Download or read book Fire Captain Suffers Fatal Heart Attack After Conducting Live Fire Training Pennsylvania written by Tommy N. Baldwin and published by . This book was released on 2009 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: (3) Phase in a comprehensive wellness and fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. (4) Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (5) Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube. (6) Recheck vital signs of fire fighters prior to leaving rehab.

Download or read book Volunteer Fire Fighter Suffers a Fatal Cardiac Event After Fire Suppression Training Pennsylvania written by Denise L. Smith and published by . This book was released on 2010 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Fire Chief Suffers Fatal Heart Attack While Responding to a Structure Fire Pennsylvania written by Tommy N. Baldwin and published by . This book was released on 2009 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: (3) Ensure fire fighters are cleared for return to 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. (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 firefighting. (6) 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 Firefighter Fatalities in the United States in 2005 written by and published by FEMA. This book was released on with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book 46 year old Airport Firefighter Suffers Fatal Heart Attack Responding to Call written by Denise L. Smith and published by . This book was released on 2019 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: On March 20, 2019, at approximately 0058 hours, a 46-year-old career firefighter (FF) failed to respond to the apparatus for a call. A fellow firefighter went to find the FF and discovered him unconscious on the floor in a hallway leading to the apparatus bay. Crew members initiated cardiopulmonary resuscitation (CPR) and notified in-house paramedics, who provided advanced cardiac life support (ACLS) and transported the FF. The emergency department (ED) staff continued resuscitation efforts for nearly 20 minutes. The FF never regained an organized cardiac rhythm and was pronounced dead at 0151 hours.

Download or read book Instructor in charge Suffers Sudden Cardiac Death During Live Fire Training Pennsylvania written by Denise L. Smith and published by . This book was released on 2012 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 25, 2011, a 38-year-old male volunteer lieutenant (LT) was serving as the instructor-in-charge during live fire training. The LT spent about 60 minutes setting up the training drills and then spent about 30 minutes debriefing and orienting the instructors and trainees. He was inside the specially designed burn building attending the fires when his low air alarm sounded and he exited the building. After changing his air cylinder, he began debriefing the fire department (FD) chief when he suddenly lost consciousness. Fellow firefighters immediately began cardiopulmonary resuscitation (CPR) and attached an automated external defibrillator (AED) which delivered a series of shocks that did not revive the LT. An ambulance arrived on scene about 12 minutes after the LT collapsed and provided advanced life support (ALS) while en route to the local hospital's emergency department. Despite these efforts, the LT never regained consciousness and was pronounced dead at the hospital at 1120 hours, approximately 40 minutes after losing consciousness. The death certificate and autopsy listed "cardiac dysrhythmia due to hypertrophic cardiomegaly" as the cause of death. Given the underlying heart abnormalities found at autopsy, the moderate-to-heavy physical exertion during the training most likely triggered a sudden cardiac event.

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 Assistant Chief Suffers Sudden Fatal Heart Attack While Operating an Engine at a Residential Structure Fire Pennsylvania written by Tommy Baldwin and published by . This book was released on 2014 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: On November 20, 2013, at 2311 hours, a 58-year-old male volunteer assistant fire chief ("the AC") responded to a structure fire. After driving Engine 9 to the scene, he prepared to charge a 2-inch handline when he developed difficulty breathing, nausea, and vomiting. About 5 minutes later crew members noted the AC having difficulty prepping the handline, and the fire chief requested an ambulance. The ambulance arrived 2 minutes later, and emergency medical technicians began basic life support. Oxygen was given via bag-valve-mask as the AC was placed onto a stretcher. The AC became unresponsive 20 seconds later (2334 hours). The AC was placed into the ambulance as cardiopulmonary resuscitation (CPR) began. En route to the hospital's emergency department (ED), an automated external defibrillator (AED) advised to shock, and a shock was administered without a change in the AC's clinical status. Paramedics from an advanced life support unit met the ambulance en route (2338 hours) at which time the AC was intubated, intraosseous venous access was obtained, and advanced cardiovascular life support resuscitation protocols were initiated. The AC was still in cardiac arrest (asystole) when the ambulance arrived at the ED (2355 hours). After approximately 5 minutes of treatment in the ED, the AC was pronounced dead at 0000 hours on November 21, 2013. The death certificate completed by the county coroner listed "acute myocardial infarction" as the cause of death. The autopsy completed by the forensic pathologist revealed an acute plaque rupture and thrombus in the AC's right coronary artery, severe coronary artery disease (CAD), an old (remote) heart attack, and stents in the left anterior descending coronary artery and circumflex coronary artery. Given the AC's underlying heart disease, NIOSH investigators concluded that responding to the structure fire and the physical stress of operating the engine's pump panel probably triggered the AC's heart attack, which resulted in his death.

