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Fatality Assessment and Control Evaluation (FACE) Report: Fire Engineer Suffers Sudden Cardiac Death at Shift Change - California, FACE-F2015-01.

机译:死亡率评估和控制评估(FaCE)报告:消防工程师在换班时遭遇突然的心脏病死亡 - 加利福尼亚州,FaCE-F2015-01。

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On January 20, 2014, a 49-year-old male career Fire Engineer (FE) was scheduled to work his regular 24-hour shift. This would have been his third consecutive 24-hour shift as he volunteered to work a 24-hour overtime shift the day before. During the first 48 hours, the FE responded to seven medical calls, none of which required heavy physical exertion; he did not complain of any symptoms. When the FE did not attend the third shift change meeting (0800 hours), crew members found him unresponsive in his bunk. Advanced life support (ALS) including cardiac defibrillation was performed and the FE was transported to the hospital's emergency department (ED). Despite cardiopulmonary resuscitation (CPR) and ALS at the scene, in the ambulance, and in the hospital's ED, the FE died. The death certificate and the autopsy listed "hypertensive cardiovascular disease with marked cardiomegaly" as the cause of death with "mitral valve prolapse, clinical history of hypertension, and left bundle branch block" as significant other conditions. Given the FE's undiagnosed underlying coronary heart disease (CHD), NIOSH investigators concluded that an arrhythmia probably triggered his sudden cardiac death.

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