Incident Report – 11/26/2014 San Rafael Way, Montclair, CA 91763
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Summary
On November 26, 2014, Montclair Fire Department responded to an EMS call at San Rafael Way, Montclair, CA 91763, a 1-or-2 family dwelling.
The alarm was received at 5:26 PM, 3 suppression and 3 EMS personnel arrived at 5:35 PM, and the last unit was cleared at 5:55 PM. The time to arrive was 9 minutes and the total incident time was 29 minutes.
The following action was taken during the incident: provide advanced life support (ALS).
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Location
| Type | Intersection |
| Address | San Rafael Way, Montclair, CA 91763 |
| County | San Bernardino County |
| State | CA |
| City | MONTCLAIR |
| Zip Code | 91763 |
| Property Use | 1 or 2 family dwelling |
| Census Tract | 00030 |
| Detector Alerted Occupants | Unknown |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 9 minutes
Last unit cleared at
Alarm to last unit cleared: 29 minutes
Response
| Incident Type | EMS call, excluding vehicle accident with injury |
| Department Station | S15 |
| Mutual Aid Given/Received | None |
| Resources Include Mutual Aid | No |
| Shift | B |
| Alarms | 1 |
| District | 152 |
Personnel
| Support Personnel | 3 |
| EMS Personnel | 3 |
| Other Personnel | 0 |
Fire Department
| Name | Montclair Fire Department |
| Department Type | Career |
| Address | 8901 Monte Vista Ave PO Box 2308 Montclair, CA 91763 |
| Phone | (909) 447-3540 |
| Website | https://www.cityofmontclair.org/ |
Actions Taken
| First Action Taken | Provide advanced life support (ALS) |
Metadata
| Incident Key | CA_36140_11262014_1404087_0 |
| State | California |
| Fire Department ID | 36140 |
| Incident Date | 11/26/2014 |
| Incident Number | 1404087 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
EMS Report
Patient Description
| Provider Impression/Assessment | Abdominal pain |
| Patient Age | 89 |
| Patient Gender | Female |
Timeline
Arrived at
Injury Types
| Cause of Illness/Injury | Other cause |
Procedures Used
| Procedure Used | No treatment |
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