C- Incident Case Report Chicago Fire Department Boreau of Fire Suppression & Rescue eaten avian aja aoa High Profile Incident epering Ofice- Capt. Patrick G McLaughlin [Raierat Corea Otc on Sse None CHD Gn See (Fo Be Typed Or Printed in Block Ink Only) [Fine at neon 0031 hrs pas of nian Octorber 17,2019 Alisho Yen [Ty Wines [aaa Prone FFIPM Gloria Kehos E29 [ey Wines Raa Phone FF Robert Raske E29 3 Wines: aad Pose |CFF Walter Rochet E29 Fs Wines radios howe Eng, Harry Rolston. E29 [Sears (Derenbe he Wen Whae Where om tne Whny Canine oo Revere Se Nena IAt above incident, Engine 29 arrived at 34th/Aberdeen where Chicago Police were already on the Iscene. | was informed by the CPD that no patient was on the scene. Engine 29 returned to quarters in service. Fas Contes op Rove eT Rigaure Repay Ts ester [pe : Engine 29 10/19 2019 an Tokay Reosomenags (Use Revers Sige Newssny) [aston tatzvRatontiendtogs (Use Revere Sie Tt Necoay = j » [actos Taken Resommeraton (ne Reverse Side Neoasna)Incident t92900038 City of Chicago Fire Department tren 2510 kan Ave 20 lor Impression: — hope cose fr) 69705 GxieSatis: GLoseD Stic Dost ‘Abin appro | Dispatch oui Incident Numb s9200008 eter ieee Dost Cancla.on Scone Me Patent | | sone persongowvraon | agate Aly faa oes | | Middle Name: J. Cen Levet First Responder eet | SMD Card Number UN |) coma conn: 15088 a WSETHPLISABEROEENST | ge Fre cree 0 noe | swe io |) tas Lettre RAGKE Pst ROBERT ow ovteaeo Aieige Nam. Contre EMT-Bale Cow Con Zo cow al | bane | comsiet | at: FEAT je 0 at nana | | ee | Response Lstcet sign ena ‘sit Foz ‘env Requested $14 Response (Scene) Response Mose to Emergent (nmadate Cowes 1540 Lot Name MGLAUGHUN Ft Nae: Seane Response | tewtctene Azuma Mart ota ne Pe aeainieate te ae ‘se Nome. Cont Levok EMT Paramedic Dipah Crom Conta 20448 | | Delays. | gues Digathod nro 00:00 eee eee eee cna |) enrowe saves o048 fees eeeeecee || arscane terres ooo iL || tasenice amsiqaien ene ese ssa sense sorr2e19 0042.00 (PS Longitude sres3e13 | ors use easier Page 12Ireiont: 192800038 City of Chicago Fire Department Patient: ‘3510 § Michigan Ave. 2nd loot pee Chicago IL 60553 (312) 745-3705, eee ene EMS Crew Mater (Othe) ENS Primary Cate Provider ((or | — | MCLAUGHLIN, PATRICK 2810-17 04055 KEHOE, CLORA 2bio so.sr cance Sone Teer | MCLAUGHUN, PATRICK @ Sina | KEHOE, GLORIAL t / == |City of Chicago Fire Department Indore tn2800098 36108 ign Ave, 2nd Floor Ipresion: ricage oss (9) 1453705 (Coee Status: GLoseD Offs! Document SS Cs CoS Payment eo i astm ou eos = ae | Pretesionl Cow Cut: 900876099 bora a | ree: re Paneer ee ete impact # 20904 Last Name: ARAGONES First || Seeemire tr rmcstom Zecaie soon | oe ACC crsioree 1-2 name | | ty cntcaco reused Gores se hare Cow Cot Response 22782 Cee! Ea Panne | vntcarsen agp | times svn ts i] Sone Reawat 11 Response (See) Depacee ——_saetzeront20 own ode tnerar med Enos snaorn amaze See Scope Wnewice —__sornenscnstco | wor te Lecaenon ars | Steck i Tuntrind Wen Deby | fesse tance scons | | Seon ___ ais Prion Gare Report Pave tet?City of Chicago Fire Department 2510 § Michigan Ave, 2nd Floor (chicago 0853092) 745.3705. Dei Odean ENS Crew Member (othe) | aracones ae | roverorronaest | row Signa || aRacones, MRAM | | L i EMS Prinary Care