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Incident Report – 10/17/2016
206 Hazel St, Mossyrock, WA 98564

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Summary

On October 17, 2016, Lewis County Fire District #3 responded to an EMS call at 206 Hazel St, Mossyrock, WA 98564, a 1-or-2 family dwelling.

The alarm was received at 2:52 AM, 2 EMS personnel arrived at 3:07 AM, and the last unit was cleared at 3:28 AM. The time to arrive was 15 minutes and the total incident time was 36 minutes.

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

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Location

Type Street address
Address 206 Hazel St, Mossyrock, WA 98564
County Lewis County
State WA
City Mossyrock
Zip Code 98564
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 15 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 36 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 1
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department

Name Lewis County Fire District #3
Department Type Mostly volunteer
Address 137 E Main St
Mossyrock, WA 98564
Phone (360) 983-3456

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key WA_21D03_10172016_221_0
State Washington
Fire Department ID 21D03
Incident Date 10/17/2016
Incident Number 221
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Stroke/CVA
Patient Age 78
Patient Gender Female

Procedures Used

Procedure Used IO/IV Therapy
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