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Incident Report – 12/03/2022
19721 E Jackson Dr, Independence, MO 64057

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Summary

On December 3, 2022, Independence Fire Department responded to an EMS call at 19721 E Jackson Dr, Independence, MO 64057, a restaurant/cafeteria.

The alarm was received at 5:31 PM, personnel arrived at 5:34 PM, and the last unit was cleared at 5:46 PM. The time to arrive was 3 minutes and the total incident time was 15 minutes.

The following actions were taken during the incident: provide basic life support (BLS) and provide advanced life support (ALS).

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Location

Type Street address
Address 19721 E Jackson Dr, Independence, MO 64057
County Jackson County
State MO
City INDEPENDENCE
Zip Code 64057
Property Use Restaurant or cafeteria

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 3 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 15 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
Alarms 1
District Q15

Personnel

Support Personnel Unknown
EMS Personnel Unknown
Other Personnel Unknown

Fire Department

Name Independence Fire Department
Department Type Career
Address 950 N Spring St
Independence, MO 64050
Phone (816) 325-7123
Website https://www.ci.independence.mo.us/Fire/

Actions Taken

First Action Taken Provide basic life support (BLS)
Second Action Taken Provide advanced life support (ALS)

Metadata

Incident Key MO_04808_12032022_0024701_0
State Missouri
Fire Department ID 04808
Incident Date 12/03/2022
Incident Number 0024701
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Trauma
Patient Age 66

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 6 minutes

Procedures Used

Procedure Used Spinal immobilization
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