On April 27, 2002, a 56 year-old male career Fire Fighter/Driver began feeling ill at the start of his shift and left the fire station to go home. Within one hour of arriving at home, he had a witnessed collapse. Approximately 57 minutes later, despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered on-scene and at the hospital, the victim died. The Death Certificate, completed by the Deputy Coroner, listed "sudden cardiac death" as the immediate cause of death. An autopsy was not conducted. The following recommendations address some general health and safety issues. This list includes some measures that have been recommended by other agencies to assist in the understanding of stressors among fire fighters. These selected recommendations have not been evaluated by National Institute for Occupational Safety and Health (NIOSH), but represent published research, or consensus votes of technical committees of the National Fire Protection Association (NFPA) or fire service labor/management groups: 1. Use a secondary (technological) test to confirm placement of the endotracheal tube (ET) in the trachea; 2. Provide fire fighters with medical evaluations and clearance to wear SCBA; and, 3. Perform an autopsy on all on-duty fire fighter fatalities.