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Incident Report – 11/17/2021
143 Pebble Beach Dr, Springfield, IL 62704

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Summary

On November 17, 2021, Springfield Fire Department responded to an EMS call at 143 Pebble Beach Dr, Springfield, IL 62704, a 1-or-2 family dwelling.

The alarm was received at 7:38 AM, personnel arrived at 7:45 AM, and the last unit was cleared at 8:00 AM. The time to arrive was 7 minutes and the total incident time was 22 minutes.

The following actions were taken during the incident: action taken/other and provide basic life support (BLS).

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Location

Type Street address
Address 143 Pebble Beach Dr, Springfield, IL 62704
County Sangamon County
State IL
City SPRINGFIELD
Zip Code 62704
Property Use 1 or 2 family dwelling
Census Tract 2000

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 7 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 22 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift S
Alarms 1
District 9A

Personnel

Support Personnel Unknown
EMS Personnel Unknown
Other Personnel Unknown

Fire Department

Name Springfield Fire Department
Department Type Career
Address 825 E Capitol Ave
Springfield, IL 62701-1922
Phone (217) 788-8474
Website https://www.springfield.il.us/

Actions Taken

First Action Taken Action taken, other
Second Action Taken Provide basic life support (BLS)

Metadata

Incident Key IL_SB111_11172021_0018996_0
State Illinois
Fire Department ID SB111
Incident Date 11/17/2021
Incident Number 0018996
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Other impression/assessment
Patient Age 80
Patient Gender Male

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 8 minutes

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used Other procedure
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