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Fire fighter/paramedic dies from aortic dissection after three emergency responses - Ohio.

Authors
Baldwin-T; Hales-T
Source
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE F2010-17, 2010 Nov; :1-11
NIOSHTIC No.
20038307
Abstract
On February 27, 2009, a 45-year-old male career Fire Fighter/Paramedic (FF/P) responded to two medical calls and a fire alarm during the morning of his shift. At lunchtime, the FF/P did not eat and retired to the upstairs bunkroom because he did not feel well. The crew was dispatched to a structure fire 3.5 hours later. As his crew prepared to respond, the FF/P was found unconscious on the bathroom floor. Cardiopulmonary resuscitation (CPR) did not revive the FF/P. The death certificate and the autopsy listed the cause of death as "cardiac tamponade due to aortic dissection due to hypertensive cardiovascular disease." NIOSH investigators agree with these conclusions. NIOSH investigators offer the following recommendations to address general safety and health issues. However, it is unclear if these recommended programs could have prevented the FF/P's death. 1.) Provide annual medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. 2.) Phase in a comprehensive wellness and fitness program for fire fighters. 3.) Perform an annual physical performance (physical ability) evaluation.
Keywords
Region-5; Fire-fighters; Emergency-responders; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Physical-fitness; Medical-screening; Medical-examinations; Medical-monitoring
Publication Date
20101101
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Fiscal Year
2011
NTIS Accession No.
PB2011-105262
NTIS Price
A03
Identifying No.
FACE-F2010-17
NIOSH Division
DSHEFS
Priority Area
Services: Public Safety
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
OH
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