Hafnarstræti 22, 600 Akureyri, third floor, office 302. Four-story commercial building constructed in 1995. Main entrance has an electronic lock, code is 1975. Elevator and central staircase access all floors. Street parking available. Building has a fire alarm system and sprinkler system. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6821° N, 18.0924° W. Nearest landmark: Akureyri Art Museum.
58-year-old male, collapsed at work. Primary symptoms: Sudden loss of consciousness, now conscious but confused. Secondary symptoms: Reports feeling dizzy and lightheaded prior to collapse, pale and diaphoretic. Patient reports a brief period of unconsciousness. Patient is seated in an office chair. Medical history: Type 2 diabetes, hypertension. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily. No known allergies. Last meal was a sandwich at 12:00.
Timeline: 1310 hours: Patient reports feeling lightheaded and dizzy while working at his desk. 1312 hours: Patient collapsed, losing consciousness briefly. 1313 hours: Patient regained consciousness, now confused and disoriented. 1314 hours: Colleague called emergency services. 1315 hours: Current time, patient conscious but confused. Prior Events: Patient reports occasional episodes of lightheadedness over the past few months, attributed to his diabetes. No prior episodes of syncope. Last medical check-up 6 months ago, routine follow-up. No recent illnesses or injuries. Patient reports good adherence to medication.
Initial Impression: Syncope, possible cardiac or metabolic etiology Justification for F2 Classification: - Sudden loss of consciousness, now with altered mental status - Potential for serious underlying cause (cardiac, metabolic) - Requires prompt medical evaluation and monitoring Differential Diagnoses: 1. Vasovagal Syncope (possible, but less likely given the patient's medical history) 2. Cardiac Arrhythmia (requires immediate assessment) 3. Hypoglycemia (possible, given diabetes) 4. Orthostatic Hypotension (possible, but less likely given sudden onset) 5. Transient Ischemic Attack (less likely given the brief loss of consciousness) Required Actions: - Dispatch of ground EMS with ALS capabilities - Blood glucose level check - Cardiac monitoring initiation - Preparation for transport to nearest hospital with cardiology services