Hafnarstræti 99, 600 Akureyri, third-floor office, suite 302. Modern four-story commercial building constructed in 2015. Main entrance requires a key card during non-business hours, otherwise open. Elevator and central stairwell access. Street parking available. Building equipped with a sprinkler system and fire alarm. Current conditions: 7°C, clear skies, good visibility. GPS coordinates: 65.6837° N, 18.0917° W. Nearest landmark: Akureyri Art Museum.
45-year-old male, sudden onset of severe abdominal pain. Primary symptoms: Intense, sharp pain in the upper abdomen, radiating to the back, nausea, and sweating. Patient reports the pain started suddenly about 20 minutes ago. Secondary symptoms: Pale skin, restlessness, patient is doubled over in pain. Patient is conscious and able to speak. Medical history: Patient has a history of gallstones, no known allergies. Medications: None regularly, takes over-the-counter paracetamol occasionally. Last meal was a sandwich at 12:30.
Timeline: 13:45 hours: Patient experienced sudden onset of severe abdominal pain while working at his desk. 13:47 hours: Patient attempted to take an antacid, with no relief. 13:50 hours: Pain intensified, patient became nauseated and started sweating. 13:55 hours: Patient called emergency services. 13:58 hours: Current time, patient is still experiencing severe pain, unable to find a comfortable position. Prior Events: Patient had a similar episode of milder pain about 3 months ago, which resolved spontaneously. Patient has been under some stress recently due to work deadlines. No recent illnesses or injuries. Last medical check-up 6 months ago, routine physical.
Initial Impression: Suspected Acute Biliary Colic or Pancreatitis Justification for F2 Classification: - Severe pain with potential for rapid deterioration - Possible serious underlying conditions requiring urgent medical evaluation - Time-sensitive condition requiring pain management and diagnostic assessment Differential Diagnoses: 1. Acute Biliary Colic (high probability given history of gallstones) 2. Acute Pancreatitis (possible given location and severity of pain) 3. Peptic Ulcer Perforation (less likely but should be considered) 4. Myocardial Infarction (less likely but cannot be excluded) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - ECG monitoring to rule out cardiac etiology - Preparation for transport to nearest hospital with surgical services