Miðgarður 11, 700 Egilsstaðir. Two-story residential building, built in 1995. Main entrance with a standard lock. No elevator, central stairwell. Street parking available. Current conditions: 8°C, overcast, moderate wind, good visibility. GPS coordinates: 65.2654° N, 14.3932° W. Nearest landmark: Egilsstaðir Airport.
32-year-old female, 38 weeks pregnant, experiencing sudden onset of severe abdominal pain and vaginal bleeding. Primary symptoms: Intense, constant abdominal pain, bright red vaginal bleeding, patient feels dizzy and weak. Secondary symptoms: Mild nausea, increased heart rate. Patient is conscious but anxious. Medical history: Previous uncomplicated pregnancy, gestational diabetes controlled by diet, no known allergies. Medications: Prenatal vitamins. Last meal was a light lunch at 13:00.
Timeline: 1400 hours: Patient was resting at home, felt a sudden sharp pain in her abdomen. 1402 hours: Patient went to the bathroom, noticed bright red vaginal bleeding. 1405 hours: Pain increased in intensity, patient felt dizzy and weak. 1408 hours: Patient called her husband for help. 1410 hours: Husband arrived and called emergency services. 1412 hours: Current time, patient lying on the bed, pale and anxious. Prior Events: Patient has had regular prenatal checkups, no prior complications during this pregnancy. Gestational diabetes was diagnosed at 24 weeks, managed with dietary changes. No history of previous miscarriages or preterm births. Patient has been feeling normal up until today.
Initial Impression: Suspected Placental Abruption Justification for F2 Classification: - High probability of a serious obstetric complication based on the combination of abdominal pain, vaginal bleeding, and late-term pregnancy. - Potential for rapid deterioration of both maternal and fetal condition. - Requires urgent medical assessment and possible intervention. Differential Diagnoses: 1. Placental Abruption (most likely given symptoms) 2. Placenta Previa (less likely given pain characteristics) 3. Preterm Labor (possible, but pain and bleeding suggest more acute issue) 4. Uterine Rupture (less likely without prior uterine surgery or trauma) Required Actions: - Dispatch of ground EMS with ALS capabilities - Immediate transport to nearest hospital with obstetric services - Continuous monitoring of maternal vital signs - Preparation for possible emergency C-section