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Lieutenant suffers on duty cardiac death at a regional dispatch center - Ohio.

Authors
Ross-CS; 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 F2011-07, 2012 Jun; :1-10
NIOSHTIC No.
20040911
Abstract
On October 29-30, 2010, a 52-year-old male career Lieutenant (LT) was on duty at the Regional Dispatch Center. During his 24-hour shift which began at 0700 hours, he monitored dispatches and provided supervision, assistance, and training to dispatchers. During his shift he also went jogging and underwent a respirator medical clearance examination. He was last seen at 2230 hours in the Dispatch Center. At approximately 0620 hours on October 30, 2010, he was found unresponsive in his office within the Dispatch Center with no pulse or respirations. Local paramedics were summoned and arrived on scene at 0631hours. Cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were performed until the LT was pronounced dead at 0700 hours and resuscitation efforts were discontinued. The death certificate completed by the attending physician listed "sudden cardiac death" as the immediate cause of death, "cardiomyopathy" and "ventricular ectopy" as underlying causes, and "obstructive sleep apnea" as another significant condition. No autopsy was performed. NIOSH investigators offer the following recommendations to address general safety and health issues. Had some of these recommended programs been implemented, specifically incorporating exercise stress tests into the Fire Department's medical evaluation program, perhaps the FF's death could have been prevented. 1. Institute a policy for conducting exercise stress tests based on a member's coronary heart disease risk profile. 2. Phase in a comprehensive wellness and fitness program for fire fighters. 3. Ensure fire fighters are cleared for return to duty by a healthcare provider knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. 4. Provide an annual medical evaluation to all fire fighters. 5. Perform an annual physical performance (physical ability) evaluation for all members. 6. Perform an autopsy on all on-duty fire fighter fatalities.
Keywords
Region-6; Fire-fighters; Fire-fighting; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Heart; Medical-screening; Physical-stress; Physical-fitness
Publication Date
20120601
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Fiscal Year
2012
NTIS Accession No.
PB2012-110804
NTIS Price
A02
Identifying No.
FACE-F2011-07; B07092012
NIOSH Division
DSHEFS
Priority Area
Public Safety
SIC Code
NAICS-92
Source Name
National Institute for Occupational Safety and Health
State
OH
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