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Lieutenant suffers on duty cardiac death at a regional dispatch center - Ohio.
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 F2011-07, 2012 Jun; :1-10
On October 29-30, 2010, a 52-year-old male career Lieutenant (LT) was on duty at the Regional Dispatch Center. During his 24-hour shift which began at 0700 hours, he monitored dispatches and provided supervision, assistance, and training to dispatchers. During his shift he also went jogging and underwent a respirator medical clearance examination. He was last seen at 2230 hours in the Dispatch Center. At approximately 0620 hours on October 30, 2010, he was found unresponsive in his office within the Dispatch Center with no pulse or respirations. Local paramedics were summoned and arrived on scene at 0631hours. Cardiopulmonary resuscitation (CPR) and advanced life support (ALS) were performed until the LT was pronounced dead at 0700 hours and resuscitation efforts were discontinued. The death certificate completed by the attending physician listed "sudden cardiac death" as the immediate cause of death, "cardiomyopathy" and "ventricular ectopy" as underlying causes, and "obstructive sleep apnea" as another significant condition. No autopsy was performed. NIOSH investigators offer the following recommendations to address general safety and health issues. Had some of these recommended programs been implemented, specifically incorporating exercise stress tests into the Fire Department's medical evaluation program, perhaps the FF's death could have been prevented. 1. Institute a policy for conducting exercise stress tests based on a member's coronary heart disease risk profile. 2. Phase in a comprehensive wellness and fitness program for fire fighters. 3. Ensure fire fighters are cleared for return to duty by a healthcare provider knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the various components of National Fire Protection Association (NFPA) 1582. 4. Provide an annual medical evaluation to all fire fighters. 5. Perform an annual physical performance (physical ability) evaluation for all members. 6. Perform an autopsy on all on-duty fire fighter fatalities.
Region-6; Fire-fighters; Fire-fighting; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Heart; Medical-screening; Physical-stress; Physical-fitness
Field Studies; Fatality Assessment and Control Evaluation
NTIS Accession No.
National Institute for Occupational Safety and Health
Page last reviewed: May 5, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division