Firefighter Autopsy Protocol - US Fire Administration - Federal ...
Firefighter Autopsy Protocol - US Fire Administration - Federal ...
Firefighter Autopsy Protocol - US Fire Administration - Federal ...
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■ <strong><strong>Fire</strong>fighter</strong> <strong>Autopsy</strong> <strong>Protocol</strong><br />
■ 111 ■<br />
I: Background ■<br />
NIOSH<br />
REP. #<br />
F2004-43 Apr 27,<br />
2004<br />
F2004-42 Sep 26,<br />
2004<br />
F2004-41 Jun 08,<br />
2004<br />
DATE OF<br />
INCIDENT Title CA<strong>US</strong>E OF DEATH AUTOPSY AUTOPSY COMMENTS<br />
One part-time firefighter dies<br />
and another is seriously<br />
injured when two fire engines<br />
collide at an intersection<br />
while responding to a<br />
fire—IIllinois<br />
Assistant chief suffers<br />
sudden cardiac death<br />
during response to boat<br />
fire—Wisconsin<br />
Assistant chief suffers heart<br />
attack and dies after completing<br />
a walk test—Montana<br />
Craniocerebral injuries<br />
with aspiration of blood<br />
within the lungs<br />
Per death certificate,<br />
“severe arteriosclerotic<br />
cardiovascular<br />
disease” as the cause<br />
of death and “previous<br />
myocardial infarction”<br />
as other significant<br />
condition.<br />
Perautopsy:<br />
“severe coronary artery<br />
disease due to arteriosclerotic<br />
cardiovascular<br />
disease” as the cause<br />
of death<br />
“Sudden arrhythmia”<br />
as the immediate<br />
cause of death and<br />
“acute coronary artery<br />
thrombosis” as a<br />
contributing factor<br />
Yes None<br />
Yes • Ischemic heart disease<br />
• Heavily calcified coronary arteries with severe atherosclerotic<br />
plaquing<br />
• Total occlusion of the mid right coronary artery<br />
• Significant narrowing (60%-95%) of the left anterior<br />
descending coronary artery<br />
• Mild plaquing in the left circumflex coronary artery<br />
• Cardiomegaly (enlarged heart) – heart weighing 450<br />
grams (normal less than 400 grams)<br />
• A large area of white fibrosis with thinning of the posterior<br />
wall of the left ventricle<br />
• Severe dilatation of the heart chambers<br />
• No evidence of pulmonary thromboemboli<br />
• Negative drug and alcohol tests<br />
• Carboxyhemoglobin (carbon monoxide) test was not<br />
performed<br />
Yes • Enlarged heart (cardiomegaly): heart weighed 470 grams<br />
(normal < 400 grams) Ischemic heart disease:<br />
– Thrombus causing total occlusion in the right coronary<br />
artery<br />
– Significant narrowing (80% to 90%) of the left anterior<br />
descending coronary artery<br />
– Minor atherosclerosis in the circumflex artery<br />
• No evidence of pulmonary thromboemboli<br />
• Negative drug and alcohol tests<br />
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