Download or read book Acting Fire Chief Suffers Heart Attack After Shift and Dies Alaska 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: -Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. -Ensure the City-contract physician reviews all "return to work" clearances for both on and off-the-job injuries. -Perform an autopsy on all on-duty fire fighter fatalities.

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 Fire Fighter driver engineer Suffers Heart Attack and Dies at the End of His 24 hour Shift Hawaii written by J. Scott Jackson and published by . This book was released on 2004 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: -Negotiate with the local union to phase-in an annual physical ability test. -Perform autopsies on fire service personnel consistent with U.S. Fire Administration and U.S. Department of Justice Public Safety Officer Benefits protocols. -Expand access to critical incident stress counseling to members of the entire Fire Department.

Download or read book Senior Captain Suffers Sudden Cardiac Death During Training Alaska written by Tommy N. Baldwin and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: On March 7, 2014, a 51-year-old male career fire department captain ("Captain") participated in his fire department's rules of air management training. Wearing his bunker gear and self-contained breathing apparatus (SCBA), and carrying a 50-foot section of 2.5-inch hoseline, the Captain and his team climbed the stairs of the drill tower to the fifth floor and returned to the ground floor. Per department protocol, the Captain repeated the tower climb with his group. Approximately 30 seconds after completing the second climb, the Captain collapsed. A nearby fire department member immediately responded and found the Captain unresponsive but with a pulse and breathing rapidly. An engine company and an ambulance response were requested via fire department radio by the member as the Captain was carried into a nearby fire apparatus bay. Cardiac monitoring in the bay revealed ventricular tachycardia (a heart rhythm incompatible with life), and cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were begun. These procedures included defibrillation, delivery of cardiac resuscitation medications via the intraosseous route, and oxygen administration via bag-valve-mask. En route to the hospital's emergency department (ED), the Captain was shocked four times; the Captain's pulse returned briefly but he never regained consciousness. Inside the ED, the Captain was intubated (placement confirmed by capnography, and an electrocardiogram (EKG) revealed tracings consistent with a heart attack. The Captain was taken to the cardiac catheterization lab at 1224 hours; the procedure was complicated by intermittent cardiac arrest requiring CPR and ALS. The cardiologist found a 95% blockage of the Captain's proximal left anterior descending (LAD) coronary artery, but no obvious thrombus. Percutaneous transluminal coronary angioplasty successfully opened the blockage, and a stent was placed to keep the artery open. The Captain was never able to sustain a viable heart rhythm, pulse, or blood pressure despite the placement of a pacemaker and an intra-aortic balloon pump and extensive use of cardiac resuscitation medications. After approximately 2.5 hours of intermittent ALS and CPR, the Captain was pronounced dead (1445 hours), and resuscitation efforts were discontinued. The death certificate and the autopsy report, completed by the state medical examiner, listed "hypertensive and atherosclerotic cardiovascular disease" as the cause of death. Given the Captain's previously unidentified coronary heart disease (CHD), NIOSH investigators concluded that the physical stress of the training probably triggered a fatal heart attack.

