Incident Report – 04/22/2019 643 Park Ave, Moberly, MO 65270
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Summary
On April 22, 2019, Moberly Fire Department responded to an EMS call at 643 Park Ave, Moberly, MO 65270, a non-mixed use, 1-or-2 family dwelling.
The alarm was received at 5:37 PM, 4 EMS personnel arrived at 5:42 PM, and the last unit was cleared at 6:08 PM. The time to arrive was 5 minutes and the total incident time was 31 minutes.
The following action was taken during the incident: provide basic life support (BLS).
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Location
| Type | Street address |
| Address | 643 Park Ave, Moberly, MO 65270 |
| County | Randolph County |
| State | MO |
| City | Moberly |
| Zip Code | 65270 |
| Mixed Use | Not mixed use |
| Property Use | 1 or 2 family dwelling |
| Census Tract | Ward 3 |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 5 minutes
Last unit cleared at
Alarm to last unit cleared: 31 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 | A |
| District | 3 |
Personnel
| Support Personnel | 0 |
| EMS Personnel | 4 |
| Other Personnel | 0 |
Fire Department
| Name | Moberly Fire Department |
| Department Type | Career |
| Address | 310 N Clark St Moberly, MO 65270 |
| Phone | (660) 269-8705 |
Actions Taken
| First Action Taken | Provide basic life support (BLS) |
Metadata
| Incident Key | MO_08802_04222019_190416_0 |
| State | Missouri |
| Fire Department ID | 08802 |
| Incident Date | 04/22/2019 |
| Incident Number | 190416 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Overdose/poisoning |
| Patient Age | 52 |
| Patient Gender | Male |
| Patient Race | White |
| Patient Ethnicity | Other |
Timeline
Arrived at
Transported at
Arrival to transport: 8 minutes
Human Factors
| Human Factor | Possibly mentally disabled |
| Other Factors | Self-inflicted |
Injury Types
| Cause of Illness/Injury | Drug poisoning |
Procedures Used
| Procedure Used | No treatment |
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