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Incident Report – 06/16/2020
90 Maple St, Shady Cove, OR 97539

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Summary

On June 16, 2020, Jackson County Fire District No. 4 responded to an EMS call at 90 Maple St, Shady Cove, OR 97539, a 1-or-2 family dwelling.

The alarm was received at 12:26 PM, 4 EMS personnel arrived at 12:30 PM, and the last unit was cleared at 12:49 PM. The time to arrive was 4 minutes and the total incident time was 23 minutes.

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

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Location

Type Street address
Address 90 Maple St, Shady Cove, OR 97539
County Jackson County
State OR
City Shady Cove
Zip Code 97539
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: 4 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 23 minutes

Response

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

Personnel

Support Personnel 0
EMS Personnel 4
Other Personnel 0

Fire Department

Name Jackson County Fire District No. 4
Department Type Mostly volunteer
Address 21200 Highway 62
PO Box 1400
Shady Cove, OR 97539
Phone (541) 878-2666

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key OR_00334_06162020_20637_0
State Oregon
Fire Department ID 00334
Incident Date 06/16/2020
Incident Number 20637
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Chest pain
Patient Age 61
Patient Gender Male

Procedures Used

Procedure Used IO/IV Therapy
Procedure Used Other procedure
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