Garðarsbraut 17, 640 Húsavík, second floor apartment 203. Three-story reinforced concrete building constructed in 1992. Main entrance requires key or intercom. One elevator and central stairwell. Street parking available. Building equipped with fire alarm system. Current conditions: 2°C, light snow, moderate visibility. GPS coordinates: 66.0478° N, 17.3359° W. Nearest landmark: Húsavík Church.
35-year-old male, involved in a severe motor vehicle accident (MVA). Primary symptoms: Unresponsive, labored breathing, significant head trauma with visible skull fracture, open fracture of the left femur, multiple lacerations. Secondary symptoms: Bleeding profusely from head wound and leg, pale and clammy skin. Patient found inside his severely damaged vehicle. Medical history: No known allergies, no significant past medical history, no medications reported. Last meal was a light lunch at 12:00. Events: Single vehicle rollover on Route 85 approximately 1 km south of Húsavík. Time of incident: Unknown, found by a passerby at 14:45.
Timeline: 14:30 hours: Estimated time of MVA based on vehicle damage and witness report 14:45 hours: Passerby discovers the vehicle, finds the patient unresponsive and severely injured 14:46 hours: Passerby calls emergency services 14:47 hours: Current time, patient still in the vehicle, unresponsive and in critical condition Prior Events: Patient was last seen at work at 12:30 hours, appeared normal and healthy. No known recent illnesses or injuries. Patient is a resident of Húsavík and is familiar with the area. No previous history of motor vehicle accidents or major traumas.
Initial Impression: Severe Polytrauma Following Motor Vehicle Accident Justification for F1 Classification: - Unresponsive patient with significant head trauma, open fracture, and uncontrolled bleeding - High risk of imminent death without immediate intervention - Time-critical condition requiring rapid dispatch of ALS resources Differential Diagnoses: 1. Traumatic Brain Injury (high probability, based on mechanism and presentation) 2. Hemorrhagic Shock (high probability, due to significant bleeding) 3. Open Femur Fracture (confirmed by caller report) 4. Internal Injuries (likely, based on mechanism of injury) 5. Spinal Injury (high probability, needs immobilization) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities - Dispatch of Air Ambulance if ground transport is not immediately viable - Preparation for rapid transport to nearest trauma center (Akureyri) - Airway management and hemorrhage control protocols to be initiated immediately - Notification of hospital trauma team