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

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■ Firefighter Autopsy Protocol ■ 157 ■ I: Background ■ NIOSH REP. # F2000-13 Feb 14, 2000 F2000-12 Jan 17, 2000 F2000-11 Jan 15, 2000 F2000-10 Oct 28, 1999 F2000-09 Jan 27, 2000 F2000-07 Jan 17, 2000 F2000-06 Nov 14, 1999 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Restaurant fire claims the life of two career firefighters—Texas Sector captain suffers fatal heart attack—Texas Volunteer firefighter drowns during dry-suit training dive— North Carolina A captain and a firefighter die from injuries in a tanker rollover—Indiana Volunteer firefighter dies fighting a structure fire at a local residence—Texas Volunteer firefighter dies after 9-foot fall from ladder—Pennsylvania Tanker rollover results in the death of one volunteer firefighter—Texas Asphyxia due to smoke inhalation “Myocardial infarction” (heart attack) as the immediate cause of death, and “diabetes” as a significant condition Severe metabolic acidosis as the result of near drowning Victim #1: Cardiac arrhythmia Yes None No None Not mentioned None Not mentioned None Victim #2: Sepsis Smoke inhalation Yes None Blunt-force trauma to the head Not mentioned None Blunt trauma Yes None PDF LINK
■ Firefighter Autopsy Protocol ■ 158 ■ I: Background ■ NIOSH REP. # F2000-05 Dec 13, 1999 F2000-04 Dec 22, 1999 DATE OF INCIDENT Title CAUSE OF DEATH AUTOPSY AUTOPSY COMMENTS Firefighter dies at a barn fire—Ohio Structure fire claims the lives of three career firefighters and three children—Iowa “Fatal cardiac arrhythmia” as the immediate cause of death due to “acute thrombotic occlusion of the right coronary artery” (heart attack), “80-90% narrowing of the left anterior descending coronary artery, and severe coronary atherosclerosis.” Victim #1: Smoke inhalation and sudden exposure to intense heat Yes • Coronary artery disease – Severe coronary atherosclerosis – Complete acute thrombotic occlusion of the right coronary artery – Narrowing of the left coronary artery – Proximal and middle left anterior descending branch, near complete occlusion – Generalized moderate atherosclerosis • Hypertrophy and dilatation of the heart • Acute and chronic marked congestion of the lungs • Splenomegaly The victim’s blood was not tested for carbon monoxide poisoning (carboxyhemoglobin levels) although the department requested this be done Not mentioned Victim #1: 15% Carboxyhemoglobin level Victim #2: 25% Carboxyhemoglobin level Victim #3: 1.0% Carboxyhemoglobin level Victim #2: Smoke inhalation and sudden exposure to an extremely hot environment F2000-03 Jul 04, 1999 Captain dies as a result of a cardiac arrest at the scene of a structure fire—Alabama Victim #3: Sudden exposure to intense heat Myocardial infarction No Note: No blood was sent for laboratory analysis during resuscitative efforts. According to post-mortem toxicology forensic specimen analysis, the victim’s carboxyhemoglobin level was “negative.” An autopsy was not performed Perform an autopsy on all onduty firefighter fatalities PDF LINK
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■ Firefighter Autopsy Protocol
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■■Acknowledgement This project
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