Incident Report – 10/05/2016 3626 Mill Rd, Cherry Valley, IL 61016
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Summary
On October 5, 2016, Cherry Valley Fire Protection District responded to an EMS call at 3626 Mill Rd, Cherry Valley, IL 61016, a 1-or-2 family dwelling.
The alarm was received at 12:29 AM, 3 suppression and 2 EMS personnel arrived at 12:34 AM, and the last unit was cleared at 12:51 AM. The time to arrive was 5 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 | 3626 Mill Rd, Cherry Valley, IL 61016 |
| County | Winnebago County |
| State | IL |
| City | CHERRY VALLEY |
| Zip Code | 61016 |
| Property Use | 1 or 2 family dwelling |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 5 minutes
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_10052016_0001432_0 |
| State | Illinois |
| Fire Department ID | WJ124 |
| Incident Date | 10/05/2016 |
| Incident Number | 0001432 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Other impression/assessment |
| Patient Age | 67 |
| Patient Gender | Male |
| Patient Race | White |
| Patient Ethnicity | Other |
Timeline
Arrived at
Procedures Used
| Procedure Used | No treatment |
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