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Incident Report – 05/15/2018
11019 Maple Ln, Lake Stevens, WA 98258

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Summary

On May 15, 2018, Lake Stevens Fire Department responded to an EMS call at 11019 Maple Ln, Lake Stevens, WA 98258, a 1-or-2 family dwelling.

The alarm was received at 12:03 AM, 5 EMS personnel arrived at 12:11 AM, and the last unit was cleared at 1:34 AM. The time to arrive was 8 minutes and the total incident time was 1 hour, 31 minutes.

The following actions were taken during the incident: provide basic life support (BLS) and transport person.

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Location

Type Street address
Address 11019 Maple Ln, Lake Stevens, WA 98258
County Snohomish County
State WA
City LAKE STEVENS
Zip Code 98258
Property Use 1 or 2 family dwelling
Census Tract 52603

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 8 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 1 hour, 31 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift C
District AG1

Personnel

Support Personnel 0
EMS Personnel 5
Other Personnel 0

Fire Department

Name Lake Stevens Fire Department
Department Type Mostly career
Address 1825 S Lake Stevens Rd
Lake Stevens, WA 98258-1960
Phone (425) 334-3034
Website https://www.lsfire.org/

Actions Taken

First Action Taken Provide basic life support (BLS)
Second Action Taken Transport person

Metadata

Incident Key WA_31D08_05152018_0002201_0
State Washington
Fire Department ID 31D08
Incident Date 05/15/2018
Incident Number 0002201
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Other impression/assessment
Patient Age 78
Patient Gender Female
Patient Race White

Injury Types

Cause of Illness/Injury Fall

Procedures Used

Procedure Used Other procedure
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