Probationary Fire Fighter Suffers Sudden Cardiac Death During Maze Drill - Connecticut PDF Download
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Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
On March 13, 2004, a 38-year-old male volunteer probationary Fire Fighter (FF) suddenly collapsed while performing a maze drill. Teammates extricated the FF from the maze, removed his self-contained breathing apparatus (SCBA), and found hin in cardiac arrest. They began cardiopulmonary resuscitation (CPR) while an ambulance was summoned. Despite CPR and advanced life support (ALS) provided by teammates, police, and ambulance personnel, the FF died. The death certificate and the autopsy, completed by the Chief Medical Examiner, listed "sudden death associated with rheumatic heart disease" as the cause of death. NIOSH investigators concluded the physical stress of fire suppression training and his underlying valvular heart disease contributed to this fire fighter's sudden cardiac death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
On March 13, 2004, a 38-year-old male volunteer probationary Fire Fighter (FF) suddenly collapsed while performing a maze drill. Teammates extricated the FF from the maze, removed his self-contained breathing apparatus (SCBA), and found hin in cardiac arrest. They began cardiopulmonary resuscitation (CPR) while an ambulance was summoned. Despite CPR and advanced life support (ALS) provided by teammates, police, and ambulance personnel, the FF died. The death certificate and the autopsy, completed by the Chief Medical Examiner, listed "sudden death associated with rheumatic heart disease" as the cause of death. NIOSH investigators concluded the physical stress of fire suppression training and his underlying valvular heart disease contributed to this fire fighter's sudden cardiac death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 16
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Book Description
(5) 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. (6) Phase in a comprehensive wellness and fitness program for fire fighters. (7) Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (8) Ensure that all SCBA training is conducted in accordance with NFPA 1404, Standard for Fire Service Respiratory Protection Training. (9) Ensure that training maze props or trailers used in SCBA confidence training have adequate safety features such as emergency egress panels, emergency lighting, ventilation, and a temperature monitoring system to measure the ambient temperature inside the maze.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 20
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Book Description
On January 26, 2011, a 38-year-old male career fire fighter recruit ("Trainee") participated in an entry-level fire fighter certification class. The training included maneuvering through a tunnel maze while wearing full turnout gear and self-contained breathing apparatus (SCBA). After he completed most of the maze evolution, the Trainee's SCBA became stuck inside the tunnel. He tried to free himself for several minutes; meanwhile, his SCBA became low on air. Instructors removed the Trainee from the maze and noted that he was breathing hard and complaining of nausea. After rehabilitation, his symptoms resolved, and his vital signs returned to normal. The Trainee went on to complete the basement search portion of the smokehouse training without difficulty. After lunch, the Trainee repeated the maze evolution and became stuck in the same location. After assuring instructors he was okay, the Trainee suddenly became unresponsive. Instructors removed the Trainee from the maze and found him unresponsive, not breathing, and without a pulse. An ambulance was requested, cardiopulmonary resuscitation (CPR) was begun, and an automated external defibrillator was utilized; no shock was advised. Paramedics assigned to a nearby flight ambulance responded and began advanced life support including the administration of intravenous cardiac resuscitation medications. A cardiac monitor was placed, revealing asystole (no heart beat) and pulseless electrical activity. The ambulance arrived about 11 minutes later and transported the Trainee to the hospital's emergency department (ED), where CPR and advanced life support treatment continued. Approximately 47 minutes after his collapse, despite CPR and advanced life support, the Trainee died. The death certificate and the autopsy, completed by the medical examiner, listed "dilated cardiomyopathy" due to "hypertensive cardiovascular disease" as the cause of death. NIOSH investigators concluded that the Trainee's underlying cardiomyopathy coupled with the physical exertion involved in performing the fire fighter training triggered his sudden cardiac death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
On February 12, 2003, a 46-year-old male career Fire Fighter Recruit was performing the tower climb portion of his fire fighter recruit training. After reaching the sixth (top) floor of the training tower for the third time that morning, he began to have leg and neck pain. The pain was severe enough that crew members carried him down the stairs and onto the sidewalk. Shortly thereafter, he lost consciousness. Crew members assessed him and found him to be unresponsive, not breathing, and pulseless. Approximately 37 minutes later, despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered on-scene and at the hospital, the Recruit died. The autopsy revealed "cardiac hypertrophy," "biventricular dialation" and "cardiomegaly." The death certificate listed "cardiac hypertrophy" as the immediate cause of death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 9
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Book Description
The death certificate and autopsy, completed and performed by the Medical Examiner, listed "occlusive atherosclerotic cardiovascular disease" as the immediate cause of death. 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. These selected recommendations have not been evaluated by NIOSH, but represent published research, or consensus votes of technical committees of the National Fire Protection Association (NFPA) or fire service labor/management groups.
