Webcular disease (CVD) fatality investigations, and 4. Provides recommendations (listed below) to minimize the risk of injury and death to ire ighters from cardiovascular events. Fire Departments should take the following steps to reduce on-duty heart attacks and other sudden cardiovascular events: WebNIOSH Fire Fighter Fatality Investigation and Prevention Program 7 Recommendations • Fire departments should provide and require annual medical evaluations to all firefighters. • Fire department physicians should ensure symptom-limiting exercise stress tests (ESTs) are provided to firefighters at increased risk of CVD.

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