Emergency Scenario 700_f1

Location Information

Full Location:

Miðgarður 11, 700 Egilsstaðir. Two-story wooden residential building built in 1965. Main entrance on the ground floor with a small porch. One staircase. Street parking available. No specific security features, but the building is well-lit. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2688° N, 14.3934° W. Nearest landmark: Egilsstaðir Swimming Pool.

Municipality: Egilsstaðir

Postal Code: 700

Emergency Details

Type: Major Trauma

Priority Level: F1

Response Time Goal: Immediate (0-15 minutes)

Description:

35-year-old male, involved in a serious motorcycle accident. Primary symptoms: Unresponsive, severe head injury, multiple fractures, heavy bleeding from leg wound. Secondary symptoms: Agonal breathing, pale skin, rapid and weak pulse. Patient lying on the side of the road, motorcycle is severely damaged. No witnesses present. Medical history: None reported, no known allergies. Medications: None reported. Last meal unknown. Incident occurred approximately 5 minutes ago.

History of Events

Timeline:
1310 hours: Patient was driving a motorcycle on Miðgarður road.
1311 hours: Motorcycle lost control and crashed into a guardrail. Patient was thrown from the motorcycle.
1312 hours: Caller, a passerby, discovered the patient and called emergency services.
1313 hours: Current time, patient remains unresponsive with agonal breathing.

Prior Events: Patient was seen leaving the town center on his motorcycle. No known recent health issues reported. No known alcohol or drug use reported.

Diagnostics

Initial Assessment

Initial Impression: Severe Traumatic Injury, Unresponsive, High Likelihood of Traumatic Brain Injury (TBI), Multiple Fractures, Hemorrhage
Justification for F1 Classification:
- Unresponsive patient with agonal breathing, indicative of life-threatening condition
- Severe mechanism of injury (high-speed motorcycle accident)
- Heavy bleeding and potential for hypovolemic shock
- Time-critical need for immediate medical intervention

Differential Diagnoses:
1. Traumatic Brain Injury (high probability)
2. Hemorrhagic Shock (high probability)
3. Multiple Fractures (high probability)
4. Spinal Cord Injury (high probability)
5. Pneumothorax/Hemothorax (moderate probability)

Required Actions:
- Immediate dispatch of ground EMS with ALS capabilities and air ambulance if available
- Notification of hospital trauma team
- Rapid extrication and stabilization of patient
- Airway management and hemorrhage control
- Rapid transport to nearest trauma center

Final Diagnosis

Final Diagnosis: Severe Traumatic Brain Injury (TBI) with Diffuse Axonal Injury, Multiple Fractures (Femur, Tibia, Radius), Hemorrhagic Shock
Key Findings:
- CT scan revealed diffuse axonal injury and subdural hematoma
- X-rays confirmed fractures in the femur, tibia, and radius
- Significant blood loss led to hypovolemic shock
- Patient required intubation and mechanical ventilation

Outcome validated F1 priority assignment. Rapid transport and advanced medical intervention were critical. Patient was airlifted to the National Hospital in Reykjavik for specialized care.

Learning Points:
1. F1 classification was appropriate due to the high-risk nature of the injury and the patient's critical condition
2. Initial assessment accurately identified the severity of the injuries and the need for immediate intervention
3. Rapid transport and specialized care were essential for the patient's survival

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?

Caller There's been a terrible motorcycle accident! The guy is badly hurt! He's not moving!

Dispatcher Okay, I'm sending help. What is your location?

Caller It's on Miðgarður, number 11 in Egilsstaðir. The motorcycle is wrecked!

Dispatcher Help is on its way. Can you describe what you see?

Caller He's lying on the side of the road, not moving. There's blood everywhere! He's breathing funny, like gasping!

Dispatcher Is he awake? Can he talk to you?

Caller No, he's not awake at all! He's not responding! I don't know what to do!

Dispatcher Okay, stay calm. Don't move him. Is there anyone else around?

Caller No, I'm the only one here! Please hurry!

Dispatcher An ambulance is on its way. Do not move the patient. Stay on the line if possible.

Caller Okay, I will wait here! Please help him!