On April 2, 1999, a 57-year-old male Fire Fighter lost consciousness as he was preparing to retire for the night. Despite oxygen and medication administered by the ambulance crew, and ALS and CPR in the emergency department, the victim died. NIOSH was notified of this fatality on April 13, 1999, by the United States Fire Administration. On April 26, 1999, NIOSH contacted the affected Fire Department to initiate the investigation. On May 25, 1999, a Safety and Occupational Health Specialist, a Senior Medical Epidemiologist, and an Epidemiologist from the NIOSH Fire Fighter Fatality Investigation Team traveled to South Carolina to conduct an on-site investigation of the incident.