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Fatality Assessment and Control Evaluation (FACE) Report: Fire Fighter Suffers a Heart Attack and Dies After Completing Work Capacity Test in Idaho

机译：死亡率评估和控制评估（FaCE）报告：消防员在爱达荷完成工作能力测试后遭受心脏病发作并死亡

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On April 28, 2007, a 66-year-old male volunteer Fire Fighter (FF) participated in a 'Pack Test;' one of three work capacity tests designed to simulate the physical demands of wildland firefighting. The Pack Test requires an individual to complete a 3-mile walk within 45 minutes, while wearing a 45-pound vest. Successful completion allows fire fighters to participate in federal wildland firefighting operations. The FF began his Pack Test at approximately 1000 hours, and successfully completed the test at 1045 hours. About 3 1/2 hours later, the FF telephoned a neighbor asking for a ride to the hospital because he was having chest pains. In the hospitals emergency department, an electrocardiogram and cardiac enzymes confirmed a heart attack. As emergency angioplasty and stent placement of his left anterior descending coronary artery was started, the FF had an arrhythmia and cardiac arrest. Resuscitation was not successful. The death certificate (completed by the coroner) listed 'cardiac arrest with electromechanical dissociation' due to 'acute anterior wall myocardial infarction' due to 'coronary artery disease' (CAD) as the cause of death. No autopsy was performed. The NIOSH investigator concluded that the physical stress of performing the Pack Test about 4 hours earlier probably triggered the FF's fatal heart attack. The NIOSH investigator offers the recommendations to possibly prevent a similar recurrence and to address general safety and health issues.

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