Emergency Scenario 700_f1_17

F1

Location Information

Full Location:
Miðgarður 11, 700 Egilsstaðir, Single-story detached house built in 1985. Main entrance faces the street. No security features. Street parking available. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2643° N, 14.3936° W. Nearest landmark: Egilsstaðir Airport.
Municipality: Egilsstaðir
Postal Code: 700

Emergency Details

Type: Cardiac Arrest
Priority Level: F1
Response Time Goal: Immediate (0-15 minutes)
Description:
65-year-old male, found unresponsive at home. Primary symptoms: Unresponsive, not breathing, no pulse. Secondary symptoms: None reported. Patient found on living room floor. Medical history: History of coronary artery disease, previous myocardial infarction 5 years ago, hypertension, type 2 diabetes. Medications: Aspirin 75mg daily, Metoprolol 50mg twice daily, Atorvastatin 20mg daily, Metformin 500mg twice daily. No known allergies. Last meal was dinner at 19:00 last night.

History of Events

Timeline:
0700 hours: Patient woke up feeling fine.
0800 hours: Patient had breakfast.
0900 hours: Patient was last seen by wife, reported feeling well.
0945 hours: Wife found patient unresponsive on the living room floor.
0947 hours: Wife called emergency services.
0948 hours: Current time, patient still unresponsive, no breathing or pulse.

Prior Events: Patient has been compliant with medications. No recent hospitalizations or changes in health status. Last medical check-up 6 months ago. No recent chest pain reported prior to this event.

Diagnostics

Initial Assessment

Initial Impression: Cardiac Arrest
Justification for F1 Classification:
- Unresponsive, not breathing, no pulse are clear indicators of cardiac arrest.
- Life-threatening condition requiring immediate intervention.
- Time-critical condition where every second counts for patient survival.

Differential Diagnoses:
1. Cardiac Arrest due to underlying heart condition (high probability)
2. Respiratory Arrest leading to Cardiac Arrest (less likely given no history of respiratory issues)
3. Hypoglycemia leading to unresponsiveness (less likely given patient's diabetes control)
4. Stroke (less likely given no focal neurological signs reported)

Required Actions:
- Immediate dispatch of ground EMS with ALS capabilities.
- Dispatch of first responders with AED.
- Pre-arrival instructions for CPR to caller.
- Early hospital notification for preparation for cardiac arrest protocol.

Final Diagnosis

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?
Caller My husband... he's not breathing! He's not moving!
Dispatcher Okay, I'm sending help right away. What is your address?
Caller It's Miðgarður 11, in Egilsstaðir.
Dispatcher Help is on its way. Is he awake? Can you talk to him?
Caller No, he's not awake! He's just lying there... I don't think he's breathing!
Dispatcher Okay, listen carefully. Can you check if he's breathing? Look at his chest. Is it moving?
Caller (Sobbing) No, I don't see any movement... I don't think he is breathing. I can't feel anything.
Dispatcher Okay, you need to start CPR now. Put your hands in the middle of his chest and push hard and fast. I'll guide you.
Caller Okay... okay, I'm pushing... I'm doing it.
Dispatcher Keep going. The ambulance is on its way. Keep pushing hard and fast. I am here with you.
Caller I am... I am... (Heavy breathing and sounds of pushing)

Scenario Number: 700_f1_17

Generated At: 2024-12-15T09:08:58.371640

Report Created: 2024-12-15 20:59:49