Download or read book Fire Chief Suffers Fatal Heart Attack While Fighting a Residential Structure Fire Arkansas written by Tommy N. Baldwin and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: On the morning of January 28, 2014, a 53-year-old male career fire chief ("Chief") began his 9-hour shift. During the morning he spent over an hour fighting a grass fire using an attack line to knock down the flames and then wildland fire suppression tools to extinguish hot spots. During the ride back to the fire station, the Chief reported experiencing heartburn. At 1214 hours, the Chief used his command vehicle to respond to another grass fire. When the Chief arrived, the fire had spread to the land owner's residence. While waiting for the fire department's engine to arrive, the Chief began exterior fire attack. Once the engine arrived, the Chief and a lieutenant donned their self-contained breathing apparatus (SCBA) and began interior fire attack. During the attack, the Chief appeared sluggish and somewhat disoriented and did not communicate well. After about 15 minutes, the Chief's and the lieutenant's SCBA low air alarms sounded, and both exited the structure. Once outside, the Chief reported feeling sick and called the emergency medical services (EMS) director who recommended he come to their headquarters for an electrocardiogram (EKG). The Chief drove the command vehicle to headquarters with a mutual aid fire fighter as a passenger. He underwent an EKG, which revealed changes consistent with an acute heart attack. He was loaded into an ambulance for transport to the emergency department (ED) (1423 hours). Approximately 5 minutes into the transport, the Chief suffered cardiac arrest. Cardiopulmonary resuscitation (CPR) and advanced life support were begun, which included multiple defibrillation attempts, intubation, intravenous line placement, and cardiac resuscitation medications. The Chief was still in cardiac arrest when the ambulance arrived at the ED (1441 hours). After approximately 10 minutes of treatment in the ED, the Chief regained a heart rhythm and pulse. He was taken (1522 hours) to the cardiac catheterization lab where he was found to have 100% blockage of his proximal left anterior descending (LAD) coronary artery. Percutaneous transluminal coronary angioplasty successfully opened the blockage; a stent was placed to keep the LAD artery open. Approximately 1 hour after being transferred to the intensive care unit, the Chief suffered another cardiac arrest (1735 hours). Subsequent resuscitation efforts were unsuccessful, and the Chief was pronounced dead at 1800 hours. The death certificate and autopsy report, both completed by the associate state medical examiner, listed "hypertensive atherosclerotic cardiovascular disease" as the cause of death. Given the Chief's underlying heart disease, NIOSH investigators concluded that the physical stress of performing interior fire suppression in turnout gear with SCBA probably triggered his heart attack.

Download or read book Firefighter Suffers Fatal Heart Attack at Fire Station After Returning from a Fire Alarm New York written by Denise L. Smith and published by . This book was released on 2014 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: On April 5, 2013, at 0800 hours, a 57-year-old male career firefighter (FF) began his 24-hour shift. As the Acting Lieutenant for his company, the FF and his crew responded to two emergency medical calls during the day and early evening. The FF spent much of the evening in the officer's bunk room but had ice cream with a crew member before retiring for the evening at approximately 2100 hours. At 0021 hours, on April 6, the FF and his crew responded to an automatic fire alarm at a local college fraternity house. While investigating the cause of the automatic alarm activation, the FF climbed five flights of stairs in full personal protective equipment (PPE), including his self-contained breathing apparatus (SCBA). When the crew returned to the station at approximately 0045 hours, the FF complained of indigestion. The FF was last seen alive at approximately 0100 hours when he retired to his bunk room. At 0656 hours the crew was dispatched to a medical alarm, but the FF did not respond. When the crew returned to the fire house at 0715 hours, the FF was found unresponsive in his bunk room. He had no pulse, no respirations, was cool to the touch, and had signs of lividity and rigor. Per emergency medical service protocol, the FF was pronounced dead on scene. The death certificate, completed by the County Coroner, listed the cause of death as "cardiac arrhythmia, due to myocardial infarction, as a consequence of severe arteriosclerotic heart disease." The autopsy revealed severe coronary atherosclerosis with evidence of acute plaque rupture with hemorrhage; these findings are consistent with an acute heart attack.

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 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 and Ice written by Dewey Whetsell and published by Publication Consultants. This book was released on 2016-09-01 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Whetsell recounts his adventures in an especially amusing voice.....bubbles with punchy remininiscence...” - Anchorage Daily News “In writing Fire and Ice, Chief Whetsell has done an incredible job of combining experience, wisdom and wit. It doesn't matter if you are a firefighter or Fire Chief, ditch digger or Executive VP of a major corporation, the insights in this book will help you to be better at whatever you do, especially if you already know everything...” - David L. Tyler, Alaska State Fire Marshal “Chief Whetsell's Fire and Ice not only exudes his ever present wit and wisdom but it showcases what takes place in communities all across Alaska. The Alaskan fire service using their ingenuity and adaptability to respond in extraordinary ways to serve their fellow citizens ...” Carol Reed, president, Alaska State Firefighters Association

