Fire Fighter Trainee Suffers Sudden Cardiac Death During Maze Training - Arkansas PDF Download
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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 : 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 : 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: Wendi Dick
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
In 2017, a 33-year-old state inmate was accepted into the state’s Conservation Camp Program which allows inmates to request assignments within one of the state’s correctional institution fire departments. On April 21, 2018, the inmate became a trainee (trainee) of the fire program and was participating in an initial training hike. He had recently been assigned to serve the campfire station as a structural firefighter. The training exercise involved hiking in moderately steep terrain while wearing full wildland personal protective equipment (PPE), web gear, and a hose pack. As the trainee reached the top of the climb for a second and final lap, he knelt and said he needed to catch his breath. The crew told the trainee to drink some water while he rested and questioned him to see if he was alert and oriented. Less than two minutes later, the crew noticed the trainee wasn’t drinking water or moving and did not respond to his name when called. The crew quickly came to his aid and notified the captain that they needed additional support. The crew started treating the trainee for heat exhaustion and loaded him into a vehicle. As they drove down the hill, he became pulseless and non-breathing at which time the crew immediately started cardiopulmonary resuscitation (CPR). The crew arrived at the fire station within two minutes and medical staff was waiting. The crew continued CPR as correction medical staff began advanced life support (ALS) efforts. Despite the efforts of fire crews, medical staff and paramedics, the trainee died. The cause of death was fatal cardiac arrhythmia due to cardiomyopathy.
Author: J. Scott Jackson
Publisher:
ISBN:
Category :
Languages : en
Pages : 9
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Book Description
Designate an employee to administer the pre-placement and annual medical evaluations and their outcomes; perform an annual physical performance (physical abiltiy) evaluation; perform an autopsy on all on-duty fire fighter fatalities. Although unrelated to this fatality, the Fire Department should consider these additional recommendations: provide fire fighters with medical evaluations and clearance to wear SCBA; provide adequate fire fighter staffing to ensure safe operating conditions.
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
(3) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs).
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 : 8
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Book Description
(4) 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. (5) Discontinue routine annual chest x-rays for hazardous materials technicians unless medically indicated. (6) Discontinue routine drug screens as part of the annual medical evaluation unless for cause.
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: Thomas Hales (M.D.)
Publisher:
ISBN:
Category : Fire fighters
Languages : en
Pages : 10
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Book Description