Download or read book 41 year old Captain Suffers Fatal Heart Attack After Participating in a Multi unit Training Drill written by Denise L. Smith and published by . This book was released on 2019 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 27, 2017, at approximately 2000 hours, a 41-year-old male career Captain (CAPT) staged for a multi-unit training scenario in an abandoned restaurant. The CAPT was the officer of a 4-person ladder truck and responded along with two engines and a battalion chief. The CAPT and his crew performed forcible entry and began a primary search (on air). They were then assigned to meet up with the engine crew and take over their hoseline. The CAPT and another firefighter advanced the hoseline about 10 feet to extinguish the simulated fire. The training drill lasted approximately 20–25 minutes (min). Following the drill, crews cleaned up and then met for a debriefing.

Download or read book Fire Fighter Suffers Fatal Heart Attack Pennsylvania written by Sally E. Brown and published by . This book was released on 2000 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: He was admitted for 5 days and, thereafter, discharged home. He did not return to work after the incident. After a succession of health events, including hospital readmission, the victim died on June 9, 1999. The death certificate listed the immediate cause of death as an acute myocardial infarction (heart attack). No underlying or contributing conditions were listed on the death certificate. An autopsy was not performed.

Download or read book Senior Captain Suffers Sudden Cardiac Death During Training Alaska written by Tommy N. Baldwin and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Lieutenant Suffers Fatal Heart Attack During Training Ohio 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: On March 31, 2010, a 53-year-old male career Lieutenant (LT) reported for duty as the officer on Squad 91. During his shift he participated in the Fire Department's (FD) annual self-contained breathing apparatus (SCBA) endurance evaluation. After completing the first evolution in about 15-20 minutes, the LT complained of shoulder pain and sat down to rest. Shortly thereafter, both on-duty crews were dispatched to separate emergency calls. The LT did not respond with Squad 91, and crew members assumed the LT was either taking a shower or had responded with the other crew. Upon returning to the fire station about 1 hour later, crew members found the LT unresponsive in his bunkroom. Cardiopulmonary resuscitation (CPR) and advanced life support were begun, and the LT was transported to the local hospital's emergency department (ED). Advanced life support continued in the ED for an additional 10 minutes when he was pronounced dead by the ED physician. The autopsy, completed by the County Coroner, listed the cause of death as "acute thrombus of left anterior descending artery" due to "hypertensive atherosclerotic cardiovascular disease." Given the LT's underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion involved in performing the SCBA endurance training triggered his acute heart attack and subsequent cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is possible that if some of the recommended programs had been in place, the LT's death may have been prevented. 1) Incorporate exercise stress tests following standard medical guidelines into a Fire Department medical evaluation program. 2) Provide annual medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 3) 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. The following recommendations are made for safety and health reasons and would not have prevented the LT's death. 1) Provide preplacement medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582. 2) Perform an annual physical performance (physical ability) evaluation for all members. 3) Phase in a comprehensive wellness and fitness program for fire fighters. 4) Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube.

