Incident Report – 10/07/2022 480 Willow Ave, Milpitas, CA 95035
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Summary
On October 7, 2022, Milpitas Fire Department responded to an EMS call at 480 Willow Ave, Milpitas, CA 95035, a 1-or-2 family dwelling.
The alarm was received at 6:39 PM, 2 suppression and 3 EMS personnel arrived at 6:45 PM, and the last unit was cleared at 8:12 PM. The time to arrive was 6 minutes and the total incident time was 1 hour, 33 minutes.
The following action was taken during the incident: provide advanced life support (ALS).
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Location
| Type | Street address |
| Address | 480 Willow Ave, Milpitas, CA 95035 |
| County | Santa Clara County |
| State | CA |
| City | MILPITAS |
| Zip Code | 95035 |
| Property Use | 1 or 2 family dwelling |
| Detector Alerted Occupants | Unknown |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 6 minutes
Last unit cleared at
Alarm to last unit cleared: 1 hour, 33 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 | C |
| District | 1 |
Personnel
| Support Personnel | 2 |
| EMS Personnel | 3 |
| Other Personnel | 0 |
Fire Department
| Name | Milpitas Fire Department |
| Department Type | Career |
| Address | 777 S Main St Milpitas, CA 95035 |
| Phone | (408) 586-2800 |
Actions Taken
| First Action Taken | Provide advanced life support (ALS) |
Metadata
| Incident Key | CA_43030_10072022_2280014_0 |
| State | California |
| Fire Department ID | 43030 |
| Incident Date | 10/07/2022 |
| Incident Number | 2280014 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Cardiac arrest |
| Patient Age | 36 |
| Patient Gender | Male |
| Patient Race | Other, includes multi-racial |
Procedures Used
| Procedure Used | No treatment |
Cardiac Arrest
| Pre or Post Arrival Arrest | Pre-arrival arrest |
| Initial Arrest Rhythm | Initial arrest rhythm, other |
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