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Fire fighter-emergency medical technician suffers sudden cardiac death during physical fitness training - Nevada.
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 F2007-21, 2007 Dec; :1-10
On August 8, 2006, a 49-year-old male career Fire Fighter-Emergency Medical Technician (FF-EMT) was participating in the Fire Department's voluntary physical fitness program. The FF-EMT had walked on the treadmill for approximately 20 minutes when he suddenly collapsed. Crew members in the fire station found him unresponsive, not breathing, and without a pulse. Approximately 38 minutes later, despite cardiopulmonary resuscitation (CPR) and advanced life support administered on-scene and at the hospital, the FF-EMT died. The death certificate and the autopsy (completed by the County Medical Examiner) listed "atherosclerotic cardiovascular disease" as the cause of death. The NIOSH investigator concludes the FF-EMT's exercise on the treadmill, coupled with his underlying atherosclerotic coronary artery disease, triggered his sudden cardiac death. The NIOSH investigator offers the following recommendations to address general safety and health issues. It is unlikely these recommendations would have prevented the FF-EMT's sudden cardiac death. 1. Develop a structured comprehensive wellness/fitness program to reduce risk factors for cardiovascular disease and improve cardiovascular capacity. 2. Perform an annual physical performance (physical ability) evaluation to ensure fire fighters are physically capable of performing the essential job tasks of structural firefighting. 3. Eliminate or reduce the frequency of periodic chest x-rays in asymptomatic fire fighters, unless clinically indicated.
Region-9; Fire-fighters; Emergency-responders; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Cardiac-function; Cardiovascular-function; Medical-examinations; Medical-screening; Physical-stress; Physical-fitness; Cardiovascular-system; Medical-monitoring
Field Studies; Fatality Assessment and Control Evaluation
NTIS Accession No.
Services: Public Safety
National Institute for Occupational Safety and Health
Page last reviewed: April 12, 2019
Content source: National Institute for Occupational Safety and Health Education and Information Division