Miðgarður 15, 700 Egilsstaðir, single-story residential house. Built in 1985, wooden construction with a single entrance at the front. No security system. Parking available on the street. Current conditions: 8°C, cloudy, good visibility. GPS coordinates: 65.2667° N, 14.3958° W. Nearest landmark: Egilsstaðir Swimming Pool.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Patient is conscious and distressed. Primary symptoms: Intense, constant abdominal pain, bright red vaginal bleeding, dizziness. Secondary symptoms: Nausea, feeling weak. Patient is lying on her side in her bedroom. Medical history: Gestational diabetes, managed with diet. No known allergies. Medications: Prenatal vitamins. Last meal was a light lunch at 13:00.
Timeline: 1410 hours: Patient felt a sudden sharp pain in her abdomen. 1412 hours: Patient noticed vaginal bleeding, bright red in color. 1415 hours: Patient became dizzy and felt weak. 1417 hours: Patient called emergency services. 1420 hours: Current time, patient still experiencing severe pain and bleeding. Prior Events: Patient has had a normal pregnancy with regular checkups. No prior complications. Gestational diabetes diagnosed at 24 weeks, controlled by diet. No history of prior miscarriages or preterm births. No recent illnesses or injuries. Last prenatal check-up 1 week ago, normal fetal heart rate and growth.
Initial Impression: Suspected Placental Abruption or Preterm Labor with Complications Justification for F2 Classification: - High risk of maternal and fetal compromise due to vaginal bleeding and severe abdominal pain in late pregnancy. - Time-sensitive condition requiring immediate medical evaluation and intervention. - Potential for rapid deterioration of both maternal and fetal condition. Differential Diagnoses: 1. Placental Abruption (high probability) 2. Preterm Labor with Placenta Previa (possible) 3. Uterine Rupture (less likely but must be considered) 4. Early Labor with Normal Progression (less likely given severity of pain and bleeding) Required Actions: - Dispatch of ground EMS with ALS capabilities - Rapid transport to nearest hospital with obstetrics department - Continuous monitoring of maternal vital signs and fetal heart rate if possible - Preparation for potential delivery or emergency C-section