关键词：事故分析；心脏骤停；心血管系统疾病
摘 要：On March 8, 2013, a 60-year-old volunteer Fire Captain failed to respond to the scene of an emergency call at 1054 hours. Several hours later (1530 hours) he was found laying in his driveway wearing a jacket with his fire department logo; his personal vehicle was running and the windshield was partially cleared of snow. Emergency medical service (EMS) personnel reported that the Captain was unresponsive with significant rigor mortis and no signs of life. Based on the local EMS protocols, the Captain was pronounced dead at the scene. Neighbors witnessed the Captain walking in his front yard less than a half hour before the call (1030 hours). Therefore, the Captain was assumed to be responding to the emergency call when he suffered a sudden cardiac event. The autopsy report, completed by the County's Medical Examiner's office, listed the cause of death as 'atherosclerotic and hypertensive cardiovascular disease.' The autopsy revealed severe coronary atherosclerosis with a remote (old) myocardial infarction, cardiomegaly, and left ventricular hypertrophy. NIOSH offers the following recommendations to reduce the risk of heart attacks and sudden cardiac arrest among fire fighters at this and other fire departments across the country.