Hafnarstræti 94, 600 Akureyri, ground floor apartment 1B. A three-story, older wooden building with a stone foundation, built in 1930. Main entrance is at street level with a single door. No elevator, stairs lead to upper floors. Street parking available. No known security features. Current conditions: 7°C, overcast, moderate visibility. GPS coordinates: 65.6829° N, 18.0888° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, primary symptoms: altered mental status, high fever, rapid breathing, and fast heart rate. Secondary symptoms: shivering, feeling very weak, not responding well to questions. Patient is pale and sweaty. History of recent urinary tract infection treated with antibiotics last week. Patient is at home in bed. Medical history: Type 2 diabetes, hypertension, previous heart attack 5 years ago. Medications: Metformin 1000mg twice daily, Lisinopril 10mg daily, Atorvastatin 20mg daily, Acetylsalicylic acid 75mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1400 hours: Patient felt unwell, started shivering and felt feverish. 1500 hours: Patient took paracetamol, symptoms worsened, became confused. 1600 hours: Patient’s breathing became rapid, heart rate increased, became increasingly lethargic. 1615 hours: Patient's son found him unresponsive, called emergency services. 1620 hours: Current time, patient is barely responsive and looks very ill. Prior Events: Patient had a UTI last week, treated with a 5-day course of Ciprofloxacin. Completed antibiotics 2 days ago. Patient has been compliant with his other medications. No recent hospitalizations besides the UTI treatment. Patient lives alone, but his son checks on him daily.
Initial Impression: Suspected Sepsis Justification for F1 Classification: - Altered mental status, high fever, tachycardia, and tachypnea are strong indicators of sepsis. - Patient's recent UTI increases the likelihood of a systemic infection. - Time-sensitive condition requiring immediate medical intervention. - High risk of rapid deterioration and potential for organ failure. Differential Diagnoses: 1. Sepsis (high probability) 2. Severe Dehydration (less likely given fever) 3. Diabetic Ketoacidosis (possible, but less likely given the symptoms) 4. Acute Myocardial Infarction (less likely given primary symptoms, but possible due to medical history) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Notification of hospital emergency department about potential sepsis case. - Initiation of sepsis protocols upon arrival, including fluid resuscitation and broad-spectrum antibiotics.