Emergency Scenario 550_f1_2

F1

Location Information

Full Location:
Aðalgata 14, 550 Sauðárkrókur. Two-story wooden residential building constructed in 1955. Main entrance has a single wooden door. Street parking available. Building has no specific security features. Current conditions: 8°C, overcast, good visibility, dry roads. GPS coordinates: 65.7462° N, 19.6418° W. Nearest landmark: Sauðárkrókur Church.
Municipality: Sauðárkrókur
Postal Code: 550

Emergency Details

Type: Cardiac Arrest
Priority Level: F1
Response Time Goal: Immediate (0-15 minutes)
Description:
68-year-old male, found unresponsive. Primary symptoms: Unresponsive, not breathing, no pulse. Secondary symptoms: None reported. Patient found on the floor in his living room. Medical history: History of hypertension, previous myocardial infarction (MI) 5 years ago. Medications: Metoprolol 50mg daily, Aspirin 75mg daily, Atorvastatin 20mg daily. No known allergies. Last meal was lunch at 13:00. 

History of Events

Timeline:
15:45 hours: Patient was watching TV, seemed normal
16:00 hours: Caller found patient unresponsive on the floor
16:01 hours: Caller called emergency services
16:02 hours: Current time, patient still unresponsive, no breathing

Prior Events: Patient had a routine check-up 6 months ago, stable condition reported. No recent complaints of chest pain. Patient lives alone, but has regular contact with family.

Diagnostics

Initial Assessment

Initial Impression: Cardiac Arrest
Justification for F1 Classification:
- Unresponsive, not breathing, no pulse are clear indicators of cardiac arrest, a life-threatening emergency requiring immediate intervention.
- Time-critical condition with a very short window for effective resuscitation.

Differential Diagnoses:
1. Cardiac Arrest (high probability)
2. Severe Hypoglycemia (less likely, no history of diabetes reported)
3. Stroke (less likely, primary presentation is not neurological)
4. Severe Hypoxia due to other causes (less likely given no reported respiratory distress prior to event)

Required Actions:
- Immediate dispatch of ground EMS with ALS capabilities
- Instructions to caller for CPR
- Early hospital notification for cardiac arrest team activation

Final Diagnosis

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?
Caller I think my father is dead! He's not breathing and won't wake up.
Dispatcher Okay, I'm sending help. What is your address?
Caller It's Aðalgata 14 in Sauðárkrókur.
Dispatcher Help is on its way. Is he completely unresponsive?
Caller Yes, he's not moving or breathing! I can't feel anything.
Dispatcher Okay, I need you to start chest compressions. Place your hands in the middle of his chest and push hard and fast.
Caller Okay, okay, I'm pushing. How fast?
Dispatcher About 100-120 times per minute. I will guide you. Just keep pushing.
Caller I'm doing it... I'm so scared.
Dispatcher You are doing great, keep going. Help is almost there.

Scenario Number: 550_f1_2

Generated At: 2024-12-15T09:22:26.666779

Report Created: 2024-12-15 20:59:49