From January to June 2009 the following line of duty deaths are categorized by medical cause, nature and response. When comparing this data with the earlier articles, readers will see an overlap in the listing of fatalities related to apparatus response. For the purpose of viewing both fireground specific fatalities and those of traumatic nature, these deaths are in each article. The purpose is not necessarily to recalculate the number of line of duty deaths specifically, but to look at them in a great detail, prior to recalculating.

Struck
1 – On Scene (nature: Trauma)
1 – In Station Duty (nature: Trauma)
Stress/Overexertion
1 – Enroute to work (nature: Heart Attack)
1 – In Station, In Station Duty (cause: Heart attack) (station coverage)
1 – In Station, In Station Duty (cause: Unknown) (station coverage)
1 – Response (nature: Heart Attack)
2 – On scene (nature: Heart Attack)
3 – On scene (fire attack) (nature: Unknown)
1 – In Station, after Incident (cause: Cerebrovascular Accident)
2 – In Station, after Incident (cause: Heart Attack)
2 – In Station, after Incident (cause: Unknown)
1 – Outside of Station, after Incident (cause: Cerebrovascular Accident)
2 – After Incident (cause: Heart Attack)
1 – Training (nature: Cerebrovascular Accident)
1 – Meeting (nature: Heart Attack)
1 – Employer-related event (nature: Unknown)
Collision
1 – POV Response (nature: Trauma) (no seatbelt use; speed) 18yoa
4 – Response (nature: Trauma) 61 (driver), 41 (driver), 34 (not driver), 52 (apparatus malfunction)
1 – Meeting (cause: Trauma) 45
Unknown
1 – In Station Duty (PT) (cause: Unknown)
1 – In Station (after incident) (cause: Unknown)
1 – On Scene (cause: Unknown)
1 – Medical complications from earlier on-duty injury (cause: Unknown)
1 – Department-assigned out-of-town training (cause: Unknown)
Fall
1 – In Station Duty (cause: Trauma)

The data proves that when looking at the line of duty deaths of the first half of the year, Stress/Overexertion are the greatest leading causes of death. Half of these are identified as having occurred following an incident. Likewise, when reviewing them against the December 2003 Hometown Heroes Survivors Benefits Act and recognizing that the information for each death is not fully presented, the majority would still be culturally considered as “line of duty” deaths. However there are some whose deaths raise a concern that the definition may be too loosely applied. These are easily debatable when considering what station duties should be considered as “line of duty” and “on duty” as well as whether or not department required or department sponsored activities constitute “line of duty”. What is most surprising to the author is the “Collision” data. Culturally privately-owned vehicle (POV) fatalities while responding are loosely attributed to younger volunteer firefighters. From January to June a total of five fatalities occurred related to “Collision” with only one having been an 18 year old volunteer. Unfortunately the information available reveals that a seatbelt was not in use. However, the other “Collision” fatalities all involved persons over the age of 30. In those cases, one was not the driver and another involved an apparatus malfunction. Another “Collision” fatality that occurred may not be culturally considered “line of duty” except that the member was traveling for a department-required meeting. In this case his collision was the result of striking a deer. If we compare this and other “Collision” data from previous years we may prove that the efforts to reduce response fatalities and increase seatbelt use may be working to lower line of duty deaths.

The last article in this series will review all of the line of duty deaths in this period in the culturally traditional definition of “line of duty” death.

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Comment by Art "ChiefReason" Goodrich on August 3, 2009 at 4:01pm
For accuracy's sake; it is hydrogen CYANIDE and not sulfide.
I apologize for the error and the inability to "edit" my response.
Comment by Art "ChiefReason" Goodrich on August 3, 2009 at 2:58pm
Bill:
The information that you have provided are reasons to re-visit LODD definitions and HHSBA benefits.
In private industry, in order for a medical issue to be considered work related, you cannot be engaged in Life's normal functions, such as having dinner, enjoying entertainment or sleeping.
I believe that firefighters, cops and EMS see a physiological change in their bodies when the tones drop and we go into job mode. I also understand that heat and hydrogen sulfide can trigger heart attacks in firefighters. But, where can the line be drawn from a medical standpoint between responding to a taxpayer and splitting wood after getting off duty?
I think that the reason for the ambiguity in some of the regs is because no one wants to be the bad guy and tell a family that their loved one didn't qualify for the benefits.
It's more about inclusion than exclusion.
TCSS.
Art
Comment by FETC on August 2, 2009 at 3:28pm
Stress and Overexertion has been winning for years. As debated before a loosely defined category. I am not 100% positive but responding back to the station for "station coverage' might not be considered emergency response. Likewise, one of the PT one's was reported by a source as a VFF using department PT equipment to ready for a entrance test and later the next day reported as department approved PT.

If he was exercising at Gold's Gym or a home would that be a LODD?
Comment by Oldman on August 2, 2009 at 11:16am
Enroute to work, Meeting, "Stress/Overexertion"? PLEEESE!

When I see things listed like this, it just makes me believe even more that this catagory is one of "We don't know where else to put it".

Heart attacks and strokes can be physically seen on a Post Mortum. I would love to see the forensic evidence
which physically points to stress as the causitive agent of the event.

Another example is the "unknown" catagory. PT wouldn't be considered "Stress/Overexertion"?


I am not shooting the messenger, Bill. You've taken the time to break these down as they are in the reports, but sometimes I have to wonder.

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