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Incident Report – 11/11/2022
1212 Madelyn Ave, Macomb, IL 61455

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Summary

On November 11, 2022, Macomb Fire Department responded to an EMS call at 1212 Madelyn Ave, Macomb, IL 61455, a 24-hour care nursing home (four or more persons).

The alarm was received at 9:02 AM, 1 EMS personnel arrived at 9:07 AM, the incident was controlled at 10:02 AM, and the last unit was cleared at 10:06 AM. The time to arrive was 5 minutes, the time to control the incident was 55 minutes, and the total incident time was 1 hour, 4 minutes.

The following action was taken during the incident: provide basic life support (BLS).

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Location

Type Street address
Address 1212 Madelyn Ave, Macomb, IL 61455
County McDonough County
State IL
City Macomb
Zip Code 61455
Property Use 24-hour care Nursing homes, 4 or more persons

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Incident Controlled

    Incident controlled at

    Alarm to incident controlled: 55 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 1 hour, 4 minutes

Response

Incident Type Medical assist, assist EMS crew
Mutual Aid Given/Received None
Shift 3
Alarms 1

Personnel

Support Personnel 0
EMS Personnel 1
Other Personnel 0

Fire Department

Name Macomb Fire Department
Department Type Career
Address 219 W Jackson St
Macomb, IL 61455-2110
Phone (309) 836-7800
Website https://cityofmacomb.com/fire-department/

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key IL_MH181_11112022_2202747_0
State Illinois
Fire Department ID MH181
Incident Date 11/11/2022
Incident Number 2202747
Exposure Number 0
NFIRS Version 5.0

Firefighter Casualty Report

Injured Person

Gender Male
Age 30
Career Career

Injury Date and Time

Injury Date and Time 11/11/2022 9:07 AM

Responses

Prior Responses During Past 24 Hours 1

Physical Condition

Physical Condition Rested

Severity

Severity Report only, including exposure

Taken To

Taken To Not transported

Activity At Time Of Injury

Activity At Time of Injury Providing EMS care

Injury

Primary Apparent Symptom Undetermined
Primary Area of Body Injured Part of body undetermined
Where Injury Occurred At scene, in structure
Injury Relation to Structure Inside/On Structure
Story of Injury 1
Specific Location Undetermined
Vehicle Type EMS vehicle
Protective Equipment Contributed to Injury No
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