Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story concrete building built in 1985. Main entrance has a coded lock, code is 1985. Elevator and central stairwell. Street parking available. Building has a fire suppression system. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6823° N, 18.0934° W. Nearest landmark: Akureyri Art Museum.
75-year-old female, suspected sepsis. Primary symptoms: High fever (39.5°C), chills, confusion, rapid breathing, and heart rate. Secondary symptoms: Weakness, dizziness, and decreased urine output. Patient is pale and diaphoretic. Patient is semi-conscious and difficult to rouse. Medical history: Type 2 diabetes, recent urinary tract infection treated with antibiotics last week. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Amoxicillin 500mg three times daily (finished course 3 days ago). No known allergies. Last meal was a small bowl of yogurt at 07:00.
Timeline: 0600 hours: Patient woke up feeling unwell, with chills and mild fever. 0700 hours: Patient had a small breakfast. 0900 hours: Patient's condition worsened, with increasing fever, confusion, and rapid breathing. 0930 hours: Caller noticed patient's condition deteriorating and called emergency services. 0935 hours: Current time, patient is semi-conscious, difficult to rouse, and showing signs of septic shock. Prior Events: Patient had a UTI last week, treated with antibiotics. Patient has been generally healthy aside from diabetes. No recent hospitalizations or surgeries. Patient lives alone, but daughter checks in daily.
Initial Impression: Suspected Sepsis with Septic Shock Justification for F1 Classification: - High probability of life-threatening condition based on vital signs and symptoms - Altered mental status, high fever, tachycardia, and tachypnea are indicative of severe infection and organ dysfunction - Time-critical condition requiring immediate medical intervention to prevent further deterioration and death Differential Diagnoses: 1. Sepsis (high probability) 2. Severe Pneumonia (less likely without significant respiratory symptoms) 3. Diabetic Ketoacidosis (less likely given no history of missed insulin doses) 4. Severe Dehydration (less likely given no significant fluid loss) Required Actions: - Immediate dispatch of ALS ambulance with pre-hospital sepsis protocol - Early notification of receiving hospital to prepare for septic patient - Pre-arrival instructions for caller to monitor patient and provide basic support