38-Year-Old Captain Suffers a Heart Attack at a Medical Call and Dies 4 Days Later – Nebraska

Details

• Personal Author:
  Baldwin, Tommy N. ; 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 June 23, 2016, a 38-year-old male volunteer captain responded to an emergency medical call. While helping transfer a patient from a car onto a stretcher, he started to feel as though "someone had dropped the car" on his chest. After the ambulance left with the patient, the Captain drove a private vehicle to the fire station, then drove to his parents' home. His chest pain continued and his mother drove him to the hospital emergency department, where testing showed he was having a heart attack. In the coronary catheterization laboratory ("cath lab"), a stent placed a year earlier was found to be blocked. A balloon was inserted to open the blockage, blood flow was restored, and the Captain's chest pain resolved. Because of a decline in his heart's pumping function and a history of multiple stents, coronary artery bypass graft (CABG) surgery was offered. CABG uses healthy vessels from other parts of the body to bypass blocked arteries in the heart. Before he could undergo surgery, the Captain suffered cardiac arrest and died despite multiple rounds of cardiopulmonary resuscitation (CPR) and advanced life support (ALS) measures. The death certificate was completed by the attending physician. The cause of death was listed as "cardiac arrhythmia" due to "coronary artery disease" due to "diabetes". No autopsy was performed. NIOSH investigators concluded that the physical exertion of loading a patient may have exacerbated the Captain's underlying coronary artery disease and triggered a heart attack (myocardial infarction). The Captain had multiple risk factors for coronary artery disease, including long-standing diabetes, smoking, high blood pressure, dyslipidemia, and family history of early heart disease. He suffered his first heart attack at age 30 and subsequently underwent multiple hospitalizations and interventions for severe disease. Key Recommendations: 1. Provide preplacement and annual medical evaluations to all fire fighters consistent with National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, to identify fire fighters at increased risk for sudden cardiac events. 2. Ensure that fire fighters are cleared for duty by a physician knowledgeable about the physical and mental demands of fire fighting, the personal protective equipment used, and other guidance in NFPA 1582.
  
  
• Subjects:
  Blood Cardiovascular Diseases Cardiovascular System Emergency Responders Firefighters Health Care Facilities Workforce And Services Hematologic Diseases Hematologic Tests Lipids Mortality Occupational Health Risk Assessment Risk Factors Safety Smokers Tobacco Products

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• Keywords:
  Blood Analysis Blood Pressure Blood Sugar Disorders Cardiac Arrest Cardiac Function Cardiovascular Disease Cardiovascular System Disease Cigarette Smoking Emergency-responders Fatalities Fire-fighters Health Standards Heart Attacks Heart Disease Heart Rate Medical Examinations Medical Fitness Evaluation Medical Monitoring Medical Screening Mortality Data Mortality Studies Myocardial Disorders Occupational Medicine Programs OSHA Region 7 Physical Examination Preemployment Examinations Recommendations Risk Factors Smoking Worker Health

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• FACE - Firefighter:
  Cause of Death: Medical ; Cardiovascular: Heart Attack (Myocardial Infarction, Coronary Artery Disease and Coronary Vascular Disease) ; Cardiovascular: Arrhythmia
• Series:
  Fire Fighter Fatality Investigation and Prevention Program (FFFIPP)
• Subseries:
  Death in the Line of Duty Report
• DOI:
  https://doi.org/10.26616/NIOSHFFFACEF201615
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Study ; Report
• Place as Subject:
  Nebraska ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-16
• NIOSHTIC Number:
  nn:20051530
• NTIS Accession Number:
  PB2018-101269
• 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 F2016-15, 2017 Aug ; :1-16
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  92 - Public Administration - (NAICS)
• Start Date:
  2016/06/23
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fa5895c7f844063f3e8319a6d132c34d1fbaaade968a2bae50a94264372a3a9818bf37915a03231a8ca80f65106113294dbb1c0ac9daa1dce94918aecd420556
• Download URL:
  https://stacks.cdc.gov/view/cdc/163371/cdc_163371_DS1.pdf
• File Type:
  [PDF - 320.36 KB ]