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Incident Report – 06/07/2015
164 Maple Ave, Mount Jackson, VA 22842

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Summary

On June 7, 2015, Mt. Jackson Rescue and Fire Department (Shenandoah County Fire & Rescue) responded to an EMS call at 164 Maple Ave, Mount Jackson, VA 22842, a mental retardation/development disability facility.

The alarm was received at 3:31 PM, 2 EMS personnel arrived at 3:41 PM, and the last unit was cleared at 4:50 PM. The time to arrive was 10 minutes and the total incident time was 1 hour, 19 minutes.

The following action was taken during the incident: provide advanced life support (ALS).

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Location

Type Street address
Address 164 Maple Ave, Mount Jackson, VA 22842
County Shenandoah County
State VA
City MOUNT JACKSON
Zip Code 22842
Property Use Mental retardation/development disability facility

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 10 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 1 hour, 19 minutes

Response

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

Personnel

Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department

Name Mt. Jackson Rescue and Fire Department (Shenandoah County Fire & Rescue)
Department Type Volunteer
Address 6155 Main St
Mt. Jackson, VA 22842
Phone (540) 477-2510

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key VA_17121_06072015_0002097_0
State Virginia
Fire Department ID 17121
Incident Date 06/07/2015
Incident Number 0002097
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Abdominal pain
Patient Age 62
Patient Gender Male
Patient Race White
Patient Ethnicity Other

Timeline

  • Arrived

    Arrived at

Procedures Used

Procedure Used EKG monitoring
Procedure Used IO/IV Therapy
Procedure Used Other procedure
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