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Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
(3) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (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 capable of performing the essential job tasks of structural firefighting. (6) Eliminate or reduce the frequency of periodic chest x-rays in asymptomatic fire fighters, unless clinically indicated.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
(3) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (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 capable of performing the essential job tasks of structural firefighting. (6) Eliminate or reduce the frequency of periodic chest x-rays in asymptomatic fire fighters, unless clinically indicated.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 16
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Book Description
On March 7, 2014, a 51-year-old male career fire department captain ("Captain") participated in his fire department's rules of air management training. Wearing his bunker gear and self-contained breathing apparatus (SCBA), and carrying a 50-foot section of 2.5-inch hoseline, the Captain and his team climbed the stairs of the drill tower to the fifth floor and returned to the ground floor. Per department protocol, the Captain repeated the tower climb with his group. Approximately 30 seconds after completing the second climb, the Captain collapsed. A nearby fire department member immediately responded and found the Captain unresponsive but with a pulse and breathing rapidly. An engine company and an ambulance response were requested via fire department radio by the member as the Captain was carried into a nearby fire apparatus bay. Cardiac monitoring in the bay revealed ventricular tachycardia (a heart rhythm incompatible with life), and cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were begun. These procedures included defibrillation, delivery of cardiac resuscitation medications via the intraosseous route, and oxygen administration via bag-valve-mask. En route to the hospital's emergency department (ED), the Captain was shocked four times; the Captain's pulse returned briefly but he never regained consciousness. Inside the ED, the Captain was intubated (placement confirmed by capnography, and an electrocardiogram (EKG) revealed tracings consistent with a heart attack. The Captain was taken to the cardiac catheterization lab at 1224 hours; the procedure was complicated by intermittent cardiac arrest requiring CPR and ALS. The cardiologist found a 95% blockage of the Captain's proximal left anterior descending (LAD) coronary artery, but no obvious thrombus. Percutaneous transluminal coronary angioplasty successfully opened the blockage, and a stent was placed to keep the artery open. The Captain was never able to sustain a viable heart rhythm, pulse, or blood pressure despite the placement of a pacemaker and an intra-aortic balloon pump and extensive use of cardiac resuscitation medications. After approximately 2.5 hours of intermittent ALS and CPR, the Captain was pronounced dead (1445 hours), and resuscitation efforts were discontinued. The death certificate and the autopsy report, completed by the state medical examiner, listed "hypertensive and atherosclerotic cardiovascular disease" as the cause of death. Given the Captain's previously unidentified coronary heart disease (CHD), NIOSH investigators concluded that the physical stress of the training probably triggered a fatal heart attack.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 15
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Book Description
The death certificate, completed by the County Medical Examiner, and the autopsy, completed by the State Medical Examiner, listed “hypertensive and atherosclerotic cardiovascular disease” as the cause of death. In 2012 the Captain experienced angina and was found to have a 99% blockage of his left anterior descending coronary artery. The blockage was successfully opened with angioplasty and a stent was placed. Since that time, the Captain has been followed by a cardiologist for his coronary heart disease (CHD). Given the Captain?s underlying CHD, NIOSH investigators concluded that the physical stress of fitness training probably triggered a cardiac arrhythmia, which ultimately resulted in his death.
Author: Tommy N. Baldwin
Publisher:
ISBN:
Category :
Languages : en
Pages : 13
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Book Description
On August 20, 2012, a 49-year-old male career fire captain ("Captain") was scheduled to work a 24-hour shift. The Captain arrived for duty at the fire station at 0700 hours. At 0727 hours the Captain complained of indigestion and chest pain. As he went to obtain an antacid in the bunkroom, he asked his Lieutenant to call for an ambulance. A few moments later crew members heard what sounded like snoring and found the Captain lying unresponsive in the hallway. An automated external defibrillator (AED) was obtained as an ambulance was called. Cardiopulmonary resuscitation (CPR) was begun (0728 hours) as three AED shocks were administered without improvement in his clinical status. The ambulance arrived at 0738 hours and advanced life support was begun. The Captain was transported to the hospital's emergency department where advanced life support continued for 15 minutes. Despite CPR and advanced life support on the scene, in transport, and at the hospital, the Captain died at 0817 hours. The death certificate and the autopsy listed "acute coronary insufficiency" as the cause of death. Given the Captain's underlying cardiovascular disease, NIOSH investigators concluded that an arrhythmia or heart attack probably triggered his sudden cardiac death. The following recommendations were not related to the Captain's death. Nonetheless, NIOSH investigators offer these recommendations to strengthen the FD's comprehensive safety and health program. Conduct exercise stress tests into the fire department medical evaluation program for fire fighters at increased risk for coronary heart disease (CHD). Phase in a mandatory comprehensive wellness and fitness program for fire fighters. Discontinue exercise stress tests on symptomatic young fire fighters with no risk factors for coronary heart disease (CHD).
Author: Alfred Goldberg
Publisher: Office of the Secretary, Historical Offi
ISBN:
Category : Architecture
Languages : en
Pages : 330
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Book Description
The most comprehensive account to date of the 9/11 attack on the Pentagon and aftermath, this volume includes unprecedented details on the impact on the Pentagon building and personnel and the scope of the rescue, recovery, and caregiving effort. It features 32 pages of photographs and more than a dozen diagrams and illustrations not previously available.
Author: Randy Okray
Publisher: PennWell Books
ISBN: 9781593700065
Category : Business & Economics
Languages : en
Pages : 314
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Book Description
This resource aims to reduce injuries and fatalities on the fireground by preventing human error. It provides fire service professionals with the necessary communication, leadership, and decision-making tools to operate safely and effectively under stressful conditions. Although the concept of crew resource management has been around since the 1970s, this is the first book to apply C( to the fire service industry.
Author: Mike Papale
Publisher: Mike Papale
ISBN: 0578962179
Category : Health & Fitness
Languages : en
Pages : 164
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Book Description
As a teen, Mike Papale had one dream: to play college basketball. He was laser-focused—training like an Olympic hopeful to make his dream reality. Out of nowhere, his world changed. August 24, 2006, while coaching a summer camp basketball game, he slumped over, unresponsive, turning blue within minutes. He was 17, and had gone into cardiac arrest. With no AED on site, he was given a one in a million chance to survive. He was soon diagnosed with Hypertrophic Cardiomyopathy, or HCM, which, left undiagnosed and untreated, can lead to sudden cardiac arrest. At the time, he was crushed—processing the life-altering news he would never be able to play competitive basketball again. He quickly realized he was fortunate to be alive, and redefined his life’s purpose. A Big Heart brings the reader on Mike’s story of reinvention, hope, and survival. It is guaranteed to inspire readers to battle adversity and attack their dreams!
Author: Judith Bellafaire
Publisher:
ISBN:
Category : Electronic government information
Languages : en
Pages : 36
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Book Description
Author: David Schottke
Publisher: Jones & Bartlett Publishers
ISBN: 1449641520
Category : Fire extinction
Languages : en
Pages : 1229
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Book Description
Author: Federal Emergency Management Agency
Publisher: FEMA
ISBN:
Category : Technology & Engineering
Languages : en
Pages : 106
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Book Description
With full color photographs and other illustrations.
