Of 2019 on-duty firefighter deaths in the U.S., 54% were due to medical emergencies, overexertion, or stress (included in this category were 22 heart attacks or other sudden cardiac deaths, 2 strokes, 1 heatstroke, and 1 suicide); 13% by fire progress (such as being trapped or overrun) or explosions, 8% were struck by a vehicle, 8% died in vehicle crashes, 6% fell from heights (such as buildings, fire apparatus, roofs, and bridges), and 10% died from other causes.