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.
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.
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.
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