Incident Report – 11/15/2016 8104 Sayer Rd Apt 4, Cherry Valley, IL 61016
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Summary
On November 15, 2016, Cherry Valley Fire Protection District responded to an EMS call at 8104 Sayer Rd Apt 4, Cherry Valley, IL 61016, a 24-hour care nursing home (four or more persons).
The alarm was received at 12:18 PM, 2 suppression and 2 EMS personnel arrived at 12:23 PM, and the last unit was cleared at 12:41 PM. The time to arrive was 5 minutes and the total incident time was 23 minutes.
The following actions were taken during the incident: provide advanced life support (ALS) and transport person.
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Location
| Type | Street address |
| Address | 8104 Sayer Rd Apt 4, Cherry Valley, IL 61016 |
| County | Winnebago County |
| State | IL |
| City | CHERRY VALLEY |
| Zip Code | 61016 |
| Property Use | 24-hour care Nursing homes, 4 or more persons |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 5 minutes
Last unit cleared at
Alarm to last unit cleared: 23 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 | R |
| Alarms | 1 |
| District | Sta |
Personnel
| Support Personnel | 2 |
| EMS Personnel | 2 |
| Other Personnel | 0 |
Fire Department
| Name | Cherry Valley Fire Protection District |
| Department Type | Mostly volunteer |
| Address | 4919 Blackhawk Rd Rockford, IL 61109 |
| Phone | (815) 332-5382 |
| Website | https://www.cvfpd.com/ |
Actions Taken
| First Action Taken | Provide advanced life support (ALS) |
| Second Action Taken | Transport person |
Metadata
| Incident Key | IL_WJ124_11152016_0001645_0 |
| State | Illinois |
| Fire Department ID | WJ124 |
| Incident Date | 11/15/2016 |
| Incident Number | 0001645 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Altered level of consciousness |
| Patient Age | 91 |
| Patient Gender | Female |
| Patient Race | White |
| Patient Ethnicity | Other |
Timeline
Arrived at
Procedures Used
| Procedure Used | IO/IV Therapy |
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