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Incident Number: V2000360 Patient Name: Mercado, Miguel <br />Incident Date/Time: 01/20/2020 23:26:1 0 <br />OCEMS Patient Care Report v6 (with Attachments) <br />Incident Information <br />Incident Date/Time: 01/20/2020 23:26:10 <br />Incident#: V2000360 <br />Incident Location: Residential: Single-family residence <br />(SFR), Apartment, Condo, Mobile <br />Home <br />Incident Address: <br /> <br />District: V3320W <br />Base Hospital: Huntington Beach Hospital <br />BH Contacted: 01/21/2020 <br />23:47:09 <br />Specialty Center Trauma <br />Triage: <br />Number of Patients Single <br />at Scene: <br />EMS Provider: Fountain Valley Fire Department, <br />e9ca8a0f-48c4-4709-8ccb- <br />f6142cca9ae0 <br />Unit#: VE32/VE32 Level: ALS <br />Type of Unit: Engine/ Truck/ Paramedic Van <br />First EMS Unit on Yes <br />Scene: <br />Patient Disposition: 911 BHC -Treated and Transported <br />ALS with Base Hospital Co n tact <br />Transport Agency: Care Ambulance Service <br />(1639131436) <br />Transporting 255 <br />Unit#: <br />Destination: UCI Medical <br />Center <br />Reason: Regional Specialty Center <br />(f rauma/Cardiac/Stroke) <br />Patient Information <br />Name: Mercado, Miguel <br />Address: <br />Age: 31 Years <br />Gender: Male <br />D.O.B.: 11/9/1988 <br />Weight: 81. 6 kg <br /> <br />United States <br />Race: Not <br />Recorded <br />Complaint <br />Cardiac arrest <br />Dispatch Complaint: Traumatic Injury <br />Barriers to Care: None Noted <br />Patient Condition <br />Type <br />Chief {Primary) <br />Duration <br />15 Minutes <br />Provider Impression <br />Primary Impression: Card iac Arrest (fraumatic) <br />Narrative <br />EMS Agency Name: Fo untain Valley Fi re Department <br />PCR #: ca2a4d0a46f1453f81898d0d1 ccf <br />eb65 <br />Transporting Agency: Care Ambulance Servlce <br />(1639131436) <br />Printed: 01/22/2020 08:55 <br />Page 1 of9