Miðgarður 15, 700 Egilsstaðir. Single-story detached house built in 1985. Main entrance with a single step. Gravel driveway. No security system. Current conditions: 8°C, cloudy, light wind, good visibility. GPS coordinates: 65.2678° N, 14.3938° W. Nearest landmark: Egilsstaðir Airport.
68-year-old male, sudden onset of severe illness. Primary symptoms: High fever (39.5°C), rapid breathing, altered mental status (confused and disoriented), severe chills, and reported general weakness. Secondary symptoms: Recent urinary tract infection (UTI) treated with antibiotics 3 days ago. Patient is pale and clammy. Medical history: Type 2 diabetes, hypertension, and previous UTI. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, recent course of Ciprofloxacin 500mg twice daily (completed 2 days ago). No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient reported feeling unwell with mild fever and chills. 1500 hours: Symptoms worsened with increased fever and rapid breathing. 1600 hours: Patient became increasingly confused and disoriented. Wife noticed he was very pale and clammy. 1615 hours: Wife called emergency services. 1617 hours: Current time, patient is now very weak and barely responsive. Prior Events: Patient had a UTI diagnosed 5 days ago, treated with Ciprofloxacin, finished 2 days ago. Patient has been generally well otherwise, but noted fatigue in recent days. No recent travel or other exposures.
Initial Impression: Suspected Sepsis secondary to recent UTI Justification for F1 Classification: - Patient exhibits signs of severe systemic infection (high fever, tachycardia, altered mental status) - Rapid deterioration of condition with significant risk of organ failure - Time-critical condition requiring immediate medical intervention Differential Diagnoses: 1. Sepsis secondary to UTI (high probability) 2. Severe Pneumonia (less likely given lack of significant cough) 3. Meningitis (less likely given lack of neck stiffness) 4. Diabetic Ketoacidosis (less likely, no known history of uncontrolled diabetes) Required Actions: - Immediate dispatch of ALS ground ambulance - Pre-notification of hospital to prepare for potential sepsis patient - Early initiation of sepsis protocol (IV fluids, oxygen, antibiotics if available)