Hafnarstræti 18, 600 Akureyri, ground floor apartment 1B. Three-story concrete residential building constructed in 1965. Main entrance is accessible via a ramp. No elevator. Central stairwell. Street parking available. Building has a basic fire alarm system. Current conditions: 7°C, cloudy, moderate visibility. GPS coordinates: 65.6825° N, 18.0888° W. Nearest landmark: Akureyri Art Museum.
75-year-old male, experiencing severe symptoms indicative of sepsis. Primary symptoms: High fever (39.5°C), rapid heart rate (120 bpm), rapid and shallow breathing (28 breaths/min), confusion, and lethargy. Secondary symptoms: Shivering, clammy skin, and decreased urine output. Patient is weak and barely responsive. Medical history: Type 2 diabetes, history of recurrent urinary tract infections (UTIs). Medications: Metformin 1000mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was a small portion of soup at 12:00.
Timeline: 1400 hours: Patient reports feeling unwell, with mild chills and fatigue. 1600 hours: Patient develops a fever and starts feeling confused. 1700 hours: Patient's condition rapidly deteriorates, with increased heart rate and breathing difficulties. 1730 hours: Patient becomes increasingly lethargic and difficult to rouse. 1745 hours: Caller (patient's son) arrives and calls emergency services. 1750 hours: Current time, patient is barely responsive. Prior Events: Patient had a UTI treated with antibiotics two weeks ago. No recent hospitalizations or surgeries. Last medical check-up was 6 months ago, routine diabetes follow-up. Patient lives alone, but his son visits daily.
Initial Impression: Suspected Sepsis Justification for F1 Classification: - Multiple signs of systemic inflammatory response syndrome (SIRS) present: fever, tachycardia, tachypnea, altered mental status. - High risk of rapid deterioration and organ dysfunction if not treated promptly. - Time-critical condition requiring immediate medical intervention and transport to a hospital. Differential Diagnoses: 1. Sepsis (high probability) 2. Severe infection (e.g., pneumonia, pyelonephritis) with systemic involvement (likely) 3. Decompensated heart failure (less likely given presentation) 4. Severe diabetic ketoacidosis (less likely given lack of specific DKA symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiation of sepsis protocol, including fluid resuscitation and oxygen administration - Early notification to hospital of potential sepsis case - Rapid transport to nearest hospital with ICU capabilities