Hafnarstræti 96, 600 Akureyri, third floor apartment 3B. A four-story concrete building built in 1965. Main entrance has a coded lock, code is 1965. There is an elevator and a central staircase. Street parking is available. The building has a fire alarm system. Current conditions: 7°C, cloudy, light wind. GPS coordinates: 65.6819° N, 18.0901° W. Nearest landmark: Akureyri Art Museum.
72-year-old male, suspected sepsis. Primary symptoms: High fever (39.5°C), chills, confusion, rapid breathing, and altered mental status. Secondary symptoms: General weakness, muscle aches, and decreased urine output. Patient is lethargic and disoriented. Skin is flushed and warm. Medical history: Type 2 diabetes, history of urinary tract infections, and recent pneumonia 2 weeks ago treated with antibiotics. Medications: Metformin 1000mg twice daily, Ramipril 5mg daily, and Paracetamol 500mg as needed. Allergies: Penicillin. Last meal was a light soup at 12:00.
Timeline: 1400 hours: Patient started feeling unwell with mild flu-like symptoms. 1600 hours: Fever developed, along with chills and muscle aches. 1700 hours: Patient became increasingly confused and lethargic. 1800 hours: Daughter arrived to check on him and found him disoriented, breathing rapidly, and with a high fever. 1805 hours: Daughter called emergency services. 1807 hours: Current time, patient is lethargic and confused. Prior Events: Patient had a urinary tract infection (UTI) 2 months ago. Recently recovered from pneumonia treated with antibiotics 2 weeks ago. Patient lives alone, but daughter checks on him daily.
Initial Impression: Suspected Sepsis Justification for F1 Classification: - High fever, altered mental status, and rapid breathing indicate severe systemic infection. - Patient's recent history of pneumonia and UTIs increases risk for sepsis. - Time-critical condition with high mortality risk requiring immediate intervention. Differential Diagnoses: 1. Sepsis (high probability) 2. Severe pneumonia (less likely given confusion and rapid progression) 3. Meningitis (less likely without neck stiffness) 4. Diabetic ketoacidosis (less likely given lack of specific symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities. - Immediate notification to the receiving hospital of a potential sepsis case. - Pre-hospital sepsis protocol initiation, including IV access, fluid bolus, and oxygen administration.