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 />
■ 120 ■<br />
I: Background ■<br />
NIOSH<br />
REP. #<br />
F2004-16 Dec 18,<br />
2003<br />
DATE OF<br />
INCIDENT Title CA<strong>US</strong>E OF DEATH AUTOPSY AUTOPSY COMMENTS<br />
<strong><strong>Fire</strong>fighter</strong> dies at home after<br />
shift—Maryland<br />
Arteriosclerotic cardiovascular<br />
disease<br />
Yes The carboxyhemoglobin level (a measure of exposure to<br />
carbon monoxide) was not measured<br />
F2004-15 Mar 03,<br />
2004<br />
F2004-14 Apr 04,<br />
2004<br />
F2004-13 Apr 18,<br />
2003<br />
F2004-12 Jan 27,<br />
2004<br />
Forest ranger/<strong><strong>Fire</strong>fighter</strong><br />
drowned after catastrophic<br />
blow-out of right front<br />
tire—Florida<br />
Career firefighter dies and<br />
two career captains are<br />
injured while fighting night<br />
club arson fire—Texas<br />
<strong><strong>Fire</strong>fighter</strong>s suffers fatal pulmonary<br />
embolism after knee<br />
surgery for a work-related<br />
injury—North Carolina<br />
<strong><strong>Fire</strong>fighter</strong>/Paramedic dies<br />
after performing physical<br />
fitness training—Florida<br />
Drowning with no<br />
evidence of traumarelated<br />
injuries<br />
• Severe arteriosclerotic cardiovascular disease<br />
• Old subendocardial infarct of left ventricle<br />
• Biventricular dilatation<br />
• Cardiomegaly (heart weighing 550 grams with normal less<br />
than 400 grams4)<br />
• Aortic atherosclerosis<br />
• Cardiac valves were unremarkable<br />
• No thrombi were found<br />
• Drug and alcohol tests were negative<br />
Not mentioned Postcrash blood alcohol content (BAC) and drug screening<br />
tests were negative<br />
High thermal exposure Yes None<br />
Massive pulmonary embolism (PE) due to<br />
a deep vein thrombus<br />
(DVT) due to knee<br />
injury that was treated<br />
surgically<br />
Yes • Acute pulmonary embolus<br />
• Remote pulmonary emboli (at least two weeks old)<br />
• Deep vein thrombosis in the right leg<br />
• Evidence of hypertensive cardiovascular disease<br />
• Severe focal atherosclerotic coronary artery disease<br />
• No ethanol (alcohol) or salicylates (aspirin) detected<br />
Aortic valve stenosis Yes • Aortic valve stenosis<br />
• Cardiomegaly (heart weighing 440 grams with normal less<br />
than 400 grams)<br />
• Mild, patchy, interstitial fibrosis [as determined by microscopic<br />
examination]<br />
• No evidence of thromboemboli<br />
• No evidence of atherosclerosis<br />
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