Incident Report – 01/21/2021 4105 212th St SE, Bothell, WA 98021
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Summary
On January 21, 2021, Snohomish County Fire District 7 responded to an EMS call at 4105 212th St SE, Bothell, WA 98021, a 24-hour care nursing home (four or more persons).
The alarm was received at 2:50 PM, personnel arrived at 2:55 PM, and the last unit was cleared at 3:09 PM. The time to arrive was 5 minutes and the total incident time was 19 minutes.
The following action was taken during the incident: provide basic life support (BLS).
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Location
| Type | Street address |
| Address | 4105 212th St SE, Bothell, WA 98021 |
| County | Snohomish County |
| State | WA |
| City | BOTHELL |
| Zip Code | 98021 |
| Property Use | 24-hour care Nursing homes, 4 or more persons |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 5 minutes
Last unit cleared at
Alarm to last unit cleared: 19 minutes
Response
| Incident Type | EMS call, excluding vehicle accident with injury |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | A |
| Alarms | 1 |
| District | AF0 |
Personnel
| Support Personnel | Unknown |
| EMS Personnel | Unknown |
| Other Personnel | Unknown |
Fire Department
| Name | Snohomish County Fire District 7 |
| Department Type | Career |
| Address | 953 Village Way Suite 200 Monroe, WA 98272 |
| Phone | (360) 794-7666 |
| Website | http://www.snofire7.org/ |
Actions Taken
| First Action Taken | Provide basic life support (BLS) |
Metadata
| Incident Key | WA_31D07_01212021_0000927_0 |
| State | Washington |
| Fire Department ID | 31D07 |
| Incident Date | 01/21/2021 |
| Incident Number | 0000927 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Trauma |
| Patient Age | 78 |
| Patient Gender | Male |
| Patient Race | Undetermined |
Timeline
Arrived at
Procedures Used
| Procedure Used | No treatment |
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