46-Year-Old Airport Firefighter Suffers Fatal Heart Attack Responding to Call – Pennsylvania

Details

• Personal Author:
  Smith, Denise L. ; Dick, Wendi
• Corporate Authors:
  National Institute for Occupational Safety and Health. Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
• Description:
  Death in the Line of Duty…a Report from the NIOSH Fire Fighter Fatality Investigation and Prevention Program
  
  On March 20, 2019, at approximately 0058 hours, a 46-year-old career firefighter (FF) failed to respond to the apparatus for a call. A fellow firefighter went to find the FF and discovered him unconscious on the floor in a hallway leading to the apparatus bay. Crew members initiated cardiopulmonary resuscitation (CPR) and notified in-house paramedics, who provided advanced cardiac life support (ACLS) and transported the FF. The emergency department (ED) staff continued resuscitation efforts for nearly 20 minutes. The FF never regained an organized cardiac rhythm and was pronounced dead at 0151 hours. The Medical Examiner's report listed the cause of death as "acute myocardial infarction due to hypertensive and atherosclerotic cardiovascular disease." The autopsy found a large portion of the left ventricle wall was damaged due to a heart attack (myocardial infarction). There was severe atherosclerotic plaque in several of the major coronary arteries and evidence of prior stenting in the descending aorta. National Institute for Occupational Safety and Health (NIOSH) investigators concluded that the sympathetic nervous system activation associated with the alarm response likely triggered a heart attack in an individual with underlying cardiovascular disease. Key Recommendations - NIOSH offers the following recommendations to reduce the likelihood of heart attacks and sudden cardiac arrest among firefighters at this and other fire departments across the country. 1) Ensure firefighters are cleared for duty by a physician knowledgeable about the physical demands of firefighting, the personal protective equipment (PPE) and self-contained breathing apparatus (SCBA) used by firefighters, and the various components of National Fire Protection Association (NFPA) 1582. 2) Develop a tracking system that ensures that firefighters who require follow-up by another provider receive the follow-up, and that results are reviewed by the physician providing medical clearance or return to duty. 3) Adopt a mandatory comprehensive wellness and fitness program for firefighters.
  
  
• Subjects:
  Cardiovascular Diseases Cardiovascular System Emergency Responders Firefighters Mortality Occupational Health Safety
• Keywords:
  Cardiac Arrest Cardiovascular Disease Emergency Responders Fatalities Fire Fighters First Responders Heart Attacks Hypertension Medical Fitness Evaluation Myocardial Disorders OSHA Region 3 Physical Fitness Safety Practices

  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:
  Death in the Line of Duty Report
• DOI:
  https://doi.org/10.26616/NIOSHFFFACEF201914
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Study ; Report
• Place as Subject:
  Pennsylvania ; OSHA Region 3
• 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:
  1-11
• NIOSHTIC Number:
  nn:20062564
• 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 F2019-14, 2019 Dec ; :1-11
• Federal Fiscal Year:
  2020
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  92 - Public Administration - (NAICS)
• Start Date:
  2019/03/20
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5ec28b2f74c666d4796ea4f57500acb1159f8eb19c81d4d7e0670d88807dcb92491c531ae76c2f14e5ed209fdf9ec74b986151832444db821f27ce2b68657b30
• Download URL:
  https://stacks.cdc.gov/view/cdc/163339/cdc_163339_DS1.pdf
• File Type:
  [PDF - 271.61 KB ]