Report Icon

Incident Report – 11/15/2021
330 Chiloquin Blvd, Chiloquin, OR 97624

Download Full Report

Download Full Report
Price
$4.99
FeatureCheck
Includes Owner Information
FeatureCheck
Formatted for Commercial, Legal, and other Professional Usage
FeatureCheck
Download as PDF
Money-back Guarantee.

Summary


On November 15, 2021, Chiloquin-Agency Lake Rural Fire Protection District responded to an EMS call at 330 Chiloquin Blvd, Chiloquin, OR 97624, a non-mixed use, clinic/doctor's office/hemodialysis center.

The alarm was received at 1:56 PM, 2 EMS personnel arrived at 2:03 PM, and the last unit was cleared at 4:03 PM. The time to arrive was 7 minutes and the total incident time was 7 minutes.

The following actions were taken during the incident: provide basic life support (BLS) and transport person.

Sponsored

Location


Type Street address
Address 330 Chiloquin Blvd, Chiloquin, OR 97624
County Klamath County
State OR
City Chiloquin
Zip Code 97624
Mixed Use Not mixed use
Property Use Clinics, Doctors offices, hemodialysis centers
Census Tract 000000
Detector Alerted Occupants Unknown
Hazardous Material Released None

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: 7 minutes

Response


Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No
District 220

Personnel


Support Personnel 0
EMS Personnel 2
Other Personnel 0

Fire Department


Name Chiloquin-Agency Lake Rural Fire Protection District
Department Type Mostly volunteer
Address 127 S 1ST Ave
Chiloquin, OR 97624-0437
Phone (541) 783-3860
Website https://chiloquin.com/services-organizations/emergency-services/

Actions Taken


First Action Taken Provide basic life support (BLS)
Second Action Taken Transport person

Metadata


Incident Key OR_00055_11152021_21901_0
State Oregon
Fire Department ID 00055
Incident Date 11/15/2021
Incident Number 21901
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description


Provider Impression/Assessment Respiratory distress
Patient Age 59
Patient Gender Male
Patient Race Other, includes multi-racial

Timeline


  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 39 minutes

Body Sites of Injury


Body Site of Injury Abdomen

Injury Types


Injury Type Other injury type

Procedures Used


Procedure Used Other procedure
Sponsored