Volunteer Fire Fighter Suffers Heart Attack While Battling Structure Fire and Dies 6 Days Later - New York PDF Download
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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: 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: Lisa N. Anderson
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
The death certificate completed by the medical examiner listed the immediate cause of death as an acute myocardial infarction (heart attack) with physical exertion in a hot, humid environment listed as a contributing cause. An autopsy was not performed. NIOSH investigators concluded that the FF's heavy physical exertion, coupled with his probable underlying coronary artery disease (CAD) triggered his sudden cardiac death. It is unlikely the following recommendations could have prevented the FF's death. Nonetheless, the NIOSH investigators offer these recommendations to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters: -Expand the current annual medical evaluation requirement to include Driver/Operators.
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:
Publisher: FEMA
ISBN:
Category : Autopsy
Languages : en
Pages : 174
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Book Description
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: 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 : 12
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Book Description
On March 4, 2012, a 45-year-old male volunteer fire chief ("the Chief") was dispatched to a residential structure fire. At the scene, the Chief assisted in exterior fire suppression operations for about 30 minutes. Smoke exposure was intermittent, and the Chief did not wear self-contained breathing apparatus (SCBA). The Chief and a crew member suddenly began coughing, became nauseated, and vomited. They took a rest break to drink some water, but both remained nauseated and became dizzy. The on-scene deputy police chief transported both to the hospital's emergency department (ED), where the Chief began complaining of chest pain; an acute heart attack was diagnosed. Despite care in the ED for approximately 75 minutes, the Chief suffered a cardiac arrest and died. Neither the ED nor the medical examiner's office measured carboxyhemoglobin levels to assess carbon monoxide exposure or possible carbon monoxide poisoning. The other crew member was treated for heat illness and released with no complications. The death certificate, completed by the county medical examiner investigator, listed "myocardial infarction" as the cause of death. The autopsy report, completed by the state deputy chief medical examiner, listed "atherosclerotic and hypertensive heart disease" as the cause of death. Given the Chief's long history of underlying coronary heart disease, NIOSH investigators concluded that the physical stress of fire suppression activities triggered his heart attack and subsequent cardiac death.
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
(4) Phase in a comprehensive wellness and 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. (6) Provide fire fighters with medical clearance to wear self-contained breathing apparatus as part of the Fire Department's annual medical evaluation program. (7) Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube.
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.
