MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
June 1, 2025
Time of Incident:
11:15 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Kyle Rathfon (patient)
760-518-5895
Abby Tjepkema (friend)
661-378-7104
Describe Medical Event:
Patient had a syncopal episode in Live during the worship portion. Medical was notified and immediately assessed the patient. By the time we arrived, he had regained consciousness and he was escorted outside by wheelchair where he was further assessed.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Brandt Sisson
Matt Snyder
Gary Horn
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]
If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form