a comprehensive wellness and fitness program for fire fighters. 4) Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube.
Author: Thomas R. Hales
Publisher:
ISBN:
Category :
Languages : en
Pages : 10
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Book Description
Nonetheless, potentially relevant issues applicable to this FD include: 1) emphasize the importance of communication and accountability on the fire ground, particular to fire fighters with minimal fire ground experience; 2) reduce risk factors for cardiovascular disease and improve cardiovascular capacity by emphasizing the fire department's mandatory wellness/fitness program.
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.
