Download or read book Driver operator Suffers a Cardiac Arrest During a Wildland Fire Exercise written by Kristen Sexson and published by . This book was released on 2001 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fire Fighter driver Operator Suffers Sudden Cardiac Death After Responding to a Residential Burning Odor Call Illinois written by Tommy N. Baldwin and published by . This book was released on 2013 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: On November 11, 2012, a 61-year-old male career driver/operator ("D/O") and his truck company (Truck 40) were dispatched at 2205 hours to a three-story apartment building for a report of a burning odor. At the scene, the D/O set up the ladder and carried a ventilation saw to the roof. Fire fighters inside the building determined the smoke was caused by cooking and notified the D/O that ventilation was not necessary. When the D/O descended the ladder and reached the ground he was breathing rapidly. His shortness of breath persisted during the return trip to the fire station. While cleaning Truck 40 at the station, the D/O's shortness of breath worsened, and he reported some chest pain to crew members. They gave him oxygen and summoned an ambulance. The ambulance paramedics began treatment for pulmonary edema with oxygen, diuretics, and nitroglycerin and transported the D/O to the hospital's emergency department (ED). Shortly after arriving in the ED, the D/O had a cardiac arrest. Cardiopulmonary resuscitation was started followed by advanced life support including intubation with 100% oxygen. After 40 minutes in the ED, the D/O was pronounced dead at 2321 hours, and resuscitation efforts were stopped. The death certificate and autopsy report listed "hypertensive cardiovascular disease" as the cause of death with "coronary atherosclerosis" as a contributing factor. Additional autopsy findings included coronary artery disease, cardiomegaly (enlarged heart), and left ventricular hypertrophy (LVH). Given the D/O's underlying heart disease, NIOSH investigators concluded that the physical stress of responding to the call and ascending/descending the aerial ladder to the roof of a three-story building probably triggered his sudden cardiac death. NIOSH investigators offer the following recommendations to address safety and health issues and prevent similar incidents in the future. Provide annual medical evaluations to all fire fighters consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. Conduct exercise stress tests into the fire department medical evaluation program for fire fighters at increased risk for coronary heart disease (CHD). Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the fire department's medical evaluation program. Phase in a mandatory comprehensive wellness and fitness program for fire fighters. Perform an annual physical performance (physical ability) evaluation for all members.
Download or read book Driver operator Suffers Fatal Heart Attack While Responding to Structure Fire North Carolina written by Carin VanGelder and published by . This book was released on 2012 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: On January 31, 2009, a 58-year-old volunteer fire fighter [also the Driver/Operator (D/O) for this incident] responded to a structure fire. While driving the engine/tanker to the fire scene, the D/O developed severe chest pain. Upon arrival at the fire scene, the D/O was evaluated by a paramedic who emergently arranged ambulance transport. During transport an acute myocardial infarction (heart attack) was diagnosed by electrocardiogram (ECG) and upon arrival at the local hospital's emergency department (ED), the D/O received emergent thrombolytic therapy. With no improvement in his clinical condition, the D/O was airlifted to a larger hospital for emergency cardiac catheterization. During the cardiac catheterization the D/O suffered a cardiac arrest and resuscitation efforts were unsuccessful. The death certificate, completed by the treating cardiologist, listed "cardiogenic shock" as the cause of death with acute myocardial infarction" as a contributing condition. No autopsy was performed. The NIOSH investigators concluded the physiologic demands associated with the emergency response to a structure fire probably triggered the D/O's heart attack and subsequent cardiac death.
Download or read book Firefighter Autopsy Protocol written by and published by FEMA. This book was released on 2008 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Driver operator fire Fighter Suffers a Heart Attack and Dies While Supporting Fire Suppression Activities New York written by Thomas Hales (M.D.) and published by . This book was released on 2000 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fire Apparatus Operator Suffers Fatal Heart Attack During Annual Fire Department Medical Evaluatin Missouri written by Tommy N. Baldwin and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: On January 7, 2011, a 54-year-old male career Fire Apparatus Operator (FAO) participated in the Fire Department (FD) mandatory annual medical evaluation program scheduled while the FAO and his crew were on-duty. After completing several portions of the evaluation, the FAO began the exercise stress test component. After exercising for 3 minutes, 10 seconds, the FAO developed a life threatening arrhythmia (ventricular tachycardia), and the test was stopped. While being assisted to the examination table and while an ambulance was summoned, the FAO lost consciousness. Cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were administered at the medical clinic, in the ambulance, and in the hospital's emergency department (ED). In the ED, the FAO regained a heart rhythm, and an electrocardiogram (EKG) showed signs consistent with a heart attack (myocardial infarction). The FAO was taken to the catheterization lab with a very low blood pressure (cardiogenic shock). A 95% blockage of one of his main coronary arteries was opened via angioplasty and a stent. While still in the catheterization lab, the FAO suffered another cardiac arrest from which he could not be revived. The death certificate and the autopsy listed "atherosclerotic cardiovascular disease" as the cause of death. Given the FAO's severe underlying heart disease, NIOSH investigators concluded that the physical exertion involved in the exercise stress test probably triggered a heart attack resulting in the FAO's death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unclear, however, if these recommendations would have prevented the FAO's death. 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. Ensure that all members participate in the Fire Department's mandatory wellness/fitness program. Perform an annual physical performance (physical ability) evaluation. Notify the U.S. Food and Drug Administration (FDA) that the clinic defibrillator was not working properly.
