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Incident Report – 09/14/2021
623 Summit Rd, Maple Bluff, WI 53704

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Summary

On September 14, 2021, Maple Bluff Fire Department responded to an EMS call at 623 Summit Rd, Maple Bluff, WI 53704, a 1-or-2 family dwelling.

The alarm was received at 9:44 PM, 5 suppression and 1 EMS personnel arrived at 9:44 PM, and the last unit was cleared at 10:14 PM. The total incident time was 30 minutes.

The following action was taken during the incident: provide advanced life support (ALS).

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Location

Type Street address
Address 623 Summit Rd, Maple Bluff, WI 53704
County Dane County
State WI
City Maple Bluff
Zip Code 53704
Property Use 1 or 2 family dwelling

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 30 minutes

Response

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

Personnel

Support Personnel 5
EMS Personnel 1
Other Personnel 0

Fire Department

Name Maple Bluff Fire Department
Department Type Mostly volunteer
Address 18 Oxford Pl
Madison, WI 53704
Phone (608) 244-3390
Website https://www.mapleblufffire.com/

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key WI_13040_09142021_21097_0
State Wisconsin
Fire Department ID 13040
Incident Date 09/14/2021
Incident Number 21097
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Other impression/assessment
Patient Age 79
Patient Gender Female
Patient Race White

Timeline

  • Arrived

    Arrived at

  • Transported

    Transported at

    Arrival to transport: 20 minutes

Injury Types

Cause of Illness/Injury Fall

Procedures Used

Procedure Used IO/IV Therapy
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