Hlíðarvegur 17, 400 Ísafjörður, single-story detached house. Constructed in 1965, wood frame. Main entrance is at the front of the house with three steps. No security features. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 66.0742° N, 23.1275° W. Nearest landmark: Ísafjörður Hospital.
72-year-old female, confirmed case of Clostridium difficile infection, requiring transfer from home to Ísafjörður Hospital for isolation and further management. Patient is stable but experiencing moderate diarrhea and dehydration. No fever currently. Patient is alert and oriented. Medical history includes type 2 diabetes and previous C. difficile infection 6 months ago. Medications: Metformin 1000mg twice daily, oral rehydration solution. No known allergies. Last oral intake was clear fluids at 10:00.
Timeline: 0700 hours: Patient woke up with increased diarrhea. 0900 hours: Symptoms worsened; contacted primary care physician. 1000 hours: Physician confirmed C. difficile recurrence based on symptoms and recent history; requested transfer to hospital. 1030 hours: Current time; patient is stable but requires transfer for isolation and management. Prior Events: Patient was treated for C. difficile infection 6 months ago with oral vancomycin, which was successful. She has been stable since then until the current recurrence. No recent travel or other known exposures. Last medical check-up was 2 weeks ago, routine diabetes follow-up. Patient lives alone.
Initial Impression: Clostridium difficile Recurrence Justification for F3 Classification: - Confirmed infectious disease requiring transfer for isolation and management. - Patient is stable but requires hospital care for infection control and supportive treatment. - Non-life-threatening condition but time-sensitive due to infection control needs. Differential Diagnoses: 1. C. difficile recurrence (high probability) 2. Other infectious gastroenteritis (less likely given recent history and confirmed C. difficile diagnosis by physician) 3. Medication-induced diarrhea (less likely given known history and recent physician assessment) 4. Other gastrointestinal conditions (less likely given the patient's known history and symptoms) Required Actions: - Dispatch of ground EMS with BLS capabilities. - Standard infection control precautions. - Monitoring of vital signs and hydration status. - Transfer to Ísafjörður Hospital for isolation and management.