MIRF REPORT
Request:
Fall with arm pain
Campus:
Vista
Location/Building:
[68]
Date of Incident:
February 25, 2025
Time of Incident:
7:30 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Ethan Aclan (13 yrs), Sharon Aclan (Mom) 858-750-8386
Describe Medical Event:
During the 8th grade mid-group game, Ethan fell and another person fell on top of his arm, near the elbow. Ethan had slight pain just below the elbow and had difficulty straightening his arm. Ethan informed us that both of his arms were broken in Sept 2024 and he had surgery to correct them.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jon Fecteau
Mike Neuwirth
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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