Hlíðarvegur 14, 600 Akureyri, single-story detached house. Built in 1995, wood construction with concrete foundation. Main entrance via front door, no security system. Small garden surrounding the house. Weather conditions: 7°C, overcast, light wind. Visibility good. Road conditions are dry and clear. GPS coordinates: 65.6748° N, 18.0882° W. Nearest landmark: Glerártorg shopping center.
55-year-old male, experiencing severe abdominal pain. Primary symptoms: sudden onset of intense, cramping abdominal pain in the lower right quadrant, rated 8/10 on pain scale. Secondary symptoms: nausea, diaphoresis, patient is restless and unable to find a comfortable position. No recent trauma. Patient is alert but distressed. Medical history: Type 2 diabetes, controlled with metformin, history of mild hypertension. Medications: Metformin 1000mg twice daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1510 hours: Patient reports sudden onset of severe abdominal pain while watching TV. 1515 hours: Pain increases in intensity, patient becomes nauseous and diaphoretic. 1520 hours: Patient attempts to use the bathroom with no relief. Unable to stand straight due to pain. 1525 hours: Patient calls emergency services. Current time, patient is lying on the couch, grimacing in pain. Prior Events: Patient reports occasional mild abdominal discomfort after meals, but nothing of this intensity. Last medical check-up was 6 months ago, routine follow-up for diabetes. No recent illnesses or injuries. Patient lives with his wife, who is present at the scene.
Initial Impression: Suspected Acute Appendicitis Justification for F2 Classification: - Severe, localized abdominal pain with associated nausea and diaphoresis - Potential for rapid deterioration and complications (perforation, peritonitis) - Time-sensitive condition requiring prompt medical evaluation and possible surgical intervention Differential Diagnoses: 1. Acute Appendicitis (high probability) 2. Renal Colic (less likely given location of pain) 3. Diverticulitis (less likely given age and lack of prior symptoms) 4. Bowel Obstruction (less likely given no history of prior abdominal surgery) 5. Mesenteric Ischemia (lower probability, no history of cardiovascular disease) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Rapid transport to the nearest hospital with surgical services - Pre-hospital notification to the emergency department