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Incident Report – 06/17/2021
168 Natchez Trace Rd, Mathiston, MS 39752

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Summary

On June 17, 2021, Mathiston Volunteer Fire Department responded to an EMS call at 168 Natchez Trace Rd, Mathiston, MS 39752, a 1-or-2 family dwelling.

The alarm was received at 12:35 AM, 6 other personnel arrived at 12:35 AM, and the last unit was cleared at 2:00 AM. The total incident time was 1 hour, 25 minutes.

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

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Location

Type Street address
Address 168 Natchez Trace Rd, Mathiston, MS 39752
County Webster County
State MS
City Mathiston
Zip Code 39752
Property Use 1 or 2 family dwelling

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 1 hour, 25 minutes

Response

Incident Type Medical assist, assist EMS crew
Department Station 780
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 0
EMS Personnel 0
Other Personnel 6

Fire Department

Name Mathiston Volunteer Fire Department
Department Type Volunteer
Address 101 W Church St
PO Box 254
Mathiston, MS 39752
Phone (662) 263-4898

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key MS_78005_06172021_21107_0
State Mississippi
Fire Department ID 78005
Incident Date 06/17/2021
Incident Number 21107
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Cardiac arrest
Patient Age 74
Patient Gender Female
Patient Race White
Patient Ethnicity Other

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used CPR
Procedure Used Oxygen therapy
Procedure Used Other procedure

Cardiac Arrest

Pre or Post Arrival Arrest Pre-arrival arrest
Pre-Arrival Arrest Descriptor Bystander CPR
Initial Arrest Rhythm Undetermined
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