Emergency Scenario 700_f3_1

F3

Location Information

Full Location:
Miðgarður 17, 700 Egilsstaðir, single-story detached house. Constructed in 1990. Main entrance via front door with a small porch. No security system. Gravel driveway. Current conditions: 8°C, overcast, light wind, good visibility. GPS coordinates: 65.2678° N, 14.3947° W. Nearest landmark: Egilsstaðir Swimming Pool.
Municipality: Egilsstaðir
Postal Code: 700

Emergency Details

Type: Pediatric - Febrile Seizure
Priority Level: F3
Response Time Goal: Standard (30-60 minutes)
Description:
3-year-old male child, experiencing a seizure. Primary symptoms: Generalized tonic-clonic seizure lasting approximately 2 minutes, now post-ictal. Secondary symptoms: Fever (39.1°C measured by mother), lethargy, slightly pale. Child is responsive to voice but drowsy. Medical history: History of febrile seizures with previous episodes, no known allergies. Medications: Paracetamol (120mg) given orally by mother 30 minutes prior to seizure onset. Last meal: Lunch at 12:00. No other recent illnesses or injuries.

History of Events

Timeline:
13:00 hours: Child began to feel warm, mother measured temperature 38.5°C
13:15 hours: Mother administered 120mg of paracetamol orally
13:30 hours: Child experienced a generalized tonic-clonic seizure lasting approximately 2 minutes
13:32 hours: Seizure ceased spontaneously, child is now post-ictal and drowsy
13:35 hours: Mother called emergency services

Prior Events: Child had two previous episodes of febrile seizures, both resolved spontaneously. Last medical check-up was 6 months ago, routine vaccinations. Child has no known chronic illnesses.

Diagnostics

Initial Assessment

Initial Impression: Febrile Seizure, Post-ictal State
Justification for F3 Classification:
- Child experienced a febrile seizure which resolved spontaneously
- Child is now post-ictal, but responsive and breathing normally
- History of febrile seizures suggests a recurrent but generally non-life-threatening condition
- Time-sensitive for monitoring and assessment, but not requiring immediate intervention

Differential Diagnoses:
1. Febrile Seizure (most likely)
2. Simple Partial Seizure (less likely given generalized presentation)
3. Meningitis (less likely given no other signs of meningeal irritation)
4. Hypoglycemia (less likely given normal behavior prior to fever)

Required Actions:
- Dispatch of ground EMS with basic life support capabilities
- Assessment of child's post-ictal state, vital signs, and level of consciousness
- Observation for any signs of deterioration
- Transport to hospital for pediatric assessment if necessary

Final Diagnosis

Emergency Call Transcript

Dispatcher Emergency services, what's your emergency?
Caller My son just had a seizure! He's only three years old.
Dispatcher Okay, I'm sending help. What is your address?
Caller It's Miðgarður 17 in Egilsstaðir.
Dispatcher Help is on its way. Can you tell me what happened?
Caller He had a fever and then he started shaking all over. It lasted for a couple of minutes, I think.
Dispatcher Is he awake now?
Caller Yes, he's awake but very sleepy. He's still a bit warm. I gave him some paracetamol earlier.
Dispatcher Has he had seizures before?
Caller Yes, he's had them before when he's had a fever. They usually stop on their own.
Dispatcher Okay, the ambulance is on its way. Stay with him and keep him comfortable. Do not give him anything to eat or drink.
Caller Okay, thank you. I will wait here.

Scenario Number: 700_f3_1

Generated At: 2024-12-15T08:48:22.960288

Report Created: 2024-12-15 20:59:49