Download or read book Driver operator fire Fighter Suffers a Heart Attack and Dies While Supporting Fire Suppression Activities New York written by Thomas R. Hales and published by . This book was released on 2000 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: On April 29, 1998, a 49-year-old male driver/operator/fire fighter complained of chest pain while supporting fire suppression activities at a high-rise apartment building. Despite treatment by on-scene fire fighters (trained and certified as first responders) and ambulance paramedics, and CPR and ACLS administered by the hospital emergency department, the victim died. NIOSH was notified of this fatality on May 4, 1998, by the United States Fire Administration. On June 3, 2000, NIOSH contacted the affected fire department (FD) to initiate the investigation. On June 26, 2000, an occupational physician from the NIOSH Fire Fighter Fatality Investigation Team Traveled to New York to conduct an onsite investigation of the incident.
Download or read book Fire Apparatus Operator Suffers Sudden Cardiac Death During Physical Fitness Training Hawaii written by Tommy N. Baldwin and published by . This book was released on 2012 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: On January 18, 2012, a 50-year-old male career fire apparatus operator (FAO) was working a 24-hour shift. During the day he responded to one emergency call, a reported structure fire near his home. Later that afternoon, the FAO began working out as part of the FD's wellness/fitness program. Approximately 3 hours later a crew member found the FAO unresponsive in the station's exercise room. CPR was initiated, and an automated external defibrillator (AED) was placed, but no shock was advised. Approximately 2 minutes later, paramedics arrived, assessed the FAO, and concluded that the FAO had been dead for a significant time. They pronounced him dead. The death certificate and autopsy listed "ischemic heart disease due to hypertensive and kidney disease and an old myocardial infarction" as the cause of death. Given the FAO's underlying cardiovascular disease, NIOSH investigators concluded that the physical stress of physical fitness training probably triggered his sudden cardiac death.
Download or read book Wildland Fire Fighter Suffers Sudden Cardiac Death After Performing Mop up overhaul Operations at Two Wildland Fires Florida written by J. Scott Jackson and published by . This book was released on 2006 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Volunteer Fire Fighter Suffers Cardiac Arrest While Battling a Structure Fire New York written by Lisa N. Anderson and published by . This book was released on 2005 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Firefighter Fatality Retrospective Study written by U. S. Fire Administration and published by FEMA. This book was released on 2013-03-13 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This analysis sought to identify trends in mortality and examine relationships among data elements. To this end, data were collected on firefighter fatalities between 1990 and 2000. (For further information, see the "Methodology" section or the Appendix.) Using this analysis, better targeted prevention strategies can be developed in keeping with the USFA's goal to reduce firefighter deaths 25 percent by 2005. In contrast to the annual USFA firefighter fatality reports, this analysis allowed for comparisons over time to determine any changes in firefighter mortality, with a depth of scrutiny not present in earlier analyses.
Download or read book Fire Fighter Suffers On duty Sudden Cardiac Death Missouri written by Tommy N. Baldwin and published by . This book was released on 2011 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Fire Fighter Suffers Fatal Heart Attack While Performing Physical Fitness Training Missouri written by Tommy N. Baldwin and published by . This book was released on 2003 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: On January 21, 2003, at approximately 2045 hours, a 50-year-old male career Captain was lifting weights and walking on a treadmill in his fire station's exercise room when he experienced chest pains. After alerting his crew members, medical treatment for angina was begun. When his chest pain persisted and he became increasingly ill, he was loaded into an ambulance and transported to the hospital by in-house ambulance personnel. Despite being given advance life support (ALS) in the ambulance, he went into cardiac arrest and cardiopulmonary resuscitation (CPR) was begun. ALS measures were continued inside the emergency department (ED) for 18 minutes until he was pronounced dead and resuscitation measures were stopped. The death certificate listed "acute myocardial infarction" due to atherosclerotic coronary artery disease" as the immediate cause of death.
Download or read book Fire Fighter operator Suffers Sudden Cardiac Death While Operating a Fire Engine at a Structure Fire Louisiana written by Tommy N. Baldwin and published by . This book was released on 2010 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: (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.
Download or read book Fire Apparatus Driver Operator Experiences Chest Pain While Exercising at Fire Station and Dies Three Days Later Due to a Pulmonary Embolus Maryland written by Denise L. Smith and published by . This book was released on 2009 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: (1) Provide mandatory annual medical evaluations to all fire fighters consistent with the National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. (2) Develop a comprehensive wellness/fitness program for fire fighters to reduce risk factors for cardiovascular (CVD) and improve cardiovascular capacity.
Download or read book Fire Captain Suffers Sudden Cardiac Death During a Live fire Training Exercise North Carolina written by Thomas R. Hales and published by . This book was released on 2004 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: -Fire fighters should be medically cleared prior to participating in the FD's Physical Fitness Qualification (PFQ) test, specifically, the aerobic capacity (treadmill) test. Although unrelated to this fatality, the FD should consider these three additional recommendations based on safety considerations. -Provide fire fighters with medical evaluations and clearance to wear SCBA as required by the Occupational Safety and Health Administration (OSHA). -Complement the impressive mandatory fitness program with a mandatory, rather than voluntary, wellness program. -During live-fire training, ensure all components of NFPA 1403, Standard on Live Fire Training Evolutions, are followed.
Download or read book Firefighter Trainee Suffers Sudden Cardiac Death During Physical Fitness Exercise written by Wendi Dick and published by . This book was released on 2021 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