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 Assistant Chief Suffers Sudden Fatal Heart Attack While Operating an Engine at a Residential Structure Fire Pennsylvania written by Tommy Baldwin and published by . This book was released on 2014 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: On November 20, 2013, at 2311 hours, a 58-year-old male volunteer assistant fire chief ("the AC") responded to a structure fire. After driving Engine 9 to the scene, he prepared to charge a 2-inch handline when he developed difficulty breathing, nausea, and vomiting. About 5 minutes later crew members noted the AC having difficulty prepping the handline, and the fire chief requested an ambulance. The ambulance arrived 2 minutes later, and emergency medical technicians began basic life support. Oxygen was given via bag-valve-mask as the AC was placed onto a stretcher. The AC became unresponsive 20 seconds later (2334 hours). The AC was placed into the ambulance as cardiopulmonary resuscitation (CPR) began. En route to the hospital's emergency department (ED), an automated external defibrillator (AED) advised to shock, and a shock was administered without a change in the AC's clinical status. Paramedics from an advanced life support unit met the ambulance en route (2338 hours) at which time the AC was intubated, intraosseous venous access was obtained, and advanced cardiovascular life support resuscitation protocols were initiated. The AC was still in cardiac arrest (asystole) when the ambulance arrived at the ED (2355 hours). After approximately 5 minutes of treatment in the ED, the AC was pronounced dead at 0000 hours on November 21, 2013. The death certificate completed by the county coroner listed "acute myocardial infarction" as the cause of death. The autopsy completed by the forensic pathologist revealed an acute plaque rupture and thrombus in the AC's right coronary artery, severe coronary artery disease (CAD), an old (remote) heart attack, and stents in the left anterior descending coronary artery and circumflex coronary artery. Given the AC's underlying heart disease, NIOSH investigators concluded that responding to the structure fire and the physical stress of operating the engine's pump panel probably triggered the AC's heart attack, which resulted in his 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 Captain Suffers a Heart Attack at a Structure Fire and Dies 12 Days Later Illinois written by Tommy N. Baldwin and published by . This book was released on 2001 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: On August 4, 1998, at approximately 1800 hours, the Captain had a witnessed cardiac arrest while recovering at home. Despite CPR and ALS administered by the ambulance paramedics and by hospital personnel in the emergency department, the Captain died. The death certificate, completed by the County Coroner, listed myocardial infarction (otherwise known as a heart attack) as the immediate cause of death, due to severe atherosclerotic cardiovascular disease. The autopsy, performed by the Deputy Chief Medical Examiner, showed a large heart (cardiomegaly), severe coronary artery disease (CAD), and evidence of old and recent myocardial infarctions.

Download or read book Fire Chief Suffers Fatal Heart Attack While Responding to a Structure Fire Pennsylvania written by Tommy N. Baldwin and published by . This book was released on 2009 with total page 12 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 firefighting, the personal protective equipment used by fire fighters, and the various components of NFPA 1582. (4) Phase in a comprehensive 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 fire fighters are physically capable of performing the essential job tasks of structural firefighting. (6) Provide fire fighters with medical clearance to wear a self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program.

Download or read book Fire Fighter Suffers Heart Attack at the Scene of a Structure Fire and Dies Two Months Later Indiana 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: No autopsy was performed. 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.

Download or read book Fire Fighter Suffers a Heart Attack and Dies Several Hours After Assisting at a Structure Fire Illinois written by Tommy N. Baldwin and published by . This book was released on 2007 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: (5) 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. (6) Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBAs). (7) Ensure members report any medication use to the fire department physician.

Download or read book Assistant Chief Suffers Heart Attack and Dies After Completing a Walk Test Montana 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: 5) Conduct exercise stress test for male fire fighters above the age of 45 with two or more risk factors for coronary artery disease (CAD). 6) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity.