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Incident Report – 02/20/2021
4169 Hazelcrest Rd, Springfield, IL 62703

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Summary

On February 20, 2021, Springfield Fire Department responded to an EMS call at 4169 Hazelcrest Rd, Springfield, IL 62703, a 1-or-2 family dwelling.

The alarm was received at 6:38 PM, personnel arrived at 6:44 PM, and the last unit was cleared at 7:31 PM. The time to arrive was 6 minutes and the total incident time was 53 minutes.

The following action was taken during the incident: provide basic life support (BLS).

As a result of the incident, there was 1 fire service injury.

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Location

Type Street address
Address 4169 Hazelcrest Rd, Springfield, IL 62703
County Sangamon County
State IL
City SPRINGFIELD
Zip Code 62703
Property Use 1 or 2 family dwelling
Census Tract 2500

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 6 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 53 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift S
Alarms 1
District 2A

Personnel

Support Personnel Unknown
EMS Personnel Unknown
Other Personnel Unknown

Fire Department

Name Springfield Fire Department
Department Type Career
Address 825 E Capitol Ave
Springfield, IL 62701-1922
Phone (217) 788-8474
Website https://www.springfield.il.us/

Actions Taken

First Action Taken Provide basic life support (BLS)

Injuries/Deaths

Fire Service Injuries 1
Fire Service Deaths 0

Metadata

Incident Key IL_SB111_02202021_0002514_0
State Illinois
Fire Department ID SB111
Incident Date 02/20/2021
Incident Number 0002514
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Cardiac arrest
Patient Age 58
Patient Gender Female
Patient Race Black

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 10 minutes

Procedures Used

Procedure Used Airway Insertion
Procedure Used Assisted Ventilation
Procedure Used CPR
Procedure Used EKG monitoring
Procedure Used IO/IV Therapy
Procedure Used Medications therapy
Procedure Used Oxygen therapy
Procedure Used Other procedure

Cardiac Arrest

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

Firefighter Casualty Report

Injured Person

Gender Male
Age 32
Career Career

Injury Date and Time

Injury Date and Time 02/20/2021 6:40 PM

Responses

Prior Responses During Past 24 Hours 4

Physical Condition

Physical Condition Rested

Severity

Severity First aid only

Taken To

Taken To Not transported

Activity At Time Of Injury

Activity At Time of Injury Providing EMS care

Injury

Primary Apparent Symptom Pain only
Primary Area of Body Injured Knee
Factor Contributing to Injury Wet surface, included are water/soap/foam, etc
Object Involved In Injury Person: victim
Where Injury Occurred At scene, in structure
Story of Injury 1
Specific Location In structure, excluding attic, roof, or wall
Protective Equipment Contributed to Injury No
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