Respiratory Diseases and the Fire Service - IAFF

x
Respiratory Diseases and the Fire Service
Chapter 2-7 • Pulmonary Fibrosis and Interstitial Lung Disease .............. 119
Pulmonary Fibrosis ................................................................................. 119
Major Categories of Interstitial Lung Disease
and Pulmonary Fibrosis ................................................................... 119
Symptoms of Pulmonary Fibrosis ................................................... 121
Physiologic Consequences of Interstitial Lung
Disease and Pulmonary Fibrosis ..................................................... 122
Diagnosis of Pulmonary Fibrosis Made........................................... 123
Prognosis ........................................................................................... 125
Available Treatment ......................................................................... 126
Prevention of Pulmonary Fibrosis ......................................................... 127
Increased Risk to Fire Fighters ............................................................... 127
Relationship to World Trade Center Exposure ..................................... 128
References................................................................................................ 128
Chapter 2-8 • Pulmonary Vascular Diseases ............................................... 129
Pulmonary Hypertension (PH) .............................................................. 129
Pathology ........................................................................................... 129
Epidemiology .................................................................................... 130
Etiology .............................................................................................. 130
Signs and Symptoms ......................................................................... 132
Classification ..................................................................................... 132
Diagnostic Testing ............................................................................. 132
Medical Management ............................................................................. 134
General Measures ............................................................................. 134
Specific Measures .............................................................................. 134
Pulmonary Embolism ............................................................................. 135
Epidemiology .................................................................................... 135
Risk Factors ........................................................................................ 135
Clinical Presentation ......................................................................... 136
Diagnostic Tests................................................................................. 136
Evaluation for DVT ............................................................................ 137
D-Dimer Concentration ................................................................... 137
Ventilation-Perfusion (V/Q) Scan .................................................... 137
Spiral CT or CT Angiogram .............................................................. 137
Pulmonary Angiogram ..................................................................... 137
Management............................................................................................ 138
General Measures ............................................................................. 138
Specific Measures .............................................................................. 138
Prognosis ........................................................................................... 138
Pulmonary Edema .................................................................................. 138
Pulmonary Edema Associated with Inhalation
of Foreign Material ............................................................................ 139
References................................................................................................ 140
Chapter 2-9 • Fire Fighter Lung Cancer ....................................................... 141
The Fire Fighting Environment .............................................................. 141