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Fire fighter dies at the scene of a small fire in an apartment building - Connecticut.

Authors
Baldwin-TN; Sexson-K
Source
NIOSH 1999 Nov; :1-8
NIOSHTIC No.
20000384
Abstract
On March 17, 1999, a 44-year-old male Fire Fighter responded to a fire in the basement of an apartment building. While opening walls to search for fire spread on the second and third floors, the victim had an unwitnessed collapse. He was found by one of the renovation workers, who summoned help. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered by first responders, a paramedic of his engine company, ambulance paramedics, and emergency department personnel, the victim died. His carboxyhemoglobin level was 2.1%, indicating he was not exposed to significant levels of carbon monoxide. The death certificate, completed by the State Medical Examiner, listed atherosclerotic cardiovascular disease" as the immediate cause of death. No autopsy was performed. Other agencies have proposed a three-pronged strategy for reducing the risk of on-duty heart attacks and cardiac arrests among fire fighters. This strategy consists of (1) minimizing physical stress on fire fighters; (2) screening to identify and subsequently rehabilitate high-risk individuals; and (3) encouraging increased individual physical capacity. Issues relevant to this fire department include the following: Fire Fighters should have annual medical evaluations to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. Reduce risk factors for cardiovascular disease and improve cardiovascular capacity by phasing in a mandatory wellness/fitness program for fire fighters. Perform an autopsy on all on-duty fire fighters whose death may be cardiovascular-related.
Keywords
Fire-fighters; Physical-fitness; Fitness-testing; Occupational-safety; Region-1;
Publication Date
19991101
Document Type
Fatality Assessment and Control Evaluation; Field Studies
Fiscal Year
2000
NTIS Accession No.
PB2000-105722
NTIS Price
A03
Identifying No.
FACE-99-F18
NIOSH Division
DSR; DSHEFS
Priority Area
Cardiovascular-diseases
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
CT; WV; OH
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