Person overdosed near First Street, Elma Heard on: Howard and Mitchell County Public Safety 00:19 00:00 Engine 451 and ambulance 453, overdose. Transcript This transcript is auto-generated from live dispatch audio and may be incomplete or inaccurate. It is not an official report and may change. 00:00 Engine 451 and ambulance 453, overdose. 00:04 (number withheld) First Street. 00:06 Engine 451 and ambulance 453, overdose. 00:10 (number withheld) First Street, between West Church Street and Westward Street. 00:15 Response 3, time out, 0132. 9/1/2026 11:31 PM Medical Emergency 1st St, Elma, IA 50628 View on map