Download or read book Fire Chief Suffers Sudden Cardiac Death During Emergency Medical Response Utah written by Tommy N. Baldwin and published by . This book was released on 2010 with total page 14 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 fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. (4) Phase in a comprehensive wellness and fitness program for fire fighters. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (6) Conduct annual respirator fit testing.
Download or read book Fire Fighter emergency Medical Technician Suffers Sudden Cardiac Death After Multiple Emergency Responses Massachusetts written by Tommy N. Baldwin and published by . This book was released on 2008 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crew members and an ambulance were alerted as the LT obtained the automated external defibrillator (AED) and oxygen bag from the Engine and began cardiopulmonary resuscitation (CPR). One shock was administered before the ambulance and paramedics arrived. Despite CPR and advanced life support administered on-scene, during transport, and in the hospital's Emergency Department, the FF-EMT died. The death certificate (completed by the City Clerk) and the autopsy (completed by the State Chief Medical Examiner) listed "atherosclerotic cardiovascular disease" as the cause of death. The NIOSH investigator concludes the FF-EMT's underlying atherosclerotic coronary artery disease (CAD), coupled with his alarm responses and exertional activities at six calls (including a structure fire) triggered his sudden cardiac death.
Download or read book Triumph Tragedy and Tedium written by Barry Makarewicz and published by Dog Ear Publishing. This book was released on 2010-08 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Barry Makarewicz is a twenty year veteran of Salt Lake City Fire Department, sixteen of those years as a paramedic. Triumph, Tragedy and Tedium chapters are honest, compassionate and sensitive with compelling detail and special insight as Barry lives in the district he serves. Medical or fire calls can be for neighbors, friends or family. If you want to know what it is like to be a paramedic/firefighter, or if you want to know what happens when the emergency response system is activated, this book of true stories is a must read. Triumph, Tragedy and Tedium explores a variety of emergency calls from dramatic major medical traumas to the mundane minor assistance needed for the frail and infirm; from humor to despair and everything in between. Barry's stories are captured in teamwork with his personal journalist and wife, Laura Howat. "Makarewicz & Howat masterfully recount the stories of a paramedic/firefighter in Triumph, Tragedy and Tedium. The book is a wonderful journey through the highs and lows of a paramedic/firefighter's life and I recommend it to anyone with a curiosity about emergency services." Eric R Swanson, MD, FACEP; Associate Professor, Division of Emergency Medicine, The University of Utah; Medical Director, University of Utah AirMed; Editor, Air Medical Journal "Makarewicz and Howat have written a remarkable book. It captures the full range of emotions and experiences of a modern urban paramedic; the humor, the satisfaction, the tragedy, the frustration and even the anger at times. . . .In these stories, readers will find themselves drawn into the lives of the paramedic/firefighters and the people they meet and they can come away with a deep appreciation for these people and for the life saving and life giving work that they do." Dan Andrus, Deputy Chief, Salt Lake City Fire Department (Retired) "Triumph, Tragedy and Tedium provides vivid insight into the challenges that paramedic/firefighters face when life saving seconds are ticking away. . . I recommend this book to anyone that takes emergency medical services for granted." Randy Anderson, Interagency Hotshot Crew Superintendent; BLM
Download or read book Fire Fighter emergency Medical Technician Suffers Sudden Cardiac Death During Overhaul New York written by Tommy N. Baldwin and published by . This book was released on 2008 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: (3) Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural firefighting. (4) Secure endotracheal tubes to prevent dislodgment during patient treatment, transfer, and transport. (5) Reconsider routine use of coronary artery calcium scans.
