Aðalgata 14, 550 Sauðárkrókur. Two-story residential building, built in 1965, concrete structure. Main entrance faces the street. No elevator. Stairwell access. Street parking available. No security features. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.7486° N, 19.6431° W. Nearest landmark: Sauðárkrókur Church.
78-year-old female, altered mental status, suspected sepsis. Primary symptoms: Confusion, lethargy, rapid breathing, fever. Secondary symptoms: Shivering, recent urinary tract infection. Patient is pale and diaphoretic. Patient is at home, in her bedroom. Medical history: Type 2 diabetes, hypertension, previous UTI. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Paracetamol 500mg as needed. Allergies: None known. Last meal was a light lunch at 13:00.
Timeline: 1500 hours: Patient reported feeling unwell, slight fever, and chills. 1700 hours: Patient became increasingly lethargic and confused. Daughter arrived at the home. 1715 hours: Daughter noticed rapid breathing and called emergency services. 1720 hours: Current time, patient is unresponsive to verbal stimuli, pale and diaphoretic. Prior Events: Patient had a UTI diagnosed 3 days ago, treated with antibiotics. No recent hospitalizations. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Sepsis Justification for F1 Classification: - High probability of life-threatening infection based on altered mental status, fever, rapid breathing, and recent UTI. - Time-sensitive condition requiring immediate medical intervention to prevent organ failure and death. - Patient's level of consciousness and vital signs indicate severe systemic infection. Differential Diagnoses: 1. Sepsis (high probability) 2. Severe Infection (high probability) 3. Hypoglycemia (less likely given history and symptoms) 4. Stroke (less likely given fever and history) 5. Dehydration (less likely given symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Immediate notification of hospital emergency department. - Rapid transport to the nearest hospital with ICU capabilities. - Initiation of sepsis protocol, including oxygen, IV access, and fluid resuscitation.