Download or read book Firefighter paramedic Dies of Sudden Cardiac Event at Home Following Shift written by Denise L. Smith and published by . This book was released on 2016 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: On January 10, 2016, a 56-year-old male career firefighter/paramedic (FF/P) worked a 24-hour shift. He responded to several calls including a vehicle fire, medical call, and activated alarm. The following day, he worked with the Fire Prevention bureau for over 6 hours. In the evening, the FF/P shoveled snow at his home and then went to his bedroom. His family found him unresponsive in his bed 10–15 minutes later. They started cardiopulmonary resuscitation (CPR). Emergency medical services (EMS) found the FF/P unresponsive, pulseless, and not breathing. He was in asystole (no heart rhythm). On scene and enroute to the emergency department (ED), EMS provided CPR and advanced cardiac life support measures. ED staff treated the FF/D without success for 35 minutes and pronounced him dead at 2147 hours.
Download or read book 29 year old Firefighter Suffers Cardiac Arrest After Two 24 hour Shifts written by Denise L. Smith and published by . This book was released on 2019 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: On April 1, 2018, a 29-year-old male career firefighter (FF) suffered a sudden cardiac arrest after having brunch with family members following a 48-hour shift. Friends called 911 and initiated cardiopulmonary resuscitation (CPR). An ambulance was dispatched at 1504 hours and arrived on scene at 1508 hours and initiated advanced cardiac life support, which was continued en route to the hospital emergency department (ED). The ambulance arrived at the hospital ED at 1543. Personnel continued resuscitation efforts unsuccessfully for approximately 25 minutes. The FF was pronounced dead at 1609 hours.
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 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 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 Fire Fighter Dies at Home After Shift Maryland written by Tommy N. Baldwin and published by . This book was released on 2004 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although unrelated to this fatality, the Fire Department (FD) should consider these recommendations based on health and economic considerations: 1) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 2) Discontinue the routine use of annual chest x-rays unless specifically indicated. 3) Continue providing mandatory annual medical evaluations to ALL fire fighters consistent with NFPA 1582 to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others.
Download or read book Fire Fighter Suffers Unwitnessed Sudden Cardiac Death After Responding to Mobile Home Fire South Carolina written by Tommy N. Baldwin and published by . This book was released on 2004 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: -Perform a pre-placement and an annual physical performance (physical ability) evaluation for ALL fire fighters to ensure they are physically capable or performing the essential job tasks of structural fire fighting. -Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. -Provide adequate fire fighter staffing to ensure safe operating conditions.
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 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 District Chief Suffers Sudden Cardiac Death at Home After Experiencing Symptoms Consistent with Heart Disease at His Station Illinois 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: On April 18, 2004, a 45-year-old male career District Chief (DC) was relieved from his shift and dropped off at his residence. Approximately 21 hours later, he was found lying on his couch unresponsive, pulseless, not breathing, cyanotic, and mottled. Due to his clinical appearance (deceased) cardiopulmonary resuscitation (CPR) was not begun and no ambulance was requested. The death certificate and autopsy report, both completed by the County Coroner, listed "cardiac arrhythmia" as the cause of death due to "ischemic heart disease." The first of four recommendations below are preventative measures recommended by other fire service groups to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters. The final recommendation addresses a potential safety issue related to this particular event. 1.
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 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 Fighter Suffers Sudden Cardiac Death While Exercising During His Shift California written by Thomas Hales (M.D.) and published by . This book was released on 2001 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Volunteer Fire Fighter Suffers Sudden Cardiac Death Approximately 18 Hours After Responding to an Incident Kentucky written by J. Scott Jackson and published by . This book was released on 2007 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: (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. (6) Review EMS treatment protocols for acute myocardial infarction.
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).
