Aðalgata 23, 550 Sauðárkrókur, single-story detached house built in 1968. Main entrance faces the street. No stairs at the entrance. Gravel driveway. No security features. Current conditions: 3°C, clear skies, good visibility. GPS coordinates: 65.7467° N, 19.6453° W. Nearest landmark: Sauðárkrókur swimming pool.
72-year-old male, found unresponsive. Primary symptoms: Unresponsive, agonal breathing, pale and clammy skin. Secondary symptoms: None reported by caller. Patient found on the floor in the living room. Medical history: COPD, hypertension, type 2 diabetes. Medications: Salbutamol inhaler PRN, Metformin 500mg BID, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient was last seen by family member, appeared normal 1430 hours: Caller found patient unresponsive on living room floor 1431 hours: Caller initiated emergency call 1432 hours: Current time, patient remains unresponsive with agonal breathing Prior Events: Patient has history of COPD exacerbations, last exacerbation requiring hospitalization 3 months ago. Recent upper respiratory infection 2 weeks ago, treated at home. No recent changes to medications. Patient lives alone, daughter checks in daily.
Initial Impression: Respiratory Failure secondary to COPD exacerbation with possible cardiac arrest Justification for F1 Classification: - Unresponsive patient with agonal breathing indicates immediate life threat - High probability of respiratory arrest and cardiac arrest - Time-critical condition requiring immediate advanced life support Differential Diagnoses: 1. COPD Exacerbation leading to respiratory failure (most likely) 2. Acute Myocardial Infarction (possible given age and history) 3. Pulmonary Embolism (possible, but less likely) 4. Stroke (less likely given presentation) 5. Hypoglycemia (possible, but less likely given no known insulin use) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate notification of receiving hospital of critical patient status - Initiation of BLS and ALS protocols, including oxygenation and possible intubation