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Incident Report – 04/01/2019
769 Cr 477, Palacios, TX 77468

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Summary

On April 1, 2019, Carancahua Community Volunteer Fire Department responded to an EMS call at 769 Cr 477, Palacios, TX 77468, a restaurant/cafeteria.

The alarm was received at 4:42 PM, 5 suppression and 1 EMS personnel arrived at 4:47 PM, and the last unit was cleared at 5:31 PM. The time to arrive was 5 minutes and the total incident time was 49 minutes.

The following actions were taken during the incident: provide first aid and check for injuries and provide manpower.

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Location

Type Street address
Address 769 Cr 477, Palacios, TX 77468
County Matagorda County
State TX
City PALACIOS
Zip Code 77468
Property Use Restaurant or cafeteria

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 49 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Mutual Aid Given/Received None
Resources Include Mutual Aid No

Personnel

Support Personnel 5
EMS Personnel 1
Other Personnel 0

Fire Department

Name Carancahua Community Volunteer Fire Department
Department Type Volunteer
Address 4581 State Highway 35
Palacios, TX 77465-1706
Phone (713) 569-4001

Actions Taken

First Action Taken Provide first aid & check for injuries
Second Action Taken Provide manpower

Metadata

Incident Key TX_NC404_04012019_0001056_0
State Texas
Fire Department ID NC404
Incident Date 04/01/2019
Incident Number 0001056
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Trauma
Patient Age 65
Patient Gender Male
Patient Race White
Patient Ethnicity Other

Body Sites of Injury

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

Injury Types

Injury Type Pain without swelling
Injury Type Pain without swelling
Cause of Illness/Injury Fall
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