Firefighter Suffers Cardiac Arrest at Motor Vehicle Accident—Georgia

Details

• Personal Author:
  Smith, Denise L. ; Eisenberg, Judith S.
• Corporate Authors:
  National Institute for Occupational Safety and Health. Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
• Description:
  Line of Duty Death Report
  
  On July 14, 2020, a 50-year-old male career firefighter (FF) became disoriented and suffered a sudden cardiac arrest while performing extraction work at the scene of a motor vehicle accident. On-scene emergency medical services (EMS) immediately initiated cardiopulmonary resuscitation (CPR) and provided manual defibrillation. Advanced cardiac life support was provided on-scene and enroute to the emergency department (ED). The FF went into full cardiac arrest by a return of spontaneous circulation. In the ED, electrocardiograms (EKGs) indicated that the FF was having a myocardial infarction (heart attack). The FF was taken to the cardiac catheterization laboratory, but no obstructions were found. The FF remained in the hospital in intensive care for six days but never regained consciousness. He suffered post-event anoxic brain injury and was pronounced dead on July 20, 2020. The Medical Examiner's report listed the cause of death as coronary atherosclerotic disease and hypertensive heart disease. National Institute for Occupational Safety and Health (NIOSH) investigators concluded that the physical work of the extrication in the heat initiated a sudden cardiac arrest in the FF with underlying cardiac disease. Key Recommendations - Key Recommendation 1: Ensure that all firefighters receive an annual medical evaluation consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments. Key Recommendation 2: Ensure firefighters are cleared for duty by a physician knowledgeable about the physical demands of firefighting, the personal protective equipment used by firefighters, and the various components of NFPA 1582. Key Recommendation 3: Phase in a mandatory comprehensive wellness and fitness program for firefighters.
  
  
• Subjects:
  Cardiovascular Diseases Cardiovascular System Emergency Responders Firefighters Fires Hot Temperature Mortality Occupational Health Safety
• Keywords:
  Cardiac Arrest Cardiovascular Disease Emergency Responders Fatalities Fire Fighters Fire Fighting Heat Exposure Hypertension Medical Fitness Evaluation OSHA Region 4 Physical Fitness

  More +
• FACE - Firefighter:
  Cause of Death: Medical ; Cardiovascular: Heart Attack (Myocardial Infarction, Coronary Artery Disease and Coronary Vascular Disease)
• Series:
  Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
• Subseries:
  Line of Duty Death Report
• DOI:
  https://doi.org/10.26616/NIOSHFFFACEF202103
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Study ; Report
• Place as Subject:
  Georgia ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-8
• NIOSHTIC Number:
  nn:20065627
• Citation:
  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 F2021-03, 2021 Jul ; :1-8
• Federal Fiscal Year:
  2021
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  92 - Public Administration - (NAICS)
• Start Date:
  2020/07/14
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6f59810e3205898a446ec4aa4fa9e022e385a572d92cac24b05b49722fcff339b5ea3aadeb1bcb064e09baa8c1f9cdece80e0c401c49c42aa77b2d9d8cd103d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/163322/cdc_163322_DS1.pdf
• File Type:
  [PDF - 788.27 KB ]