Incident Report – 06/11/2019 268 E Davis St, Universal, IN 47884
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Summary
On June 11, 2019, Black Diamond Fire Department responded to an EMS call at 268 E Davis St, Universal, IN 47884.
The alarm was received at 8:05 PM, 4 suppression personnel arrived at 8:10 PM, and the last unit was cleared at 8:51 PM. The time to arrive was 5 minutes and the total incident time was 46 minutes.
The following action was taken during the incident: provide basic life support (BLS).
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Location
| Type | Street address |
| Address | 268 E Davis St, Universal, IN 47884 |
| County | Vermillion County |
| State | IN |
| City | Universal |
| Zip Code | 47884 |
| Property Use | None |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 5 minutes
Last unit cleared at
Alarm to last unit cleared: 46 minutes
Response
| Incident Type | Emergency medical service, other |
| Department Station | 81 |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | C |
| District | 81 |
Personnel
| Support Personnel | 4 |
| EMS Personnel | 0 |
| Other Personnel | 0 |
Fire Department
| Name | Black Diamond Fire Department |
| Department Type | Mostly volunteer |
| Address | 501 W Washington St Clinton, IN 47842 |
| Phone | (812) 201-3664 |
Actions Taken
| First Action Taken | Provide basic life support (BLS) |
Metadata
| Incident Key | IN_83012_06112019_19152_0 |
| State | Indiana |
| Fire Department ID | 83012 |
| Incident Date | 06/11/2019 |
| Incident Number | 19152 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Trauma |
| Patient Age | 40 |
| Patient Gender | Female |
| Patient Race | White |
| Patient Ethnicity | Other |
Timeline
Arrived at
Human Factors
| Human Factor | Physically restrained |
| Other Factors | Inflicted, not self-inflicted |
Body Sites of Injury
| Body Site of Injury | Lower extremities |
| Body Site of Injury | Head |
| Body Site of Injury | Upper extremities |
Injury Types
| Injury Type | Soft tissue swelling |
| Injury Type | Other injury type |
| Injury Type | Other injury type |
| Cause of Illness/Injury | Physical assault/abuse |
Procedures Used
| Procedure Used | Other procedure |
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