Miðvangur 11, 700 Egilsstaðir, single-story detached house. Built in 1985. Main entrance is via a single front door with a small porch. No security features. Parking available in the driveway. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2631° N, 14.3938° W. Nearest landmark: Egilsstaðir Airport.
65-year-old male, found unresponsive at home. Primary symptoms: Unresponsive, not breathing, no pulse. Secondary symptoms: None reported. Patient is lying on the living room floor. Medical history: Previous myocardial infarction 5 years ago, hypertension, type 2 diabetes. Medications: Metoprolol 50mg twice daily, Lisinopril 10mg daily, Metformin 500mg twice daily, Aspirin 75mg daily. Known allergy to penicillin. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient was last seen conscious and feeling well. 1430 hours: Caller found the patient unresponsive on the living room floor. 1432 hours: Caller called emergency services. 1434 hours: Current time, patient remains unresponsive, not breathing, no pulse. Prior Events: Patient has a history of cardiac issues, managed with medications. No recent hospitalizations. No recent changes in medication. Patient lives alone. No witnesses to the collapse.
Initial Impression: Cardiac Arrest Justification for F1 Classification: - Patient is unresponsive, not breathing, and pulseless, indicating a life-threatening emergency. - Requires immediate intervention including CPR and defibrillation. - Time-critical condition with high risk of mortality if not treated promptly. Differential Diagnoses: 1. Cardiac Arrest (most likely given presentation and history) 2. Severe Hypoglycemia (less likely given no prior reports of severe hypoglycemia) 3. Massive Stroke (less likely given sudden onset of unresponsiveness and absence of breathing) 4. Pulmonary Embolism (less likely given sudden onset of unresponsiveness and absence of breathing) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Dispatch of first responders with AED if available. - Pre-arrival instructions for CPR to the caller. - Early notification of hospital to prepare for potential cardiac arrest patient.