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Incident Report – 09/11/2016
71 E Watson Ln, Victor, WA 98528

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Summary

On September 11, 2016, Mason County Fire District # 5 responded to an EMS call at 71 E Watson Ln, Victor, WA 98528, a 1-or-2 family dwelling.

The alarm was received at 11:35 AM, 3 EMS personnel arrived at 11:46 AM, and the last unit was cleared at 12:05 PM. The time to arrive was 11 minutes and the total incident time was 30 minutes.

The following actions were taken during the incident: provide basic life support (BLS), provide advanced life support (ALS), and transport person.

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Location

Type Street address
Address 71 E Watson Ln, Victor, WA 98528
County Mason County
State WA
City Victor
Zip Code 98528
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 11 minutes

  • 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 001
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 0
EMS Personnel 3
Other Personnel 0

Fire Department

Name Mason County Fire District # 5
Department Type Mostly volunteer
Address 122 W Franklin St
Shelton, WA 98584
Phone (360) 426-5533
Website https://www.mason5.org/

Actions Taken

First Action Taken Provide basic life support (BLS)
Second Action Taken Provide advanced life support (ALS)
Third Action Taken Transport person

Metadata

Incident Key WA_23D05_09112016_3618_0
State Washington
Fire Department ID 23D05
Incident Date 09/11/2016
Incident Number 3618
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Cardiac dysrhythmia
Patient Age 37
Patient Gender Male

Human Factors

Human Factor Possibly impaired by alcohol

Body Sites of Injury

Body Site of Injury Upper extremities
Body Site of Injury Upper extremities
Body Site of Injury Thorax, includes chest and back, excludes spine
Body Site of Injury Neck & shoulder

Injury Types

Injury Type Pain without swelling
Injury Type Pain without swelling
Injury Type Pain without swelling
Injury Type Pain without swelling

Procedures Used

Procedure Used IO/IV Therapy
Procedure Used Medications therapy
Procedure Used Oxygen therapy
Procedure Used Other procedure
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