Firefighter Autopsy Protocol - US Fire Administration - Federal ...

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■ Firefighter Autopsy Protocol ■ 97 ■ I: Background ■ NIOSH REP. # F2006-16 Jul 07, 2005 F2006-15 Apr 03, 2006 F2006-13 Jan 14, 2006 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Fire apparatus operator suffers sudden cardiac death after responding to 12 calls—Georgia Assistant chief suffers a stroke during training and dies—Texas Volunteer firefighter suffers sudden cardiac death about 50 minutes after fighting a grass fire—Kansas “Cardiac dysrhythmia due to atherosclerotic coronary artery disease (CAD)” Brain death due to brain aneurysm Probable heritable cardiac arrhythmia (Brugada Syndrome) Yes • Atherosclerotic CAD – Variable calcific atherosclerosis of the left anterior descending coronary artery with a 90% blockage – Variable calcific atherosclerosis of the right coronary artery with a 40% blockage – Cardiomegaly (enlarged heart: heart weighed 660 grams – Left ventricular hypertrophy • Microscopic examination of the left ventricle revealed “patchy transmural myocardial fibrosis.” “Similar but lesser changes were noted in the right ventricular myocardium, where fibrosis was primarily perivascular.” • No evidence of thromboemboli in the pulmonary arteries • Negative drug and alcohol tests No Perform an autopsy on all duty-related firefighter fatalites Yes • Probable heritable cardiac arrhythmia (Brugada Syndrome) • Cardiomegaly (heart weighed 478 grams [g]; normal range is 261-455 g) • Coronary arteries free of significant atherosclerosis or thrombus • No pulmonary embolus PDF LINK
■ Firefighter Autopsy Protocol ■ 98 ■ I: Background ■ NIOSH REP. # F2006-12 Nov 15, 2004 F2006-09 Jan 28, 2006 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Career battalion chief suffers sudden cardiac death at his desk—Kansas Firefighter dies after performing overhaul at a fire in a three-story dwelling—Pennsylvania Atherosclerotic cardiovascular disease (CVD) “Arteriosclerotic cardiovascular disease (CVD)” as the immediate cause of death and “hypertensive cardiomyopathy” as a significant condition Yes • Cardiomegaly (enlarged heart): heart weighed 534 grams • Left ventricular hypertrophy (LVH) • Essentially normal endocardium, myocardium, and epicardium tissue. • Two vessel coronary artery disease (CAD) with 50%-75% narrowing of the left anterior descending and right coronary arteries by atherosclerotic plaque • No evidence of thrombosis • Mild fibrous thickening of the cusps of the aortic valve • No evidence of a pulmonary embolus. Yes • Cardiomegaly (heart weighing 450 grams [g]; normal weight is
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U.S. Fire Administration Firefighte
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■■Acknowledgement This project
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■■Selected Bibliography Determi
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■■Appendix C: Examination of Pe
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