Hafnarstræti 18, 600 Akureyri, second floor office suite 202. A three-story commercial building, constructed in 1965, with a brick facade. Main entrance is street level, requires no key during business hours. Elevator and central stairwell. Limited street parking available. Building equipped with fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6810° N, 18.0915° W. Nearest landmark: Cultural Centre Hof.
45-year-old male, found unresponsive at his office. Primary symptoms: Unresponsive, no apparent breathing, no pulse. Secondary symptoms: None reported. Patient was found slumped over his desk by a colleague. Medical history: Reports history of mild hypertension, no known allergies, no current medications. Last meal was a light lunch at 12:00. Witnessed collapse at 14:15. Patient is lying on the floor, with limited space around the desk.
Timeline: 1400 hours: Patient was seen working at his desk, appearing normal. 1415 hours: Colleague entered the office and found the patient unresponsive, slumped over his desk. Colleague immediately called emergency services. 1417 hours: Current time, patient still unresponsive, no breathing, no pulse. Prior Events: Patient reported feeling slightly lightheaded earlier in the day but did not report any other symptoms. No recent illnesses or injuries. Last medical check-up was 6 months ago, routine check-up. Patient works alone in his office, but other offices are nearby.
Initial Impression: Cardiac Arrest Justification for F2 Classification: - Patient is unresponsive, not breathing, and pulseless, indicating a life-threatening condition requiring immediate intervention. - Time-sensitive condition requiring rapid response and initiation of CPR. Differential Diagnoses: 1. Cardiac Arrest (most likely given presentation) 2. Severe Hypoglycemia (less likely given no history of diabetes) 3. Stroke (less likely given lack of specific neurological signs prior to collapse) 4. Seizure (less likely given no reported seizure activity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate initiation of CPR instructions to caller - AED location to be determined - Preparation for transport to nearest hospital with cardiac care services