Hlíðarvegur 15, 600 Akureyri, third floor apartment 3B. A five-story reinforced concrete residential building, constructed in 1995. Main entrance has a key code. Elevator and central staircase available. Street parking. Building has a fire sprinkler system. Current conditions: 7°C, cloudy, good visibility. GPS coordinates: 65.6762° N, 18.0964° W. Nearest landmark: Glerártorg shopping center.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient reports contractions every 5 minutes, lasting about 60 seconds each. Patient is pale, anxious, and reports dizziness. Patient is at home in her apartment. Medical history: Previous uncomplicated pregnancy, gestational diabetes managed with diet. No known allergies. Medications: Prenatal vitamins, no insulin currently. Last meal was a light lunch at 13:00.
Timeline: 1515 hours: Patient started feeling mild abdominal discomfort 1530 hours: Pain intensified, contractions began 1545 hours: Noticed vaginal bleeding, became dizzy 1548 hours: Called emergency services, current time Prior Events: Patient has had regular prenatal check-ups, last check-up 3 days ago. No prior complications in this pregnancy except for gestational diabetes managed with diet. No history of previous miscarriages or preterm labor. Patient has been monitoring fetal movement daily and reports normal activity until today.
Initial Impression: Suspected Placental Abruption or Preterm Labor with Complications Justification for F2 Classification: - High probability of significant obstetric complication based on bleeding and severe pain - Potential threat to maternal and fetal well-being - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Placental Abruption (high probability due to bleeding and pain) 2. Preterm Labor (likely, given contractions at 38 weeks) 3. Placenta Previa (less likely given pain and timing) 4. Uterine Rupture (lower probability but must be considered) Required Actions: - Dispatch of ground EMS with ALS capabilities - Initiate maternal and fetal monitoring - Prepare for transport to nearest hospital with obstetrical services - Notify obstetric team at hospital