Emergency Scenario 550_f1_3

F1

Location Information

Full Location:
Aðalgata 14, 550 Sauðárkrókur. Two-story residential building, built in 1965. Main entrance on street level. No elevator, only stairs. Street parking available. Building has basic fire alarm system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.7462° N, 19.6448° W. Nearest landmark: Sauðárkrókur Church.
Municipality: Sauðárkrókur
Postal Code: 550

Emergency Details

Type: Sepsis
Priority Level: F1
Response Time Goal: Immediate (0-15 minutes)
Description:
76-year-old male, presenting with altered mental status and signs of severe infection. Primary symptoms: Confusion, lethargy, rapid breathing, fever. Secondary symptoms: Shivering, clammy skin. Patient is bedridden. Medical history: Type 2 diabetes, chronic kidney disease, recent urinary tract infection treated with antibiotics one week ago. Medications: Metformin 1000mg twice daily, Lisinopril 10mg daily, Insulin 10 units twice daily. No known allergies. Last meal was a light soup at 12:00. Patient has been increasingly unwell over the past 24 hours.

History of Events

Timeline:
1400 hours: Patient reports feeling unwell, increased fatigue
1800 hours: Patient develops fever and chills, becomes more confused
2000 hours: Patient's condition deteriorates further, rapid breathing, difficulty staying awake
2100 hours: Caller (son) finds patient unresponsive, calls emergency services
2105 hours: Current time, patient unresponsive, rapid breathing, caller is very worried

Prior Events: Patient had a UTI treated with antibiotics last week. Patient has been generally frail but stable. No recent changes in medications. Patient lives alone, but son checks on him daily. No recent hospitalizations besides the UTI.

Diagnostics

Initial Assessment

Initial Impression: Suspected Severe Sepsis
Justification for F1 Classification:
- Altered mental status, rapid breathing, fever, history of recent infection indicate severe sepsis with high mortality risk.
- Time-critical condition requiring immediate intervention to prevent organ failure and death.
- Patient is unresponsive and deteriorating rapidly.

Differential Diagnoses:
1. Sepsis due to UTI (high probability)
2. Septic shock (high probability, based on current status)
3. Diabetic ketoacidosis (less likely, no reported abdominal pain or vomiting)
4. Stroke (less likely, no focal neurological deficits reported)
5. Severe infection of unknown origin (possible)

Required Actions:
- Immediate dispatch of ALS ambulance
- Pre-hospital notification to hospital for potential ICU admission
- Start sepsis protocol in ambulance
- Oxygen administration and IV access for fluids and medications

Final Diagnosis

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?
Caller My father is very sick! I think he needs an ambulance right away!
Dispatcher Okay, I'm sending help. What is your address?
Caller It's Aðalgata 14 in Sauðárkrókur.
Dispatcher Help is on its way. Can you tell me what is happening with your father?
Caller He's very confused and breathing really fast. He's also burning up with a fever. He was fine yesterday.
Dispatcher Is he awake?
Caller He's not really responding. He's very sleepy and I can barely wake him up. He's just lying there.
Dispatcher Does he have any medical conditions?
Caller Yes, he has diabetes and kidney problems. He had a bad urinary infection last week, but he finished his antibiotics.
Dispatcher Okay, the ambulance is on its way. Please stay with him and try to keep him calm. Do not give him anything to eat or drink.
Caller Okay, I understand. Please hurry!

Scenario Number: 550_f1_3

Generated At: 2024-12-15T09:26:28.309613

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