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Fire fighter receives severe electrical shock causing cardiac complications, forcing his retirement, and eventually causing his death - Massachusetts.

Hales T; Baldwin TN
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 F2001-28, 2003 Jun; :1-10
On December 23, 1995, a 59- year-old male career Captain was dispatched to a residential fire. As he proceeded down the stairway into the basement to search for fire extension, his right hand/thumb touched a fire/burglar alarm panel causing a severe electrical shock. Although he did not lose consciousness, he suffered multiple fractures in his right thumb and incurred significant heart damage. Due to the heart damage (both to the heart muscle and its electrical system), the Captain was not cleared to return to full duty and he retired approximately 7 months later. On May 30, 2001, after trimming tree limbs at his home, he suffered an unwitnessed collapse. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered on the scene and at the hospital for approximately 30 minutes, the victim died. The death certificate and the autopsy, both performed by a pathologist for the State Medical Examiner's office, listed "arteriosclerotic coronary heart disease" as the immediate cause of death, with "hypertensive heart disease" as a contributing, but not an underlying, cause of death. It is unlikely that any of these recommendations could have prevented the electrocution, subsequent cardiac complications, and eventual sudden cardiac death of this retired fire fighter. Therefore, the following recommendations address health and safety generally. They include some preventive measures that have been recommended by other agencies to reduce the risk of sudden incapacitation among fire fighters. These recommendations have not been evaluated by NIOSH, but they represent published research or consensus votes of technical committees of the NFPA or fire service labor/management groups: 1. Conduct annual medical evaluations to determine fire fighters' medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. The Department and Union should negotiate the content and frequency to be consistent with NFPA 1582; and, 2. Phase in a mandatory wellness/fitness program for fire fighters to reduce risk factors for cardiovascular disease and improve cardiovascular capacity.
Region 1; Fire fighters; Emergency responders; Cardiovascular system disease; Cardiovascular disease; Heart; Medical screening; Physical fitness; Electrical hazards; Electrocutions; Accident prevention; Injury prevention; Traumatic injuries
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Field Studies; Fatality Assessment and Control Evaluation
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National Institute for Occupational Safety and Health
Page last reviewed: June 15, 2021
Content source: National Institute for Occupational Safety and Health Education and Information Division