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Incident Report – 10/30/2021
17 Commodore Rd, Worcester, MA 01602

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Summary

On October 30, 2021, Paxton Fire Department responded to an EMS call at 17 Commodore Rd, Worcester, MA 01602, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 8:41 PM, 2 EMS personnel arrived at 8:52 PM, and the last unit was cleared at 9:32 PM. The time to arrive was 11 minutes and the total incident time was 51 minutes.

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

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Location

Type Street address
Address 17 Commodore Rd, Worcester, MA 01602
County Worcester County
State MA
City WORCESTER
Zip Code 01602
Mixed Use Not mixed use
Property Use 1 or 2 family dwelling
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 11 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 51 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received Other aid given (the aid-giving department is responding to an area that has no fire department of its own)
Resources Include Mutual Aid No
Alarms 1
District OT

Personnel

Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department

Name Paxton Fire Department
Department Type Volunteer
Address 576 PLEASANT St
Paxton, MA 01612
Phone (508) 991-6600

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key MA_27228_10302021_1179_0
State Massachusetts
Fire Department ID 27228
Incident Date 10/30/2021
Incident Number 1179
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment General illness
Patient Age 96
Patient Gender Male
Patient Race Undetermined
Patient Ethnicity Other

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 27 minutes

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used No treatment
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