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 Fire Fighter Suffers Sudden Cardiac Death During Live Fire Training North Carolina written by Tommy N. Baldwin and published by . This book was released on 2009 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: The autopsy, completed by the Medical Examiner, listed "congestive heart failure" as the cause of death and "severe coronary atherosclerotic disease and hypertensive heart disease" as contributing factors. Given the FF's underlying atherosclerotic coronary artery disease (CAD), the stressful environmental conditions and the physical stress of performing fire fighting training duties triggered a heart attack or a cardiac arrhythmia, resulting in his sudden cardiac death. The NIOSH investigator offers the following recommendations to address general safety and health issues. Had these recommended measures been in place prior to the FF's collapse, perhaps his sudden cardiac death may have been prevented at this time.
Download or read book Fire Chief Suffers Cardiac Arrest at Brush Fire North Carolina written by Denise L. Smith and published by . This book was released on 2013 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: On March 3, 2013, a 44-year-old Fire Chief experienced coughing, shortness of breath, and difficulty breathing while functioning as incident commander at a brush fire. The Chief drove himself to an on-scene ambulance and requested assistance. On-scene emergency medical service (EMS) personnel performed an initial assessment, initiated care, and began transport. En route to the emergency department (ED), the Chief suffered cardiac and respiratory arrest. Despite cardiopulmonary resuscitation (CPR) in the ambulance for about 60 minutes, the Chief died. The death certificate and autopsy report, both completed by the County Medical Examiner's office, listed the cause of death as "atherosclerotic and hypertensive cardiovascular disease." The autopsy revealed a massively enlarged heart with severe coronary atherosclerosis. Given the presentation of his illness and his underlying heart disease discovered at autopsy, the Chief's respiratory distress was probably due to acute exacerbation of undiagnosed heart failure, precipitated by any of the following: a hypertensive crisis, ischemia, a heart attack, or a primary arrhythmia. NIOSH offers the following recommendations to reduce the risk of heart attacks and sudden cardiac arrest among fire fighters at this and other fire departments across the country. Ensure that all fire fighters receive an annual medical evaluation consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 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. Phase in a mandatory comprehensive wellness and fitness program for fire fighters.
Download or read book Fire Fighter Suffers Sudden Cardiac Death During Physical Fitness Training North Carolina written by Tommy N. Baldwin and published by . This book was released on 2007 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: (3) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs).
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 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 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 Deputy Chief Suffers Sudden Cardiac Death After Responding to Two Incidents North Carolina written by J. Scott Jackson and published by . This book was released on 2007 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: (4) Phase in a mandatory 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 that fire fighters are capable of performing the essential job tasks of structural fire fighting.
Download or read book Volunteer Fire Fighter Suffers Cardiac Death the Morning After Emergency Medical Technician Training North Carolina written by J. Scott Jackson and published by . This book was released on 2005 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: (2) Ensure that fire fighters are cleared for 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, Standard on Comprehensive Occupational Medicine Program for Fire Departments. (3) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA). (4) Phase in a mandatory wellness/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.
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 Sudden Cardiac Death at His Fire Station Oregon written by Thomas R. Hales and published by . This book was released on 2003 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: On February 20, 2003, at 0730 hours, a 53-year-old male career Captain (the deceased) began his 24-hour shift at his fire station. During his shift, the Captain was performing normal duties including checking fire extinguishers and participating in training exercises of emergency egress during aircraft rescue operations. He was last seen alive by crew members at 2030 hours as he was preparing for sleep. He was found the next morning in his private quarters at 0700 hours by two crew members. The Captain was unresponsive, wearing the previous night's uniform, laying diagonally on top of his bed. One crew member ran from the room to call 911 (medical emergency) and retrieve an automated external defibrillator (AED) from the station's ambulance. The other crew member checked the Captain's vital signs and found no pulse and no respirations.
Download or read book Fire Fighter Dies During Live Fire Training North Carolina written by Tommy N. Baldwin and published by . This book was released on 2003 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: -Use a secondary (technological) test to confirm placement of the ET tube in the trachea; -Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity; -Provide both strength and aerobic exercise equipment in all fire stations.
Download or read book Fire Fighter Suffers Probable Fatal Cardiac Arrhythmia During On duty Mandatory Physical Fitness Training North Carolina written by Tommy N. Baldwin and published by . This book was released on 2010 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide preplacement and annual medical evaluations to fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 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. Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of a Fire Department medical evaluation program.
Download or read book Lieutenant Suffers Sudden Cardiac Death at the Scene of a Structure Fire South Carolina written by Tommy N. Baldwin and published by . This book was released on 2005 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: (4) Phase in a mandatory wellness/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; and (6) Perform an autopsy on all on-duty fire fighter fatalities.
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.
Download or read book Fire Fighter Trainee Suffers Heart Attack During Simulated Fire Suppression Exercise North Carolina written by Tommy N. Baldwin and published by . This book was released on 2008 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: (4) Phase-in a comprehensive wellness and fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program.
Download or read book Fire Fighter paramedic Suffers Sudden Cardiac Death After Rescue Training California written by Tommy N. Baldwin and published by . This book was released on 2011 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 16, 2010, a 56-year-old male career Fire Fighter/Paramedic (FF/P) participated in rescue training that included classroom lectures, stretching exercises, and lifting/moving heavy concrete blocks. During the stretching exercises, the FF/P experienced chest discomfort. He and his paramedic partner administered and interpreted an electrocardiogram (EKG). The EKG revealed a slow heart rate but no changes suggestive of cardiac ischemia. The FF/P resumed the training, which, at that time, involved lifting and moving concrete blocks. This evolution lasted approximately 25 minutes after which crews were debriefed and dismissed for lunch. After walking to his vehicle, the FF/P collapsed. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) at the scene, in the ambulance, and in the hospital's emergency department (ED), the FF/P died. The death certificate and the autopsy listed "severe coronary atherosclerosis" as the cause of death with "cardiomegaly" as a significant other condition. Given the FF/P's severe underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion involved in performing the rescue training probably triggered his sudden cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unclear if these recommended programs would have prevented the FF/P's death. 1) Report signs or symptoms consistent with a heart attack to authorities for prompt medical evaluation. 2) Provide mandatory annual medical evaluations to all fire fighters consistent with the current edition of National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 3) Consider reviewing the fire department's policy for conducting member exercise stress tests. 4) Phase in a mandatory comprehensive wellness and fitness program for fire fighters. 5) Perform an annual physical performance (physical ability) evaluation for all members.
