Incident Report – 08/29/2014 3923 Wilshire Av, San Mateo, CA 94403
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Summary
On August 29, 2014, San Mateo Fire Department responded to an EMS call at 3923 Wilshire Av, San Mateo, CA 94403, a 24-hour care nursing home (four or more persons).
The alarm was received at 10:48 PM, 3 suppression personnel arrived at 10:56 PM, and the last unit was cleared at 11:15 PM. The time to arrive was 8 minutes and the total incident time was 27 minutes.
The following action was taken during the incident: emergency medical services/other.
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Location
| Type | Street address |
| Address | 3923 Wilshire Av, San Mateo, CA 94403 |
| County | San Mateo County |
| State | CA |
| City | SAN MATEO |
| Zip Code | 94403 |
| Property Use | 24-hour care Nursing homes, 4 or more persons |
| Detector Alerted Occupants | Unknown |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 8 minutes
Last unit cleared at
Alarm to last unit cleared: 27 minutes
Response
| Incident Type | EMS call, excluding vehicle accident with injury |
| Department Station | 23 |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | B |
| District | 275 |
Personnel
| Support Personnel | 3 |
| EMS Personnel | 0 |
| Other Personnel | 0 |
Fire Department
| Name | San Mateo Fire Department |
| Department Type | Career |
| Address | 1900 O'Farrell ST, STE 140 San Mateo, CA 94402-1332 |
| Phone | (650) 522-7900 |
| Website | https://www.cityofsanmateo.org |
Actions Taken
| First Action Taken | Emergency medical services, other |
Metadata
| Incident Key | CA_41090_08292014_1406027_0 |
| State | California |
| Fire Department ID | 41090 |
| Incident Date | 08/29/2014 |
| Incident Number | 1406027 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Other impression/assessment |
| Patient Age | 67 |
| Patient Gender | Male |
Timeline
Arrived at
Procedures Used
| Procedure Used | No treatment |
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