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Incident Report – 10/16/2021
24 Intervale Rd, Worcester, MA 01602

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Summary

On October 16, 2021, Paxton Fire Department responded to an EMS call at 24 Intervale Rd, Worcester, MA 01602, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 10:14 PM, 2 EMS personnel arrived at 10:25 PM, and the last unit was cleared at 11:13 PM. The time to arrive was 11 minutes and the total incident time was 59 minutes.

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

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Location

Type Street address
Address 24 Intervale 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: 59 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
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 advanced life support (ALS)

Metadata

Incident Key MA_27228_10162021_1117_0
State Massachusetts
Fire Department ID 27228
Incident Date 10/16/2021
Incident Number 1117
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Respiratory distress
Patient Age 3
Patient Gender Male
Patient Race Undetermined
Patient Ethnicity Other

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 35 minutes

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used Medications therapy
Procedure Used Oxygen therapy
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