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Fatality Assessment and Control Evaluation (FACE) Report: Volunteer Fire Fighter Suffers Cardiac Death the Morning After Emergency Medical Technician Training in North Carolina

机译：死亡率评估和控制评估（FaCE）报告：志愿者消防员在北卡罗来纳州紧急医疗技师培训后的早晨遭受心脏病死亡

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On January 8, 2005, a 26-year-old male volunteer Fire Fighter (FF) completed Emergency Medical Technician (EMT) training and returned home. The next morning the FF's wife was awakened by his agonal (gasping) breathing. After being unable to wake him, she notified Emergency Medical System (EMS) who arrived to find the FF unresponsive with no pulse, and no respirations. Cardiopulmonary resuscitation (CPR) was begun and a cardiac monitor showed the FF was in ventricular fibrillation (VF). He was shocked (de- fibrillated) multiple times followed by advanced life support (ALS) medications until his rhythm changed to pulseless electrical activity. During transport to the local hospital, the FF received an external pacemaker and further ALS measures. Approximately 55 minutes later, despite CPR and ALS administered on the scene, in the ambulance, and at the hospital, the FF died. The autopsy revealed mitral valve prolapse with cardiomegaly. The death certificate, completed by the county medical examiner, listed mitral valve failure as the cause of death.

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