MIRF REPORT

Request:
Accident

Campus:
Carlsbad

Location/Building:
[68]

Date of Incident:
June 4, 2021

Time of Incident:
7:55 PM

Number of Patients for this Incident:
[75]

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

Emi Arias , 7
Jen & Carlos Arias

Describe Medical Event:

Emi tripped and hit her head on a metal truss laying on the ground. Her parents had arrived to pick her up. They took her and they left to go to the hospital. It was reported she received stitches but was a “trooper”.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

None

Was medical attention accepted?”:
No

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

Was 911 emergency service called?:
No

Was patient transported via 911 emergency services?:
No

What hospital was victim transported to?:
Unknown

NCS team lead:
[249]


If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form