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Fire fighter dies after extinguishing a fire in a two-story dwelling - Pennsylvania.

Authors
Baldwin-TN; Sexson-K
Source
NIOSH 2000 Apr; :1-9
NIOSHTIC No.
20000402
Abstract
On July 29, 1999, a 49-year-old male Fire Fighter responded to a fire in a two-story dwelling. After extinguishing the fire and taking a short break, the victim had a witnessed collapse. After approximately 56 minutes of cardiopulmonary resuscitation (CPR) and advanced life support (ALS) on scene and at the hospital, the victim died. The death certificate and the autopsy, both completed by the City Medical Examiner, listed "arteriosclerotic cardiovascular disease" as the immediate cause of death and "heat stress" as a significant condition. Pertinent autopsy results included severe coronary artery disease and extensive subendocardial scarring of the left ventricle (consistent with remote [old] heart attacks). 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 individuals at higher risk and (3) encouraging increased individual physical capacity. The following issues are relevant to this fire department: 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. Carboxyhemoglobin levels should be tested on symptomatic or unresponsive fire fighters exposed to smoke.
Keywords
Fire-fighters; Cardiovascular-disease; Fitness-testing; Heat-stress; Physical-stress; Heart; Region-3;
Publication Date
20000412
Document Type
Fatality Assessment and Control Evaluation; Field Studies
Fiscal Year
2000
NTIS Accession No.
PB2000-105985
NTIS Price
A03
Identifying No.
FACE-99-F50
NIOSH Division
DSR
Priority Area
Cardiovascular Disease
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
PA; WV
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