Hafnarstræti 18, 600 Akureyri, ground floor of a two-story commercial building, formerly a bank, now a small retail shop. Main entrance is street-level with double glass doors, no steps. No elevator. Building is of brick and concrete construction, built in 1960. No security features beyond standard door locks. Current conditions: 7°C, overcast, light wind, good visibility. GPS coordinates: 65.6820° N, 18.0915° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, collapsed at work. Primary symptoms: Sudden loss of consciousness, brief episode of shaking, now conscious but disoriented. Secondary symptoms: Reports feeling lightheaded prior to collapse, mild headache, pale skin. Patient is sitting on a chair, appears confused. Medical history: No known allergies, no regular medications, occasional mild anxiety. Last meal was a sandwich and coffee at 11:00. No recent illnesses reported.
Timeline: 1315 hours: Patient reports feeling lightheaded while working at his desk 1316 hours: Patient suddenly lost consciousness and fell from chair 1316-1317 hours: Patient experienced brief shaking/jerking movements 1317 hours: Patient regained consciousness, but is disoriented 1318 hours: Co-worker called emergency services 1320 hours: Current time, patient is sitting on chair, confused. Prior Events: Patient reports occasional lightheadedness, no prior fainting episodes. Last medical check-up was 2 years ago, routine physical. Patient reports feeling stressed at work recently. No significant changes in diet or exercise habits.
Initial Impression: Syncope with Possible Seizure Activity Justification for F2 Classification: - Loss of consciousness with reported shaking warrants urgent evaluation - Potential for underlying cardiac or neurological cause requiring prompt assessment - Patient is now conscious but disoriented Differential Diagnoses: 1. Vasovagal Syncope (possible, given lightheadedness prior to event) 2. Seizure Disorder (possible, based on shaking episode) 3. Cardiac Arrhythmia (less likely, no known history) 4. Hypoglycemia (less likely, last meal within 2 hours) 5. Orthostatic Hypotension (possible, but less likely given sudden onset) Required Actions: - Dispatch of ground EMS with ALS capabilities - Full vital sign assessment - Neurological assessment (AVPU/GCS) - ECG monitoring - Blood glucose check