Strandgata 23, 600 Akureyri, Apartment 3B, third floor. A five-story concrete building built in 1995. Main entrance has a secure code. Elevator and central staircase available. Street parking. Building has a fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6825° N, 18.0920° W. Nearest landmark: Hof Cultural and Conference Center.
28-year-old female, 36 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient reports contractions every 5 minutes. Patient is pale, anxious, and reports feeling lightheaded. No prior history of complications during this pregnancy. Patient is lying on the couch in her living room. Medical history: No known allergies. No regular medications. First pregnancy. Last meal was a light lunch at 13:00.
Timeline: 1430 hours: Patient started experiencing mild abdominal cramping 1445 hours: Pain intensified, accompanied by vaginal bleeding 1450 hours: Contractions started, reported every 5 minutes 1455 hours: Patient called her partner, who is currently at work 1500 hours: Patient called emergency services 1503 hours: Current time, patient is still experiencing pain and bleeding Prior Events: No prior pregnancy complications. All prenatal appointments have been normal. No prior hospitalizations for this pregnancy. Last prenatal check-up was 1 week ago, all normal. Patient has been generally healthy.
Initial Impression: Possible Placental Abruption or Preterm Labor Justification for F2 Classification: - High risk for maternal and fetal morbidity and mortality - Active vaginal bleeding and severe abdominal pain in late pregnancy - Contractions indicating preterm labor - Time-sensitive condition requiring prompt medical intervention Differential Diagnoses: 1. Placental Abruption (high probability given bleeding and pain) 2. Preterm Labor (high probability given contractions) 3. Placenta Previa (less likely given pain severity) 4. Uterine Rupture (less likely given no prior uterine surgery) Required Actions: - Dispatch of ground EMS with ALS capabilities - Maternal vital sign monitoring and assessment - Fetal heart rate monitoring if available - Preparation for rapid transport to the nearest hospital with obstetric services