Fatality Assessment and Control Evaluation (FACE) Report: Fire Fighter Suffers Sudden Cardiac Death While Fighting Wildland Fire in Virginia

摘要

On September 24, 2010, a 54-year-old male volunteer fire fighter (FF) responded to a wildland fire at approximately 1756 hours. At the scene, the FF stretched 300 feet of 1-inch hoseline and extinguished an area of fire for about 35 minutes. After reporting that he did not feel well, the FF collapsed upon entering his brush truck. Cardiopulmonary resuscitation (CPR) and advanced life support were begun, and the FF was transported to the local hospital's emergency department (ED). CPR and advanced life support continued in the ED for 5 minutes. At 1950 hours the ED physician pronounced the FF dead, and resuscitation efforts stopped. The death certificate and the autopsy listed 'cardiomegaly' as the cause of death. Given the FF's underlying congenital heart block, cardiomegaly, and left ventricular hypertrophy (LVH), NIOSH investigators concluded that the physical exertion involved in responding to he call and performing fire suppression duties triggered an arrhythmia resulting in his sudden cardiac death. NIOSH investigators offer the following recommendations to address general safety and health issues. It is possible if these recommendations had been implemented, the FF's death may have been prevented. (1) Provide preplacement and annual medical evaluations to all fire fighters. (2) Ensure fire fighters are cleared for return to duty by a physician 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. (3) Perform a preplacement and an annual physical performance (physical ability) evaluation. (4) Phase in a comprehensive wellness and fitness program for fire fighters. (5) Provide fire fighters with medical clearance to wear self-contained breathing apparatus (SCBA) as part of the Fire Department's medical evaluation program. (6) Ensure fire fighters wear personal protective clothing appropriate to the incident.