Miðvangur 15, 700 Egilsstaðir, Single-story residential home built in 1995. Main entrance is accessible via a short walkway. No known security features. Flat terrain, asphalt road access. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2667° N, 14.3999° W. Nearest landmark: Egilsstaðir Airport.
68-year-old male, altered mental status, suspected sepsis. Primary symptoms: Confusion, high fever (39.5°C), rapid breathing, rapid heart rate. Secondary symptoms: Weakness, chills, decreased urine output. Patient is unresponsive to verbal stimuli. Skin is pale, mottled. Patient found in bed by his wife. Medical history: Type 2 diabetes, hypertension, recent urinary tract infection (UTI) treated with antibiotics 5 days ago. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Amoxicillin 500mg three times daily (finished 2 days ago). No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1600 hours: Patient reported feeling unwell, chills and fatigue 1700 hours: Patient developed fever, became increasingly confused 1800 hours: Patient's wife found him unresponsive in bed, called emergency services 1805 hours: Current time, patient unresponsive, wife reports rapid breathing and heart rate. Prior Events: Patient completed a 7-day course of Amoxicillin for UTI two days prior. No recent hospitalizations or other significant health events. Patient lives with his wife. Patient was generally healthy before this episode.
Initial Impression: Suspected Sepsis secondary to unresolved infection. Justification for F1 Classification: - Altered mental status, high fever, tachycardia, and tachypnea indicate a severe systemic infection. - Unresponsiveness and rapid deterioration suggest a life-threatening condition requiring immediate intervention. - Recent UTI and antibiotic use raise concern for antibiotic-resistant infection or treatment failure. Differential Diagnoses: 1. Sepsis (high probability) 2. Septic Shock (high probability given unresponsiveness) 3. Severe Dehydration (less likely given fever and lack of vomiting/diarrhea) 4. Diabetic Ketoacidosis (less likely, no history of recent illness) 5. Stroke (less likely, no focal neurological deficits reported) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate notification of receiving hospital for potential ICU admission - Initiation of sepsis protocol, including oxygen therapy, IV access, and fluid resuscitation - Consideration of early antibiotic administration