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 Fire Fighter Suffers Sudden Cardiac Death After Emergency Recall Massachusetts written by Tommy N. Baldwin and published by . This book was released on 2004 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perform an autopsy on all on-duty fire fighter fatalities. 2. Provide pre-placement medical evaluations to ALL fire fighters consistent with NFPA 1582 or State mandate to determine their medical ability to perform duties without presenting a signficant risk to the safety and health of themselves or others. 3. Provide adequate fire fighter staffing to ensure safe operating conditions.

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 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 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 technician Suffers Cardiac Death 6 Hours After Responding to Several Emergency Calls written by Thomas R. Hales and published by . This book was released on 2007 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: The death certificate and autopsy, completed by the Deputy Medical Examiner, listed "myocardial infarct" as the immediate cause of death due to "hypertensive cardiovascular disease." NIOSH investigators agree with this determination, but cannot rule out the possibility of cardiomyopathy. In either case, the FF-Technician's fatal incident was probably triggered by the heat and physical stress of responding to the emergency calls during his shift. NIOSH investigators offer the following recommendations to reduce the risk of on-duty heart attacks and sudden cardiac deaths in this and other fire departments across the country.

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 Fire Fighter emergency Medical Technician Suffers an Acute Myocardial Infarction and Dies Three Days Later Pennsylvania written by Tommy N. Baldwin and published by . This book was released on 2006 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: The autopsy (performed by the pathologist) listed "arteriosclerotic cardiovascular disease (CVD) with acute myocardial infarction; pulmonary emboli" as the cause of death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is unlikely any of these recommendations would have prevented this FF/EMT's death. 1. Incorporate exercise stress tests (ESTs) for fire fighters at increased risk of coronary artery disease (CAD) into the fire department's (FD) periodic medical evaluation program. 2. Discontinue routine annual electrocardiograms (EKGs) unless medically indicated. 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.

Download or read book Volunteer Fire Fighter Suffers Sudden Cardiac Death After Participating in Emergency Responses Maryland 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: 1) Conduct pre-placement and periodic medical evaluations to determine FFs medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. 2) Phase in a mandatory wellness/fitness program for FFs to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 3) Perform a pre-placement and an annual physical performance (physical ability) evaluation to ensure FFs are physically capable of performing the essential job tasks of structural fire fighting. 4) Ensure that physicians knowledgeable about the physical demands of fire fighting and the components of National Fire Protection Associating (NFPA) 1582 discuss examination results with FF and clear them for duty.

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 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 Volunteer Fire Fighter emergency Medical Technician Suffers Sudden Death 2 Hours After Completing Vehicle Extrication Training New York written by J. Scott Jackson and published by . This book was released on 2007 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: On September 21, 2006, a 38-year-old volunteer fire fighter/emergency medical technician (EMT) arrived for training at his fire station at 1945 hours. The training scenario involved vehicle extrication with hydraulic rescue tools. After training for 2 hours, he left the fire station at about 2145 hours complaining of fatigue, which fellow crew members attributed to his 12-hour EMT shift immediately before the training. He returned home and showered. Just before going to bed, he told his roommate that he was experiencing an "aura." Shortly thereafter, he began exhibiting seizure activity. The emergency medical system was called and an ambulance arrived at 0016 hours. He was unresponsive with no pulse or respiration.

Download or read book Fire Fighter Suffers Sudden Cardiac Death While Performing Work Capacity Test California written by Tommy N. Baldwin and published by . This book was released on 2005 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: On, May 31, 2002, a 59-year-old male career Fire Fighter (FF) was scheduled for a "Pack Test." The Pack Test is one of three work capacity test (WCT) designed to simulate the physical demands of wildland fire fighting. The Pack Test requires an individual to complete a 3-mile walk within 45 minutes while wearing a 45-pound vest. Successful completion of the Pack Test within the 45 minutes allows fire fighters to participate in federal wildland fire fighting operations. The FF began the Pack Test at approximately 0910 hours and had completed about 1.3 miles of the test when he suddenly collapsed. Crew members (emergency medical technicians [EMTs]) witnessed the collapse and initial assessment found the FF unresponsive with no pulse or respiration. Cardiopulmonary resuscitation (CPR) was begun. On-scene ambulance paramedics quickly began advanced life support (ALS) measures.

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.

Download or read book Firefighter Fatalities in the United States in written by and published by . This book was released on 2003 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fire Fighter Collapses and Suffers Sudden Cardiac Death After Responding to a Vehicle Fire Kentucky 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: Phase in a mandatory wellness/fitness program for FFs to reduce risk factors for cardiovascular disease and improve cardiovascular capacity; 5. Perform an annual physical performance (physical ability) evaluation to ensure FFs are physically capable of performing the essential job tasks of structural fire fighting; and 6. Use a secondary (technological) test to confirm appropriate placement of the endotracheal (ET) tube during emergency intubations.

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.