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Incident Report – 12/15/2016
250 Rivers Edge Dr, Cherry Valley, IL 61016

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Summary

On December 15, 2016, Cherry Valley Fire Protection District responded to an EMS call at 250 Rivers Edge Dr, Cherry Valley, IL 61016, a 1-or-2 family dwelling.

The alarm was received on 12/15/2016 at 11:38 PM, 3 suppression and 2 EMS personnel arrived on 12/15/2016 at 11:45 PM, and the last unit was cleared on 12/16/2016 at 12:00 AM. The time to arrive was 7 minutes and the total incident time was 22 minutes.

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

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Location

Type Street address
Address 250 Rivers Edge Dr, Cherry Valley, IL 61016
County Winnebago County
State IL
City CHERRY VALLEY
Zip Code 61016
Property Use 1 or 2 family dwelling

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 7 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 22 minutes

Response

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

Personnel

Support Personnel 3
EMS Personnel 2
Other Personnel 0

Fire Department

Name Cherry Valley Fire Protection District
Department Type Mostly volunteer
Address 4919 Blackhawk Rd
Rockford, IL 61109
Phone (815) 332-5382
Website https://www.cvfpd.com/

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key IL_WJ124_12152016_0001826_0
State Illinois
Fire Department ID WJ124
Incident Date 12/15/2016
Incident Number 0001826
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment None/no patient or refused treatment
Patient Age 79
Patient Gender Female
Patient Race White
Patient Ethnicity Other

Timeline

  • Arrived

    Arrived at

Injury Types

Cause of Illness/Injury Fall

Procedures Used

Procedure Used No treatment
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