Download or read book Fire Marshal Suffers Cardiac Arrest and a Probable Heart Attack During a Fire Department Physical Ability Test Utah written by Thomas R. Hales and published by . This book was released on 2012 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: On August 26, 2011, a 55-year-old male Fire Marshal suffered a sudden cardiac event during a fire department (FD) physical ability test (PAT). The test, a job-related simulation, involved completing 10 evolutions of essential fire fighter tasks in full turnout gear and self-contained breathing apparatus (off-air / no mask) within 19 minutes. The test began about 0715 hours at the FD headquarters with two test proctors and two FD members from the adjoining fire station in attendance. The Fire Marshal completed the first 8 evolutions without any difficulty. About halfway along the ninth evolution the Fire Marshal stumbled and fell while dragging a 175-pound manikin. After taking a short break to catch his breath, he said "I gotta finish," and proceeded to the apparatus bay for the last evolution. The Fire Marshal looked exhausted; he was very short of breath and had ashen skin color and cyanotic lips. He was unable to complete the evolution before the 19-minute PAT completion time elapsed. He flopped into a chair and then asked to lie down. His breathing became very shallow and fast as his turnout coat was removed. He was treated at the scene for low oxygen saturation and low blood pressure. As the Fire Marshal was loaded into the ambulance he suffered a cardiac arrest, but regained a heart rhythm enroute to the local hospitals emergency department (ED). Upon arrival at the ED, the Fire Marshal was hypotensive and unresponsive. Subsequent blood tests indicated a probable heart attack. The Fire Marshal did not regain consciousness and died on August 28, 2011. The death certificate and the autopsy, both completed by the assistant medical examiner, listed "hypertensive cardiovascular disease" as the cause of death. Given the Fire Marshal's cardiac findings at autopsy (concentric left ventricular hypertrophy (LVH) and focal acute myocardial infarction [heart attack] of the posterior wall), the NIOSH investigator concludes that the heavy physical exertion required to complete the PAT in full turnout gear triggered a heart attack and/or a heart arrhythmia (asystole) which resulted in cardiogenic shock.
Download or read book Assistant Chief Suffers Sudden Cardiac Death During Response to Boat Fire Wisconsin written by Tommy N. Baldwin and published by . This book was released on 2005 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 26, 2004, a 42-year-old male volunteer Assistant Chief (AC) responded to his fire station after being dispatched to a boat fire. As he donned his turnout gear, he collapsed. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) performed by crew members, emergency medical service (EMS) personnel, and hospital emergency department (ED) personnel, the AC died. The death certificate, completed by the County Medical Examiner, listed "severe arteriosclerotic cardiovascular disease" as the cause of death and "previous myocardial infarction" as other significant condition. The autopsy, performed by another County Medical Examiner, listed "severe coronary artery disease due to arteriosclerotic cardiovascular disease" as the cause of death.
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 Volunteer Fire Fighter Suffers Sudden Cardiac Death After Completing Emergency Medical Technician EMT Written Examination Texas written by Tommy N. Baldwin and published by . This book was released on 2004 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designate a City employee to administer the pre-placement and annual medical evaluations and their outcomes; perform an autopsy on all on-duty fire fighter fatalities. Although unrelated to this fatality, the Fire Department should consider these additional recommendatons: Provide fire fighters with medical evaluations and clearance to wear SCBA.
Download or read book Fire Chief Suffers Sudden Cardiac Death at Home After Performing Apparatus Maintenance and Conducting Training Texas 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: The Chief soon became pulseless, and she began cardiopulmonary resuscitation (CPR). FD units and an ambulance were dispatched and provided advanced life support (ALS). Despite CPR and ALS performed by FD crew members, ambulance service paramedics, and hospital emergency department (ED) personnel, the Chief died. The death certificate, completed by the Justice of the Peace, and the autopsy, completed by the pathologist, both listed "severe three vessel atherosclerotic coronary artery disease" (CAD) as the cause of death. The NIOSH investigator concluded that the physical stress of performance apparatus maintenance, conducting training, and the Chief's underlying atherosclerotic CAD contributed to his sudden cardiac death.