Download or read book Captain Suffers Sudden Cardiac Death While On duty Tennessee written by Tommy N. Baldwin and published by . This book was released on 2013 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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).

Download or read book Fire Fighter Suffers Fatal Heart Attack After Returning Home from Fire Iowa written by Mitchell Singal and published by . This book was released on 2002 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: On April 2, 2001, a 38-year-old male volunteer fire fighter was driving to work after returning home from a structural fire. He apparently passed out at an intersetion, and his vehicle rolled across the road and into a fence. Police arrived approximately 3 minutes later, and the fire department and ambulance followed shortly. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) performed at the scene, in the ambulance, and at the hospital emergency department, and additional procedures in the hospital's cardiac catheterization laboratory, the fire fighter died. Based on autopsy findings, the death certificate completed by the medical examiner listed "acute myocardial infarction" as the immediate cause of death and "severe arteriosclerotic coronary vascular disease--right coronary artery" as the underlying cause.

Download or read book Lieutenant Suffers a Fatal Cardiac Event After Completing Live Fire Training Wisconsin written by Denise L. Smith and published by . This book was released on 2009 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop a comprehensive wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease (CVD) and improve cardiovascular capacity. 6) Discontinue lumbar spine x-rays as a screening test administered during the pre-placement medical evaluation.

Download or read book Fire Chief Suffers Fatal Heart Attack While Fighting a Residential Structure Fire Arkansas written by Tommy N. Baldwin and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: On the morning of January 28, 2014, a 53-year-old male career fire chief ("Chief") began his 9-hour shift. During the morning he spent over an hour fighting a grass fire using an attack line to knock down the flames and then wildland fire suppression tools to extinguish hot spots. During the ride back to the fire station, the Chief reported experiencing heartburn. At 1214 hours, the Chief used his command vehicle to respond to another grass fire. When the Chief arrived, the fire had spread to the land owner's residence. While waiting for the fire department's engine to arrive, the Chief began exterior fire attack. Once the engine arrived, the Chief and a lieutenant donned their self-contained breathing apparatus (SCBA) and began interior fire attack. During the attack, the Chief appeared sluggish and somewhat disoriented and did not communicate well. After about 15 minutes, the Chief's and the lieutenant's SCBA low air alarms sounded, and both exited the structure. Once outside, the Chief reported feeling sick and called the emergency medical services (EMS) director who recommended he come to their headquarters for an electrocardiogram (EKG). The Chief drove the command vehicle to headquarters with a mutual aid fire fighter as a passenger. He underwent an EKG, which revealed changes consistent with an acute heart attack. He was loaded into an ambulance for transport to the emergency department (ED) (1423 hours). Approximately 5 minutes into the transport, the Chief suffered cardiac arrest. Cardiopulmonary resuscitation (CPR) and advanced life support were begun, which included multiple defibrillation attempts, intubation, intravenous line placement, and cardiac resuscitation medications. The Chief was still in cardiac arrest when the ambulance arrived at the ED (1441 hours). After approximately 10 minutes of treatment in the ED, the Chief regained a heart rhythm and pulse. He was taken (1522 hours) to the cardiac catheterization lab where he was found to have 100% blockage of his proximal left anterior descending (LAD) coronary artery. Percutaneous transluminal coronary angioplasty successfully opened the blockage; a stent was placed to keep the LAD artery open. Approximately 1 hour after being transferred to the intensive care unit, the Chief suffered another cardiac arrest (1735 hours). Subsequent resuscitation efforts were unsuccessful, and the Chief was pronounced dead at 1800 hours. The death certificate and autopsy report, both completed by the associate state medical examiner, listed "hypertensive atherosclerotic cardiovascular disease" as the cause of death. Given the Chief's underlying heart disease, NIOSH investigators concluded that the physical stress of performing interior fire suppression in turnout gear with SCBA probably triggered his heart attack.

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.