Hlíðarvegur 22, 600 Akureyri, single-family detached house. Two-story wooden structure built in 1965. Main entrance has three steps. No elevator. Driveway access with parking. Building has basic security with a standard lock. Current conditions: 3°C, overcast, light snow, moderate visibility. GPS coordinates: 65.6759° N, 18.0873° W. Nearest landmark: Glerártorg shopping center.
45-year-old male, involved in a high-speed car accident. Primary symptoms: Unresponsive, suspected head injury, obvious chest trauma, significant bleeding from multiple lacerations, possible fractured femur. Secondary symptoms: Gurgling respirations, shallow breathing, pale skin, rapid pulse. Patient is trapped inside the vehicle. Car is severely damaged. Multiple casualties are reported at the scene. Medical history: No known allergies, no significant past medical history, no regular medications. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: High-speed vehicle collision involving two cars 1411 hours: Multiple bystanders call emergency services 1412 hours: Caller, a bystander, reports unresponsive male trapped in one vehicle 1413 hours: Caller reports severe injuries and bleeding 1414 hours: Current time, patient still trapped, no change in condition. Prior Events: Unknown. The incident occurred suddenly and unexpectedly. The vehicle was traveling at high speed before the collision. No prior medical information available for the patient.
Initial Impression: Critical Multi-System Trauma, Suspected Head Injury, Chest Trauma, Hemorrhage, Possible Femur Fracture Justification for F1 Classification: - Unresponsive patient with significant trauma - High risk of airway compromise and hypovolemic shock - Time-critical situation requiring immediate ALS intervention and rapid transport Differential Diagnoses: 1. Traumatic Brain Injury (high probability) 2. Tension Pneumothorax (high probability) 3. Hemothorax (high probability) 4. Femur Fracture (high probability) 5. Internal Hemorrhage (high probability) 6. Spinal Injury (high probability) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Dispatch of fire rescue for extrication - Notification of trauma center for potential transfer - Airway management, hemorrhage control, and spinal immobilization protocols initiation - Preparation for rapid transport to hospital with trauma services