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

More documents

Recommendations

Info

■ Firefighter Autopsy Protocol ■ 103 ■ I: Background ■ NIOSH REP. # F2005-27 Jun 21, 2005 F2005-26 May 19, 2005 F2005-25 Feb 23, 2005 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Volunteer fire chief dies from injuries sustained during a tanker rollover—Utah Recruit firefighter suffers heat stroke during physical fitness training and dies nine days later—Florida Fire chief suffers sudden cardiac death at home after performing apparatus maintenance and conducting training—Texas Blunt force injuries to the head and torso Severe heat stroke with multisystem organ failure Severe three vessel atherosclerotic coronary artery disease (CAD) Not mentioned None No None Yes • Atherosclerotic CAD: • Three vessel focal severe atherosclerotic CAD • Right ventricle chamber mildly dilated • Cardiomegaly (enlarged heart): heart weighed 460 grams (normal < 400 grams)1 • No pulmonary embolism • No evidence of a dissecting aortic aneurysm PDF LINK
■ Firefighter Autopsy Protocol ■ 104 ■ I: Background ■ NIOSH REP. # F2005-24 Feb 06, 2005 F2005-23 Mar 29, 2005 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Firefighter dies after responding to a call—New York Firefighter/paramedic suffers a dissection of his aorta while participating in physical fitness training—Texas “Acute intoxication by the combined effects of propoxyphene (Darvon®) and cyclobenzaprine (Flexeril®)” as the cause of death and “hypertension” as another condition. The NIOSH investigator, like the medical examiner, concluded the FF died due to a drug intoxication, but cannot rule out the possibility of a cardiac arrhythmia associated with his hypertensive heart disease and subsequent left ventricular hypertrophy (LVH). “Aortic dissection and its sequelae” with “Hypertensive cardiovascular disease” being another significant condition Yes • Acute intoxication by the combined effects of propoxyphene and cyclobenzaprine CAD: – Propoxyphene (Darvon®) blood level of 3.3 micrograms per milliliter (mcg/mL) and Norpropoxyphene blood level of 9.0 mcg/mL – Cyclobenzaprine (Flexeril®) blood level of 90 nanograms per milliliter (ng/mL) and Norcyclobenzaprine with a positive blood level • Hypertensive cardiovascular disease: – Left ventricular hypertrophy (LVH)(left ventricle wall thickness 1.5 centimeters [cm]) [normal 0.6cm–1.1cm])2 – Cardiomegaly (heart weight 500 grams [normal < 400 grams])3 • No evidence of atherosclerotic coronary artery disease (CAD) • No evidence of pulmonary embolus Microscopic examination of the heart revealed myocyte hypertrophy (consistent with mild hypertensive cardiomyopathy) but no infarcts or myocarditis. The autopsy did not mention “myocytes in disarray,” which is diagnostic of hypertrophic cardiomyopathy Yes • Extent of the dissection: from proximal left and right coronary artery at the aortic root to the right common iliac artery • Cardiomegaly (a large heart) • Concentric left ventricular hypertrophy • No atherosclerotic coronary artery disease • Negative blood tests for illicit drugs or alcohol PDF LINK
Page 1 and 2:
U.S. Fire Administration Firefighte
Page 3 and 4:
Firefighter Autopsy Protocol ■
Page 5 and 6:
■ Firefighter Autopsy Protocol
Page 7 and 8:
■■Acknowledgement This project
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
■■Selected Bibliography Determi
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60: ■ Firefighter Autopsy Protocol
Page 109: ■ Firefighter Autopsy Protocol
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
■■Appendix C: Examination of Pe
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
show all

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

Create successful ePaper yourself

Delete template?

Save as template?