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Volunteer fire fighter suffers sudden cardiac death after participating in emergency responses - Maryland.

Authors
Jackson-JS; Baldwin-T
Source
NIOSH 2005 Mar; :1-8
NIOSHTIC No.
20027420
Abstract
After responding to two alarms during the previous 6 hours, a 65-year-old male volunteer Fire Fighter (FF) was found dead in his home on January 15, 2004 . The death certificate, completed by the Coroner, listed "acute myocardial infarction" as the immediate cause of death. Although neither of the two emergency responses appeared to involve strenuous physical exertion, the stress of responding to the alarm along with his underlying atherosclerotic Coronary Artery Disease (CAD) probably contributed to this FF's heart attack and subsequent sudden cardiac death. The recommendations below, listed in order of priority, are preventive measures recommended by other fire service groups to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters. 1. Conduct pre-placement and periodic medical evaluations to determine FFs medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. 2. Phase in a mandatory wellness/fitness program for FFs to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 3. Perform a pre-placement and an annual physical performance (physical ability) evaluation to ensure FFs are physically capable of performing the essential job tasks of structural fire fighting. 4. Ensure that physicians knowledgeable about the physical demands of fire fighting and the components of National Fire Protection Association (NFPA) 1582 discuss examination results with FF and clear them for duty.
Keywords
Region-3; Cardiovascular-system-disease; Heart; Physical-stress; Physical-fitness; Fire-fighters; Emergency-responders; Medical-screening; Cardiovascular-disease; Cardiovascular-function; Cardiovascular-system; Cardiovascular-system-disorders; Medical-examinations; Medical-monitoring; Medical-screening
Publication Date
20050324
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Fiscal Year
2005
NTIS Accession No.
PB2005-107544
NTIS Price
A03
Identifying No.
FACE-F2004-18
NIOSH Division
DSHEFS
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
MD; OH
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