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 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 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 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 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 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 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 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 Fighter Suffers a Fatal Heart Attack During a Training Exercise Michigan written by Mitchell Singal and published by . This book was released on 2002 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on findings at autopsy, the death certificate, completed by the Medical Examiner, listed "acute myocardial infarction" as the immediate cause of death and "arteriosclerotic cardiovascular disease" as the underlying cause.
Download or read book Preventing Fire Fighter Fatalities Due to Heart Attacks and Other Sudden Cardiovascular Events written by and published by . This book was released on 2007 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fire Fighter paramedic Suffers Sudden Cardiac Death While Performing Physical Fitness Training Washington 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: The death certificate and autopsy, completed and performed by the Medical Examiner, listed "occlusive atherosclerotic cardiovascular disease" as the immediate cause of death. The following recommendations address some general health and safety issues. This list includes some preventive measures that have been recommended by other agencies to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters. These selected recommendations have not been evaluated by NIOSH, but represent published research, or consensus votes of technical committees of the National Fire Protection Association (NFPA) or fire service labor/management groups.
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 Fire Fighter Suffers Heart Attack During Structural Fire Fighting Operations and Dies 8 Days Later Kentucky 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 June 30, 2011, a 49-year-old male volunteer fire fighter (FF) responded to a residential structure fire. The FF, wearing full turnout gear and self-contained breathing apparatus (SCBA) on-air, climbed a 14-foot ladder to the second floor and performed exterior and interior fire suppression activities for about 30 minutes. After the fire was brought under control, he started to perform overhaul (mop-up) operations on the second floor when he suddenly collapsed. Crew members carried the FF down the stairs and outside the dwelling. Cardiopulmonary resuscitation (CPR) was begun as an ambulance was requested. The ambulance arrived, advanced life support was provided, and the FF was transported to the local hospital's emergency department (ED). In the ED, the FF regained a pulse but remained minimally responsive and was flown to a regional hospital where angioplasty was performed. Over the next 8 days, his condition did not improve and, after consulting with the family, the decision was made to remove the FF from life support. The attending physician pronounced him dead at 0434 hours on July 8, 2011. The death certificate listed "myocardial infarct" due to "cardiac arrest" as the cause of death. No autopsy was performed. Carboxyhemoglobin levels were not measured to test for carbon monoxide exposure. Given the FF's known underlying coronary artery disease (CAD), NIOSH investigators concluded that the physical exertion of responding to the call and suppressing the fire triggered his heart attack, which caused his death. NIOSH investigators offer the following recommendations to address general safety and health issues. Had some of these recommended programs been in place, it is possible the FF's death may have been prevented. Provide preplacement and annual medical evaluations to all fire fighters. 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. Phase in a comprehensive wellness and fitness program for fire fighters. Perform a preplacement and an annual physical performance (physical ability) evaluation. Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. Use a secondary (technological) test to confirm appropriate placement of the endotracheal tube. Perform an autopsy on all on-duty fire fighter fatalities.
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 Fatal Heart Attack During Training New Mexico 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 March 11, 2001, a 65-year-old male fire fighter collapsed as he finished a training exercise. Immediate cardiopulmonary resuscitation (CPR) and subsequent advanced life support (ALS) measures kept him alive; he was stabilized at the local hospital emergency room and transferred by air ambulance to a referral hospital. He never regained consciousness, however, and 3 days later he died. The autopsy revealed an acute myocardial infarction (heart attack) and bilateral coronary artery stenosis (blockage of the arteries of the heart), and the pathologist concluded that the cause of death was the myocardial infarction with "severe hypoxic brain injury" resulting from the cardiac arrest. The death certificate, completed by the cardiologist, listed "cardiac arrest" as the immediate cause of death, due to "myocardial infarction," with "coronary artery disease" as the underlying cause.
Download or read book Fire Fighter Suffers Probable Heart Attack at Condominium Fire South 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: 5) Follow provisions in OSHA's Respiratory Protection Standard and staff fire stations to ensure adequate emergency response capability for the community and safety of personnel. 6) Phase-in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity.
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.
