Fatality Assessment and Control Evaluation (FACE) Report: Captain Suffers Sudden Cardiac Death During Physical Fitness Training in California, FACE-F2012-14.

摘要

On April 3, 2012, a 50-year-old male career fire captain (the Captain) was working an 8-hour overtime shift at a remote fire camp. Soon after arriving at the camp, the Captain participated in a morning physical training hike with his crew. The Captain was assigned the "sweeper" position during the hike. At the 1.4-mile point, one crewmember was lagging behind and the Captain advised him to walk faster to finish the hike on time. Approximately 35 minutes later, the crew became aware that the Captain had not yet returned to camp and a search party was assembled. Approximately 23 minutes later, the crew found the Captain unconscious along the trail. Dispatch was notified and a helicopter, an engine, and an advanced life support squad were sent to the scene. Despite cardiopulmonary resuscitation and advanced life support on the scene, in transport, and at the hospital's emergency department (ED), the Captain died at 1220 hours. The autopsy revealed "coronary atherosclerosis," but "no acute intraluminal coronary thrombus" suggesting an acute heart attack did not occur and normal vitreous chemistries suggesting the Captain was not dehydrated. The coroner's office attributed the cause of death to "atherosclerotic heart disease." Given the Captain's underlying coronary heart disease (CHD) disease, NIOSH investigators concluded that the physical stress of the physical fitness training probably triggered a primary cardiac arrhythmia causing his sudden cardiac death.