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Fire fighter collapses and dies at the scene of residential fire - Florida.

Authors
Baldwin-T
Source
NIOSH 2003 Aug; :1-12
NIOSHTIC No.
20024078
Abstract
On February 7, 2001, a 65-year-old male Fire Fighter responded to a fire in a double-wide mobile home. On the scene, after setting up a change area for self-contained breathing apparatus (SCBA), operating the pump panel, and replacing a SCBA on the apparatus, he collapsed. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered by crew members, ambulance paramedics, and personnel at the local hospitalís emergency department (ED), the victim died. The death certificate, completed by the Medical Examinerís Office, listed "hypertensive and arteriosclerotic heart disease" as the immediate cause of death. Pertinent autopsy results included an enlarged heart (concentric left ventricular hypertrophy), coronary atherosclerosis, four vessel bypass, pulmonary edema, and cerebral edema. 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: 1) Provide mandatory preplacement medical evaluations to ALL fire fighters to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others; 2) Provide mandatory annual medical evaluations to ALL fire fighters to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others; 3) Incorporate exercise stress tests into the Fire Departmentís medical evaluation program for ALL fire fighters.; 4) Provide automated external defibrillators (AEDs) as part of the basic life support equipment for fire apparatus; 5) Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity; 6) Perform an annual physical performance (physical ability) evaluation.
Keywords
Region-4; Medical-examinations; Medical-monitoring; Medical-screening; Physical-capacity; Physical-examination; Physical-exercise; Physical-fitness; Physical-reactions; Fire-fighters; Fire-fighting; Cardiovascular-system-disease; Cardiovascular-system-disorders
Publication Date
20030807
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Fiscal Year
2003
NTIS Accession No.
PB2004-102397
NTIS Price
A03
Identifying No.
FACE-F2003-11
NIOSH Division
DSHEFS
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
FL; OH
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