Lieutenant suffers sudden cardiac death at home following 24-hr shift - Illinois.
Smith DL; Hales T
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 F2010-23, 2010 Nov; :1-11
On July 1, 2010, a 37-year-old career Lieutenant (LT) died at his home after serving a 24-hr shift the preceding day. The LT had responded to two fire calls and two emergency medical calls during his duty shift. The LT was found unresponsive at his home by his 6-year old son and his son's baby sitter. The baby sitter called 911 and upon arrival, Emergency Medical System (EMS) personnel found the LT to be cyanotic with significant blood pooling (lividity). The coroner was notified and the LT was pronounced dead at the scene. The autopsy, completed by a forensic pathologist, identified "hypertrophic cardiomyopathy" as the immediate cause of death. NIOSH investigators agree with this assessment and concluded that the LT probably died from a fatal heart arrhythmia associated with undiagnosed hypertrophic cardiomyopathy. The following recommendations would not have prevented the LT's death. Nonetheless, NIOSH offers them to reduce the risk of heart attacks and sudden cardiac arrest among fire fighters at this, and other fire departments (FD) across the country. 1. Consider providing symptom limiting and diagnostic imaging exercise stress tests for fire fighters based on their risk for a coronary heart disease event. 2. Provide a comprehensive wellness program to complement the FD's physical fitness program.
Region-5; Fire-fighters; Emergency-responders; Accident-analysis; Accident-prevention; Accidents; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Physical-fitness; Medical-screening
Field Studies; Fatality Assessment and Control Evaluation
NTIS Accession No.
Services: Public Safety
National Institute for Occupational Safety and Health