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: Denise L. Smith
Publisher:
ISBN:
Category :
Languages : en
Pages : 14
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Book Description
On May 1, 2010, a 51-year-old volunteer Fire Fighter (FF) died after participating in fire suppression activities associated with a basic firefighting course (part of a 166 hour course). The incident occurred on the final day of training involving interior structural fire suppression and exterior fire drills. The FF, wearing full turnout gear and a self-contained breathing apparatus (SCBA), participated in one evolution of fire extinguishment lasting approximately 5 minutes and then experienced symptoms consistent with exhaustion and/or dehydration. Following rehydration and monitoring in rehabilitation (Rehab) for 1 hour and 45 minutes, he returned to training and completed a liquid propane drill lasting about 2 minutes. Approximately 5-10 minutes after this drill, the FF was found unresponsive and cyanotic. On scene emergency medical service (EMS) personnel summoned an ambulance, began cardiopulmonary resuscitation (CPR), and attached an automated external defibrillator (AED) to the FF from which two shocks were administered without a change in the FF's clinical condition. Advanced cardiac life support (ACLS) was provided by the ambulance crew and the Emergency Department (ED). Despite these efforts the FF could not be resuscitated. The death certificate listed "stress induced cardiac arrhythmia" as the immediate cause of death and severe coronary disease as the underlying cause of death. The pathologist conducting the autopsy listed "severe occlusive coronary artery" disease (CAD) as the cause of death. Based on the autopsy findings and the clinical scenario, the NIOSH investigators conclude that the FF probably died from a cardiac arrhythmia triggered by the physical exertion associated with firefighting training or a cardiac arrhythmia caused by a heart attack, which was triggered by firefighting training. NIOSH offers the following recommendations to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters at this, and other, fire departments (FD) across the country. 1) Provide mandatory pre-placement and periodic medical evaluations to all fire fighters consistent with the National Fire Protection Association (NFPA) Standard 1582, Standard on Comprehensive Occupational Medical Program for FDs. 2) 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. 3) Develop a comprehensive wellness/fitness program for fire fighters to reduce risk factors for cardiovascular (CVD) and improve cardiovascular capacity. 4) Perform 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 FD's annual medical evaluation program. 6) Provide on-scene emergency medical services with advanced life support and transport capability during live fire training. 7) Ensure emergency medical services staff in rehabilitation have the authority, as delegated from the Incident Command System, to use their professional judgment to keep members in rehabilitation or to transport them for further medical evaluation or treatment. 8) Training Academy participants must be medically cleared for live fire training.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 20
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Book Description
The autopsy, completed by the Medical Examiner, listed "congestive heart failure" as the cause of death and "severe coronary atherosclerotic disease and hypertensive heart disease" as contributing factors. Given the FF's underlying atherosclerotic coronary artery disease (CAD), the stressful environmental conditions and the physical stress of performing fire fighting training duties triggered a heart attack or a cardiac arrhythmia, resulting in his sudden cardiac death. The NIOSH investigator offers the following recommendations to address general safety and health issues. Had these recommended measures been in place prior to the FF's collapse, perhaps his sudden cardiac death may have been prevented at this time.
Author: Thomas Hales (M.D.)
Publisher:
ISBN:
Category : Fire fighters
Languages : en
Pages : 10
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Book Description
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.