Provide (for this even (GHEANG, RAYMOND 92000038 SLosepOFFICE OF EMERGENCY MANAGEMENT AND COMMUNICATIONS Event Query Report [Event Number: #9290038 UNK+ Date : “""12019-10-17 00:30:48.0 it Dispatch Group : ESC [E29 Disposition ; 1S [Response Level 0 Caller Name : Caller Phone = 0000000000 |Occurance Beat : Location Of Srvc. |W 34TH PL/S Location Of Occ. : |W 34TH PL/S ABERDEEN ST ABERDEEN ST Init. Event Type: UNK* info = INB BLK CHEVY |TAHOE, STGL: Loc Remarks: [NB BLK CHEVY TAHOE (Anonymous : Event Chronology Date Work | Person | Activity ‘Comment Station Oct 17,2019 REC 00:28:53 Oct 17, 2019 FCT?1 EE211 ALERT Go To Card [UNK] 00:29:43 Oct 17, 2019 FCT71 EE211 ISIN 002 Age? (A) 00:20:45 Oct 17, 2019 FCT?1 E211 ISIN 001 Sex? (M) 00:29:45, Oct 17, 2019 FCT71 E211 SIN 004 Conscious? (N) 00:29:47 Oct 17, 2019 FCT71 EE211 ALERT Exceed the limit for ALS+ 00:29:47 Oct 17, 2019 FCT74 EE211 ALERT Go To UNCON Card 00:29:48 Oct 17, 2019 FCT71 E211 ALERT Go To Card [UNCON] 00:29:50 Oct 17, 2019 FCT71 EE211 ALERT Exceed the limit for ALS+ 00:29:50 Oct 17,2019 | FoT71 | EE2ti | SIN 003 Breathing? (U) 00:30:01 Page 1 of 4Event Chronology Date Work | Person | Activity ‘Comment Station Oat 17,2019 | FoT7t | EE217 | ENTRY 00:30:48 Oct 17,2019 | FETT | EE21T |LOCOVR| DispGrp: FSC->ESC 00:30:48 Oct 17,2019 | Fo8S | SL3i7 | UR E20 AGB AVL: E29 AGB 00:30:50 Octi7, 2019 | Foes | Si3ii | DSP ‘AGB E25 00:31:00 Oct 17, 2019 |AENGO49| aengo49 | ACK 68 00:31:11 ‘Oct 17, 2019 |AENGO2S | aeng029 | ACK E29 00:31:19 Oct 17, 2019 |FMDT1242} A6a | ENR AGE 00:33:13, Oct 17,2019 | FDaS | Si3i1 | UR 00:34:10 Oct 17,2079 |FMDT142i| E29 | ENR E29 00:34:19 Oct 17,2019 | Fas | SiSiT | UR 00:34:41 Oct 17,2019 fFMOT142i|_ E29 | ONS: E29 00:36:28 Oct 17,2019 |FMOTI42i[~ E29 | RTO E29 00:38:02 Oct 17,2019 fFMDTI242{ AGB | RTQ 768 00:38:19 Oct 17,2019 JEMDTI242] ABs | AIG 68 00:43:29 Oa i7, 2019 FMOTI42i/_ E29 | AIQ E29 00:43:35 Got 17, 2019 JFMOTI42i| E29 | CLOSE 00:43:35 RMKS | DRIVER SLUMPED OVER WHEEL AT STOP SIGN PASSERBY CALLER Unit Summary Unit Date Unit Status 68 Oct 17, 2019 00:31:00 Ds AGB Oct 47, 2019 00:31:11 ACK Page 2 of 4Unit Summary Unit Date Unit Status AGB ‘Oct 17, 2019 00:33:13 ENR AGB Oct 17, 2019 00:38:19 RTQ AGB Oct 17, 2019 00:43:29 Ala E29 ‘Oct 47, 2019 00:31:00 ols: E29 Oct 17, 2019 00:31:19 ACK £29 Oct 47, 2019 00:34:19 ENR £29 Oct 17, 2019 00:36:28 ‘ONS: E29 Oct 17, 2019 00:38:02 RTQ E29 Oct 17, 2019 00:43:35 AIG Page 3 of 4Page 4 of 4Chicago Fire Department Incident Report Incident DateTime incident Type 10/17/2019 00:30:48 300 - Rescue, EMS incident, other Amendments [Amended By 15405-MC LAUGHLIN PATRICK 10/19/2019 06:32:05 Captain Incident Incident # 19-290-0038-00 [Status Closed [Dispatch Date/Time Snroute Date/Time lArrival Date/Time ICleared Date/Time [Unit Report By 10/17/2019 00:31:00 10/17/2019 00:34:19 10/17/2019 00:36:28 10/17/2019 00:43:35 1405 |Boxt 115758 [Platoon 2 lAddress W34TH PL Ward " Shift 2 JAtams 0 District E29 [Action Taken! OON - No Action Taken Property Use, 962 - Residential street, road or residential driveway Resources Unit Responsible for Report: £29 Unit Type 11 Engine Action Taken! ON - No Action Taken 10/21/2019 10/21/2019 - Page 1 Page 1 of |Wer Yachked NSS her) avo Wt CPS Ke leant Koay hue