Garðarsbraut 23, 640 Húsavík, ground floor apartment. Two-story wooden building built in 1965. Main entrance at street level. No elevator. Street parking available. Building has basic fire safety equipment. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 66.0456° N, 17.3358° W. Nearest landmark: Húsavík Swimming Pool.
62-year-old male, experiencing severe abdominal pain. Primary symptoms: Sudden onset of severe, sharp pain in the lower abdomen, radiating to the back, nausea, and sweating. Patient reports the pain started approximately 30 minutes ago and is now unbearable. Secondary symptoms: Patient is pale and appears distressed, no fever. Patient is conscious and alert but in significant discomfort. Patient is sitting on the sofa in his living room. Medical history: History of kidney stones, no recent surgeries or hospitalizations. Medications: Over-the-counter pain medication (Ibuprofen), no other regular medications. No known allergies. Last meal was a light lunch at 13:00.
Timeline: 1415 hours: Patient experienced sudden onset of sharp lower abdominal pain. 1420 hours: Pain intensified, patient began experiencing nausea and sweating. 1430 hours: Patient called emergency services due to unbearable pain. Prior Events: Patient has a history of kidney stones, with the last episode 2 years ago. No recent changes in diet or activity. No recent illnesses or injuries. Last medical check-up 6 months ago, routine follow-up. Patient lives alone.
Initial Impression: Suspected Renal Colic (Kidney Stone) Justification for F2 Classification: - Severe pain requiring prompt pain management and evaluation - Potential for complications if untreated (e.g., infection, obstruction) - Time-sensitive condition requiring medical attention within 15-30 minutes Differential Diagnoses: 1. Renal Colic (high probability given history and symptoms) 2. Appendicitis (less likely given pain location and history) 3. Diverticulitis (less likely given no fever or bowel changes) 4. Musculoskeletal Pain (less likely given sudden onset and severity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pain management protocols initiation - Assessment for dehydration and vital signs monitoring - Preparation for transport to nearest hospital for further evaluation and treatment