Incident Report – 12/08/2003 16 Windsor Ave, Plainfield, CT 06374
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Summary
On December 8, 2003, Canterbury Volunteer Fire Company, Inc. responded to an EMS call at 16 Windsor Ave, Plainfield, CT 06374, a non-mixed use, 24-hour care nursing home (four or more persons).
The alarm was received at 8:26 PM, 3 EMS personnel arrived at 8:39 PM, the incident was controlled at 8:48 PM, and the last unit was cleared at 9:50 PM. The time to arrive was 13 minutes, the time to control the incident was 9 minutes, and the total incident time was 1 hour, 24 minutes.
The following actions were taken during the incident: provide first aid and check for injuries, provide basic life support (BLS), and transport person.
Location
| Type | Street address |
| Address | 16 Windsor Ave, Plainfield, CT 06374 |
| County | Windham County |
| State | CT |
| City | Plainfield |
| Zip Code | 06374 |
| Mixed Use | Not mixed use |
| Property Use | 24-hour care Nursing homes, 4 or more persons |
| Census Tract | 9061 |
| Hazardous Material Released | None |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 13 minutes
Incident controlled at
Alarm to incident controlled: 9 minutes
Last unit cleared at
Alarm to last unit cleared: 1 hour, 24 minutes
Response
| Incident Type | EMS call, excluding vehicle accident with injury |
| Department Station | 93 |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | 2 |
| Alarms | 1 |
| District | 95 |
Personnel
| Support Personnel | 0 |
| EMS Personnel | 3 |
| Other Personnel | 0 |
Fire Department
| Name | Canterbury Volunteer Fire Company, Inc. |
| Department Type | Volunteer |
| Address | 151 Westminster Rd PO Box 293 Canterbury, CT 06331 |
| Phone | (860) 546-9807 |
Actions Taken
| First Action Taken | Provide first aid & check for injuries |
| Second Action Taken | Provide basic life support (BLS) |
| Third Action Taken | Transport person |
Metadata
| Incident Key | CT_04020_12082003_311339_0 |
| State | Connecticut |
| Fire Department ID | 04020 |
| Incident Date | 12/08/2003 |
| Incident Number | 311339 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Respiratory distress |
| Patient Age | 90 |
| Patient Gender | Female |
Procedures Used
| Procedure Used | Oxygen therapy |
| Procedure Used | Other procedure |
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