Trainee Suffers Heart Attack During Fire Fighter Training and Dies – Michigan

Details

• Personal Author:
  Baldwin, Tommy N. ; Hales, Thomas R.
• 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 Summary of a NIOSH Fire Fighter Fatality Investigation
  
  On January 2, 2016, a 47-year old trainee was participating in his fire department's search and rescue training. After 3 hours in the classroom, practical training began. It involved doing primary searches while wearing full turnout gear and self-contained breathing apparatus (SCBA). After about 1½ hours of practical training, the students took a break. The Trainee sat down, removed his turnout coat, and drank Gatorade. He became dizzy and lightheaded and laid down onto the floor. He denied having chest pains, sat up, and drank more Gatorade. He then vomited and became unresponsive. Dispatch was notified and an ambulance was requested. Ambulance paramedics hooked up a cardiac monitor. It revealed a heart attack. Aspirin was given, the hospital's emergency department (ED) was notified, and the emergency cardiac catheterization team was mobilized. Upon arrival in the ED, an EKG confirmed a heart attack. The Trainee was taken for emergent cardiac catheterization. Severe three-vessel coronary artery disease was identified. The Trainee's distal right coronary artery was occluded. He had several episodes of ventricular fibrillation followed by cardiac arrest. Resuscitation efforts were unsuccessful. The Trainee was pronounced dead by the attending physician. The death certificate listed "coronary artery disease" as the cause of death. No autopsy was performed. The Trainee's coronary heart disease (CHD) was undiagnosed prior to this incident. The underlying CHD and the physical stress of the training probably triggered the Trainee's fatal heart attack. Key Recommendations: 1. Provide preplacement and annual medical evaluations to all fire fighters consistent with NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, to identify fire fighters at increased risk for coronary heart disease (CHD)
  
  2. Ensure exercise stress tests (ESTs) are performed on fire fighters at increased risk for CHD
  
  3. Ensure that fire fighters are cleared for duty by a physician knowledgeable about the physical demands of fire fighting, the personal protective equipment used by fire fighters, and the components of NFPA 1582. The following recommendations address general safety and health issues and would have not prevented the Trainee's death: 1. Perform an annual physical ability evaluation
  
  2. Phase in a mandatory comprehensive wellness and fitness program for fire fighters.
  
  
• Subjects:
  Cardiovascular Diseases Cardiovascular System Emergency Responders Firefighters Health Care Facilities Workforce And Services Occupational Health Safety
• Keywords:
  Cardiac-function Cardiovascular-disease Cardiovascular-function Cardiovascular-system Cardiovascular-system-disease Cardiovascular-system-disorders Emergency-responders Fire-fighters Medical-examinations Medical-monitoring Medical-screening OSHA Region 5 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:
  Death in the Line of Duty Report
• DOI:
  https://doi.org/10.26616/NIOSHFFFACEF201604
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Study ; Report
• Place as Subject:
  Michigan ; OSHA Region 5
• 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:
  1-13
• NIOSHTIC Number:
  nn:20049723
• NTIS Accession Number:
  PB2018-101054
• 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 F2016-04, 2016 Aug ; :1-13
• Federal Fiscal Year:
  2016
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  92 - Public Administration - (NAICS)
• Start Date:
  2016/01/02
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a3f80b980e0f05e5614581e0ad211fe260c1573a8c46f7d4cb83f12c2de4366f6a95fe7f10246a502798bdf09c3bc73d491f4b06be8dc62bacb8186ec27411ee
• Download URL:
  https://stacks.cdc.gov/view/cdc/163385/cdc_163385_DS1.pdf
• File Type:
  [PDF - 309.75 KB ]