Hafnarstræti 18, 600 Akureyri. Ground floor commercial space, former retail shop. Single-story building with a flat roof. Main entrance at street level, no steps. Emergency exit at rear leading to a small alley. Building is approximately 50 years old, constructed of concrete. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6823° N, 18.0928° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, found unresponsive on the floor of his shop. Primary symptoms: Unresponsive, shallow breathing, pale skin, weak pulse. Secondary symptoms: Possible head injury (small laceration on the back of his head), incontinence. Patient was found by a customer, Jónas Einarsson. Patient is lying on the floor behind the counter. Medical history: Type 2 diabetes, hypertension, previous history of mild stroke 2 years ago. Medications: Metformin 500mg twice daily, Lisinopril 10mg daily, Aspirin 75mg daily. No known allergies. Last meal was a sandwich around 12:00.
Timeline: 1330 hours: Patient was last seen conscious and walking normally by a customer 1345 hours: Patient found unresponsive on the floor by Jónas Einarsson 1346 hours: Jónas Einarsson called emergency services 1347 hours: Current time, patient still unresponsive, shallow breathing, pale skin, weak pulse Prior Events: Patient reported feeling unwell for the past few days, experiencing mild dizziness and fatigue. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone, but has regular customers in his shop.
Initial Impression: Unresponsive Patient, Possible Syncope with Head Injury Justification for F2 Classification: - Unresponsive patient with shallow breathing and weak pulse - Possible head injury from fall - History of stroke increases risk of serious underlying cause - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Syncope (likely, given sudden onset and history) 2. Stroke/TIA (possible, given history and symptoms) 3. Hypoglycemia (possible, given history of diabetes) 4. Cardiac Event (less likely, no chest pain reported) 5. Seizure (less likely, no reported seizure activity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Assessment of airway, breathing, and circulation - Blood glucose check - C-spine immobilization due to possible head injury - Preparation for transport to nearest hospital with stroke and cardiac services