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Captain suffers sudden cardiac death during physical fitness evaluation - Alabama.

Authors
Baldwin-TN
Source
NIOSH 2008 Jan; :1-16
NIOSHTIC No.
20033706
Abstract
On April 25, 2007, a 56-year-old male career Captain was participating in the Fire Department's annual "Fit Check" (physical fitness) evaluation. The Captain successfully completed the bench press, sit-ups, and sit-and-reach portions of the evaluation within the allotted time. During the aerobic capacity (3-mile walk) portion of the evaluation, he completed 6 of 12 laps around the -mile track, when he suddenly collapsed. Crew members on the scene responded and found him unresponsive, not breathing, and with a weak pulse that stopped shortly thereafter. Approximately 29 minutes later, despite cardiopulmonary resuscitation (CPR) and advanced life support administered on-scene and at the hospital, the Captain died. The death certificate and the autopsy, completed by the County Medical Examiner, listed "complications of atherosclerotic cardiovascular disease" as the immediate cause of death with "cardiomegaly" as a significant condition. NIOSH investigators offer the following recommendations to address general safety and health issues. However, it is unclear if any of these recommendations would have prevented the Captain's sudden cardiac death: 1. Provide mandatory annual medical evaluations to all fire fighters to ensure their medical ability to perform fire fighting duties without presenting a significant risk to the safety and health of themselves or others. 2. Incorporate exercise stress tests into the Fire Department's medical evaluation program. 3. Provide fire fighters with medical evaluations and clearance to wear self-contained breathing apparatus (SCBA). 4. Provide exercise equipment in all fire stations. 5. Ensure that all members participate in the Fire Department's mandatory wellness/fitness program.
Keywords
Region-4; Fire-fighters; Emergency-responders; Cardiovascular-system-disease; Cardiovascular-system-disorders; Cardiovascular-disease; Medical-examinations; Medical-screening; Physical-fitness; Cardiovascular-system; Medical-monitoring; Cardiac-function; Cardiovascular-function
Publication Date
20080130
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Fiscal Year
2008
NTIS Accession No.
PB2008-108960
NTIS Price
A03
Identifying No.
FACE-F2007-15
NIOSH Division
DSHEFS
Priority Area
Services: Public Safety
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
AL; OH
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