Miðstræti 14, 900 Vestmannaeyjar, ground floor of a two-story wooden residential building constructed in 1950. Main entrance has a single wooden door with a basic lock. No elevator, only internal staircase to the second floor. Street parking available. Building is not equipped with a fire alarm system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 63.4418° N, 20.2685° W. Nearest landmark: Landakirkja Church.
35-year-old male, sustained severe injuries from a fall from a ladder while working on the roof. Primary symptoms: Unresponsive, labored breathing, visible head trauma with active bleeding, suspected multiple fractures. Secondary symptoms: Cyanosis around lips, possible internal bleeding. Patient is lying on the ground outside the house. Medical history: No known allergies, no regular medications, no significant past medical history. Last meal was a sandwich at 12:00. Patient was working on the roof when the incident occurred.
Timeline: 1310 hours: Patient began working on the roof, using a ladder. 1325 hours: Neighbor heard a loud crash and found the patient on the ground, unresponsive. 1326 hours: Neighbor called emergency services. 1328 hours: Current time, patient remains unresponsive, bleeding from head wound. Prior Events: Patient has no prior history of falls or major injuries. He is a construction worker but was doing home maintenance. No recent illnesses or unusual activities prior to the incident.
Initial Impression: Severe Traumatic Injury with Suspected Head Injury and Multiple Fractures. Justification for F1 Classification: - Unresponsive patient with obvious head trauma and active bleeding. - Labored breathing and cyanosis indicate potential airway and respiratory compromise. - High risk of life-threatening complications, requiring immediate intervention. Differential Diagnoses: 1. Traumatic Brain Injury (high probability) 2. Cervical Spine Injury (high probability) 3. Multiple Fractures (high probability) 4. Internal Bleeding (high probability) 5. Pneumothorax (possible) Required Actions: - Immediate dispatch of ground EMS with ALS capabilities. - Activation of air ambulance (helicopter) due to severity and remote location. - Preparation for intubation and advanced airway management. - C-spine immobilization protocols. - Rapid transport to the nearest trauma center.