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Captain suffers cardiac death while attending training drills - New York.

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 F2010-22, 2010 Dec; :1-11
On April 12, 2010, a 65-year-old male Captain of a volunteer department suffered a fatal cardiac event after participating in a self-contained breathing apparatus (SCBA) drill. Approximately 20 minutes after completing the evolution the Captain complained of chest pains and on-site Emergency Medical Service (EMS) personnel were notified. En route to the ED the Captain went into cardiac arrest. The ambulance crew initiated Advanced Life Support (ALS) care. The cardiac monitor did not detect a shockable cardiac rhythm, so the ambulance crew provided cardiopulmonary resuscitation (CPR) and ALS care until arrival at the ED. Once inside the ED, advanced cardiac life support (ACLS) measures, including intubation, were performed. Despite these efforts, the Captain died. The death certificate listed the immediate cause of death as "acute myocardial infarction." NIOSH investigators agree with this assessment and that the Captain's relatively modest exertion may have been enough to trigger a heart attack due to his undiagnosed underlying coronary heart disease. NIOSH offers the following recommendations 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.) Provide mandatory pre-placement and periodic medical evaluations to all fire fighters consistent with the National Fire Protection Association (NFPA) 1582. 2.) Incorporate exercise stress tests following standard medical guidelines into the Fire Department's medical evaluation program. 3.) Perform an annual physical performance (physical ability) evaluation.
Region-2; Fire-fighters; Emergency-responders; Accident-analysis; Accident-prevention; Accidents; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Physical-fitness; Medical-screening; Physical-stress; Training; Respirators; Respiratory-protective-equipment; Self-contained-breathing-apparatus
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Field Studies; Fatality Assessment and Control Evaluation
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Identifying No.
NIOSH Division
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Services: Public Safety
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National Institute for Occupational Safety and Health
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division