MIRF REPORT

Request:
Head injury

Campus:
San Marcos/Escondido

Location/Building:
[68]

Date of Incident:
January 29, 2023

Time of Incident:
9:40 AM

Number of Patients for this Incident:
[75]

List Patient(s) Name, Age, Parent/Guardian (if under 18),… :

Angel smith, 3yo, Alexander smith 760-216-1773

Describe Medical Event:

Angel was stepping off toy slide stairs and slipped and hit his head in metal chair. Witnessed by volunteer no LOC

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Chris

Was medical attention accepted?”:
Yes

Medical attention was refused by (name and relationship to… :

Was 911 emergency service called?:
No

Was patient transported via 911 emergency services?:
No

What hospital was victim transported to?:

NCS team lead:
[249]


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