Hafnargata 15, 735 Norðfjörður. Two-story wooden house built in 1955, main entrance on the north side with a small porch, no elevator. Parking available on the street. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.2083° N, 13.9833° W. Nearest landmark: Norðfjörður harbor.
65-year-old male, suspected sepsis. Primary symptoms: High fever (39.5°C), chills, confusion, rapid breathing (28 breaths per minute), and rapid heart rate (120 bpm). Secondary symptoms: Generalized weakness, decreased urine output, and pale skin. Patient is lethargic but arousable to verbal stimuli. History of recent urinary tract infection treated with antibiotics last week. Patient is at home, in bed. Medical history: Type 2 diabetes, hypertension, and recent UTI. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, completed a 7-day course of Ciprofloxacin last week. No known allergies. Last oral intake was a small cup of tea at 07:00.
Timeline: 0800 hours: Patient reports feeling unwell, mild chills and fatigue. 0900 hours: Patient's condition worsens, fever develops, and confusion begins. 0930 hours: Patient becomes increasingly lethargic, rapid breathing and heart rate noted by wife. 0945 hours: Wife calls emergency services, patient is difficult to arouse. 0950 hours: Current time, patient is in bed, responsive to voice but confused. Prior Events: Patient had a urinary tract infection last week, treated with antibiotics. He completed the antibiotic course 2 days ago. No recent travel or other significant events. Last medical check-up 6 months ago, routine follow-up for diabetes and hypertension. Patient lives with his wife, who is the caller.
Initial Impression: Suspected Sepsis secondary to recent UTI Justification for F1 Classification: - High probability of life-threatening infection based on SIRS criteria (fever, tachycardia, tachypnea, altered mental status) - Rapid progression of symptoms with lethargy and confusion - Time-critical condition requiring immediate medical intervention and transport to hospital Differential Diagnoses: 1. Sepsis (high probability) 2. Severe Dehydration (less likely given fever) 3. Diabetic Ketoacidosis (less likely given no history of missed insulin) 4. Acute Myocardial Infarction (less likely given absence of chest pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - Early hospital notification for potential sepsis protocol activation - Immediate transport to nearest hospital with ICU capabilities - Initiate IV access and fluid resuscitation per protocol