On February 7, 2001, a 65-year-old male Fire Fighter responded to a fire in a double-wide mobile home. On the scene, after setting up a change area for self-contained breathing apparatus (SCBA), operating the pump panel, and replacing a SCBA on the apparatus, he collapsed. Despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered by crew members, ambulance paramedics, and personnel at the local hospital’s emergency department (ED), the victim died. The death certificate, completed by the Medical Examiner’s Office, listed “hypertensive and arteriosclerotic heart disease” as the immediate cause of death. Pertinent autopsy results included an enlarged heart (concentric left ventricular hypertrophy), coronary atherosclerosis, four vessel bypass, pulmonary edema, and cerebral edema.