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

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■ Firefighter Autopsy Protocol ■ 123 ■ I: Background ■ NIOSH REP. # F2003-38 Oct 07, 2003 F2003-37 Oct 27, 2003 F2003-36 Oct 29, 2003 F2003-35 Sep 27, 2003 F2003-34 Jul 10, 2003 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Firefighter dies after performing ventilation at a fire in a two-story dwelling—Pennsylvania Volunteer assistant chief is struck and killed at road construction site—Minnesota A career firefighter was killed and a career captain was severely injured during a wildland/urban interface operation—California Firefighter suffers a heart attack after responding to a rubbish fire at a two-story apartment building—New York Volunteer firefighter/fire service products salesman dies after being struck by dislodged rescue airbag— South Dakota “Ischemic heart disease” as the immediate cause of death and “smoke inhalation” as a significant condition Craniocerebral injuries and closed head trauma Yes • Cardiomegaly (heart weighing 552 grams, with normal less than 400 grams) • Mild atherosclerotic coronary artery disease involving the left main coronary artery • Remote (old) myocardial infarction involving the apex and left posterior ventricular wall • Fibrosis within the apex and left posterior ventricular wall (as determined by microscopic examination) • Evidence of smoke inhalation (moderate amount of soot in the trachea and large airways of both lungs) • Carboxyhemoglobin (measure of carbon monoxide in the blood) level negative Yes None Thermal injuries Yes Extensive burns over the entire body, no evidence of underlying cardiovascular or pulmonary disease, and a carboxyhemoglobin level of 27% (confirming significant exposure to carbon monoxide prior to his death) “Acute myocardial infarction” as the immediate cause of death and “diabetes mellitus” and “hypertension” as other significant conditions No None Closed head wound Not mentioned None PDF LINK
■ Firefighter Autopsy Protocol ■ 124 ■ I: Background ■ NIOSH REP. # F2003-33 Aug 06, 2003 F2003-32 Oct 01, 2003 F2003-31 Apr 14, 2003 F2003-30 Jul 28, 2003 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Career firefighter/emergency medical technician dies and paramedic is injured in a three-vehicle collision—Nebraska Two firefighters die and eight firefighters are injured from a silo explosion at a lumber company—Ohio Lieutenant suffers sudden cardiac death after performing forcible entry requiring heavy physical exertion—Georgia One volunteer lieutenant dies and a volunteer firefighter is seriously injured in a motor vehicle rollover incident while enroute to a trailer fire— North Carolina Blunt-force trauma due to a motor vehicle accident Multiple blunt-force injuries “Cardiac dysrhythmia” due to “atherosclerotic coronary artery disease” as the immediate cause of death and “superimposed physical exertion” as a contributing factor Acute intracranial injuries Not mentioned None Not mentioned None Yes • Cardiomegaly (heart weighing 530 grams, with normal less than 400 grams1) • Atherosclerotic coronary artery disease • Left ventricular hypertrophy (15 millimeters (mm) thick; normal between 7.6-8.8 mm • Interventricular septal hypertrophy (16mm thick; normal is 6 to 11 mm) • No thromboemboli are recovered from the main, right, or left pulmonary arteries or their segmental branches • No obvious soot in the nares or oral cavity • Microscopic sections of the right ventricle, left ventricle, and interventricular septum do not reveal significant myocardial inflammation, infarct, hemorrhage, fibrosis, or neoplasia • Drug and alcohol tests were negative Not mentioned None PDF LINK
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■■Acknowledgement This project
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■■Selected Bibliography Determi
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