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Incident Report – 05/17/2014
303 217th Pl SW, Bothell, WA 98040

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Summary

On May 17, 2014, Shoreline Fire Department responded to an EMS call at 303 217th Pl SW, Bothell, WA 98040, a 1-or-2 family dwelling.

The alarm was received on 05/17/2014 at 8:49 PM, 3 suppression personnel arrived on 05/17/2014 at 8:54 PM, and the last unit was cleared on 05/18/2014 at 12:15 AM. The time to arrive was 5 minutes and the total incident time was 3 hours, 26 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 303 217th Pl SW, Bothell, WA 98040
County King County
State WA
City BOTHELL
Zip Code 98040
Property Use 1 or 2 family dwelling
Census Tract 0166
Detector Alerted Occupants Unknown

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 3 hours, 26 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station ST4
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift C
Alarms 1
District 53

Personnel

Support Personnel 3
EMS Personnel 0
Other Personnel 0

Fire Department

Name Shoreline Fire Department
Department Type Career
Address 17525 Aurora AVE N
Shoreline, WA 98133-4812
Phone (206) 533-6500
Website https://www.shorelinefire.com/

Actions Taken

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

Metadata

Incident Key WA_17D04_05172014_0003751_0
State Washington
Fire Department ID 17D04
Incident Date 05/17/2014
Incident Number 0003751
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Cardiac arrest
Patient Age 71
Patient Gender Male

Timeline

  • Arrived

    Arrived at

Injury Types

Cause of Illness/Injury Other cause

Procedures Used

Procedure Used No treatment

Cardiac Arrest

Pre or Post Arrival Arrest Post arrival arrest
Initial Arrest Rhythm Initial arrest rhythm, other
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