Download or read book Fire Chief Suffers Heart Attack While Fighting a Structure Fire and Dies Mississippi written by Tommy N. Baldwin and published by . This book was released on 2012 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: On March 4, 2012, a 45-year-old male volunteer fire chief ("the Chief") was dispatched to a residential structure fire. At the scene, the Chief assisted in exterior fire suppression operations for about 30 minutes. Smoke exposure was intermittent, and the Chief did not wear self-contained breathing apparatus (SCBA). The Chief and a crew member suddenly began coughing, became nauseated, and vomited. They took a rest break to drink some water, but both remained nauseated and became dizzy. The on-scene deputy police chief transported both to the hospital's emergency department (ED), where the Chief began complaining of chest pain; an acute heart attack was diagnosed. Despite care in the ED for approximately 75 minutes, the Chief suffered a cardiac arrest and died. Neither the ED nor the medical examiner's office measured carboxyhemoglobin levels to assess carbon monoxide exposure or possible carbon monoxide poisoning. The other crew member was treated for heat illness and released with no complications. The death certificate, completed by the county medical examiner investigator, listed "myocardial infarction" as the cause of death. The autopsy report, completed by the state deputy chief medical examiner, listed "atherosclerotic and hypertensive heart disease" as the cause of death. Given the Chief's long history of underlying coronary heart disease, NIOSH investigators concluded that the physical stress of fire suppression activities triggered his heart attack and subsequent cardiac death.
Download or read book Fire Fighter Suffers Sudden Cardiac Death During a Medical Emergency Response California 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: Therefore, it is unlikely the FD could have prevented this fire fighter's untimely death. Nonetheless, potentially relevant safety issues applicable to this FD include: 1) Consider slightly modifying the preplacement, annual, and periodic medical evaluation to be consistent with NFPA 1582. 2) Ensure that fire fighters are cleared for duty by a physician knowledgeable about the physical demands of fire fighting and the various components of NFPA 1582. 3) Enhance the FD's current wellness/fitness program by implementing the proposed program.
Download or read book Deputy Fire Chief Suffers Sudden Cardiac Arrest about One Hour After Conducting a Fire Prevention Inspection California written by Thomas R. Hales and published by . This book was released on 2010 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: On June 26, 2008, the Deputy Fire Chief reported to duty at 0800 hours. About three hours later he performed a fire prevention inspection of a local apartment building. Before returning to headquarters he stopped by one of the fire stations to visit with fellow fire fighters. While sitting at the kitchen table, the Deputy Chief collapsed. Despite immediate advance life support measures in the fire station, ambulance, and hospital emergency department, the Deputy Chief died. An autopsy performed by a forensic pathologist in the Office of the County Coroner concluded "left ventricular cardiac hypertrophy (years)" was the cause of death.
Download or read book Career Fire Fighter emergency Medical Technician Suffers Sudden Death 5 Hours After Participating in Emergency Response South Carolina written by J. Scott Jackson and published by . This book was released on 2005 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: (4) Ensure that the fire department physician who is knowledgeable about the physical demands of fire fighting, the medical requirements of fire fighters, and the various components of NFPA 1582 makes the final determination of a FF's return-to-work status following an injury or illness; and (5) Provide a member assistance program that identifies and assists members with substance abuse problems.
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 Fire Chief Suffers Fatal Heart Attack New Hampshire written by Denise L. Smith and published by . This book was released on 2013 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 2, 2012, a 52-year-old Fire Chief experienced chest pains while working at the station. Fire department (FD) personnel transported the Chief to the hospital where he suffered a cardiac arrest and died. The death certificate and autopsy report listed the cause of death as "acute myocardial infarction" due to "arteriosclerotic cardiovascular disease." Activities at the fire station on the morning of September 2 and his duties as the Fire Chief during the State Fair were temporally related to his angina, heart attack, and sudden cardiac death. 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 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 Chief Suffers Sudden Cardiac Death After Responding to a Motor Vehicle Crash Texas written by Tommy N. Baldwin and published by . This book was released on 2005 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: (4) 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. (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.
